» Articles » PMID: 36693434

A Novel Radiofrequency Modulation Therapy Versus Routine Physiotherapy Modalities in Treatment of Myofascial Pelvic Pain Syndrome: a Pilot Randomized Trial

Overview
Date 2023 Jan 24
PMID 36693434
Authors
Affiliations
Soon will be listed here.
Abstract

Objective: The current study aimed to compare the effectiveness of novel radiofrequency modulation (RM) therapy with a tailored physiotherapy course for patients with chronic pelvic pain (CPP) of myofascial origin, also known as myofascial pelvic pain syndrome (MPPS).

Methods: We enrolled 46 patients with myofascial CPP to compare the effectiveness of a 10-session routine physiotherapy course versus a 6-session RM with an integrated device (HIGGS) in alleviating MPPS morbidity and pelvic floor muscle (PFM) rehabilitation. The primary outcome was reduction in pelvic pain after the final session and in the follow-up period 3 months after the final intervention session.

Results: The 6-session therapy in the RM group and the manual, biofeedback, and transcutaneous electrical nerve stimulation therapies in the physiotherapy group were similarly effective in reducing pain and improving PFM endurance after the final intervention session in each group, whereas perineometer readings and PFM strength were associated with greater improvements in the physiotherapy group.

Conclusion: The results of this study demonstrated comparable effectiveness of RM in the management of MPPS and improvement of PFM function compared to routine physiotherapy programs with fewer sessions of therapy.

References
1.
Noor N, Roy K, Zangmo R, Das A, Rai R, Kumari A . Role of para-cervical block in reducing immediate postoperative pain after total laparoscopic hysterectomy: a prospective randomized placebo-controlled trial. Obstet Gynecol Sci. 2021; 64(1):122-129. PMC: 7834753. DOI: 10.5468/ogs.20271. View

2.
Kucuk E, Suceken F, Bindayi A, Boylu U, Onol F, Gumus E . Effectiveness of acupuncture on chronic prostatitis-chronic pelvic pain syndrome category IIIB patients: a prospective, randomized, nonblinded, clinical trial. Urology. 2015; 85(3):636-40. DOI: 10.1016/j.urology.2014.11.004. View

3.
Pastore E, Katzman W . Recognizing myofascial pelvic pain in the female patient with chronic pelvic pain. J Obstet Gynecol Neonatal Nurs. 2012; 41(5):680-91. PMC: 3492521. DOI: 10.1111/j.1552-6909.2012.01404.x. View

4.
Fitzgerald M, Payne C, Lukacz E, Yang C, Peters K, Chai T . Randomized multicenter clinical trial of myofascial physical therapy in women with interstitial cystitis/painful bladder syndrome and pelvic floor tenderness. J Urol. 2012; 187(6):2113-8. PMC: 3351550. DOI: 10.1016/j.juro.2012.01.123. View

5.
Engeler D, Baranowski A, Dinis-Oliveira P, Elneil S, Hughes J, Messelink E . The 2013 EAU guidelines on chronic pelvic pain: is management of chronic pelvic pain a habit, a philosophy, or a science? 10 years of development. Eur Urol. 2013; 64(3):431-9. DOI: 10.1016/j.eururo.2013.04.035. View