TY - JOUR
T1 - A Comprehensive Treatment Protocol for Endometriosis Patients Decreases Pain and Improves Function
AU - Shrikhande, Allyson
AU - Patil, Soha
AU - Subhan, Merzia
AU - Moody, Erika
AU - Natarajan, Janaki
AU - Tailor, Yogita
AU - Mamsaang, Marjorie
AU - James, Neha
AU - Leishear, Kimberlee
AU - Vyas, Rakhi
AU - Sandhu, Sandra
AU - Ahmed, Tayyaba
AU - Filart, Rosemarie
AU - Daniel, Gabrielle
AU - Orbuch, Iris Kerin
AU - Larish, Yaniv
AU - Liu, Lora
N1 - Publisher Copyright:
© 2023 Shrikhande et al.
PY - 2023
Y1 - 2023
N2 - Purpose: The purpose of this paper is to evaluate the efficacy of a multimodal, outpatient neuromuscular protocol in treating remaining sensitization and myofascial pain in endometriosis patients post-surgical excision. Patients and Methods: A retrospective longitudinal study was conducted for women aged 22 to 78 with a history of surgically excised endometriosis. 60 women with an average duration of pain of 8.63 ± 7.65 years underwent a treatment protocol consisting of ultrasound guided trigger point injections, peripheral nerve blocks, and pelvic floor physical therapy for 6 weeks. Concomitant cognitive behavioral therapy once weekly for a total of 12 weeks was also undertaken. Pain intensity and pelvic functionality were assessed at new patient consults and 3-month follow ups using Visual Analogue Scale (VAS) and Functional Pelvic Pain Scale (FPPS). Results: At new patient consults, average VAS and FPPS were 7.45 ± 2.11 (CI 6.92–7.98) and 14.35 ± 6.62 (CI 12.68 −16.02), respectively. At 3-month follow ups, average VAS and FPPS decreased to 4.12 ± 2.44 (CI 3.50–4.73; p < 0.001) and 10.3 ± 6.55 (CI 8.64–11.96; p < 0.001), respectively. Among FPPS categories, sleeping, intercourse, and working showed the highest statistical significance. Conclusion: Data suggests the multimodal protocol was effective in treating the remaining underlying sensitization and myofascial pain seen in Endometriosis patients post-surgical excision, particularly in decreasing pain and improving function during work and intercourse.
AB - Purpose: The purpose of this paper is to evaluate the efficacy of a multimodal, outpatient neuromuscular protocol in treating remaining sensitization and myofascial pain in endometriosis patients post-surgical excision. Patients and Methods: A retrospective longitudinal study was conducted for women aged 22 to 78 with a history of surgically excised endometriosis. 60 women with an average duration of pain of 8.63 ± 7.65 years underwent a treatment protocol consisting of ultrasound guided trigger point injections, peripheral nerve blocks, and pelvic floor physical therapy for 6 weeks. Concomitant cognitive behavioral therapy once weekly for a total of 12 weeks was also undertaken. Pain intensity and pelvic functionality were assessed at new patient consults and 3-month follow ups using Visual Analogue Scale (VAS) and Functional Pelvic Pain Scale (FPPS). Results: At new patient consults, average VAS and FPPS were 7.45 ± 2.11 (CI 6.92–7.98) and 14.35 ± 6.62 (CI 12.68 −16.02), respectively. At 3-month follow ups, average VAS and FPPS decreased to 4.12 ± 2.44 (CI 3.50–4.73; p < 0.001) and 10.3 ± 6.55 (CI 8.64–11.96; p < 0.001), respectively. Among FPPS categories, sleeping, intercourse, and working showed the highest statistical significance. Conclusion: Data suggests the multimodal protocol was effective in treating the remaining underlying sensitization and myofascial pain seen in Endometriosis patients post-surgical excision, particularly in decreasing pain and improving function during work and intercourse.
KW - central sensitization
KW - chronic pelvic pain
KW - myofascial dysfunction
KW - peripheral sensitization
UR - http://www.scopus.com/inward/record.url?scp=85146931186&partnerID=8YFLogxK
U2 - 10.2147/IJWH.S365637
DO - 10.2147/IJWH.S365637
M3 - Article
AN - SCOPUS:85146931186
SN - 1179-1411
VL - 15
SP - 91
EP - 101
JO - International Journal of Women's Health
JF - International Journal of Women's Health
ER -