Skip to main content
Top

09-05-2024 | Pain Syndromes | Original Article

Evaluating the Effectiveness of Radiofrequency Therapy and Manual Pelvic Fascial Release in Treating Myofascial Pelvic Pain

Authors: Dan Li, Meng Li, Guangping Wu, Lan Wu, Yuejuan Ma, Xinwen Zhang

Published in: International Urogynecology Journal

Login to get access

Abstract

Introduction and Hypothesis

Myofascial pelvic pain (MFPP), characterized by sensitive trigger points in the pelvic floor muscles, leads to chronic pain and affects various aspects of life. Despite the availability of different treatment modalities, there is limited comparative research on their effectiveness. This study compares radiofrequency (RF) therapy and myofascial manual therapy (MMT) in treating MFPP. We aimed to evaluate pelvic floor muscle strength changes, clinical symptoms, and patient comfort during treatment.

Methods

The study involved 176 participants, divided equally into RF and MMT groups. We assessed pelvic floor pain using the Visual Analogue Scale (VAS), muscle strength using the Modified Oxford Scale (MOS) and surface electromyography (sEMG), clinical symptom improvement through questionnaires, and patient discomfort during treatment.

Results

Both RF and MMT groups significantly reduced pelvic floor and paraurethral muscle pain (VAS scores, p < 0.001). RF treatment significantly decreased vaginal laxity in its group (p < 0.001), with no notable change in the MMT group (p = 0.818). RF therapy also resulted in greater patient comfort than MMT (p < 0.001). Although both treatments improved clinical symptoms, there was no significant difference between the two (p = 0.692). MOS scores and pelvic floor sEMG values showed no significant differences between the groups before and after treatment (p > 0.05).

Conclusions

Both RF and MMT effectively alleviate pelvic floor pain and improve clinical symptoms in MFPP patients. RF therapy, however, offers additional benefits in reducing vaginal laxity and enhancing treatment comfort.
Literature
3.
go back to reference Bedaiwy MA, Patterson B, Mahajan S. Prevalence of myofascial chronic pelvic pain and the effectiveness of pelvic floor physical therapy. J Reprod Med. 2013;58:504–10.PubMed Bedaiwy MA, Patterson B, Mahajan S. Prevalence of myofascial chronic pelvic pain and the effectiveness of pelvic floor physical therapy. J Reprod Med. 2013;58:504–10.PubMed
14.
go back to reference Carralero-Martínez A, Muñoz Pérez MA, Kauffmann S, Blanco-Ratto L, Ramírez-García I. Efficacy of capacitive resistive monopolar radiofrequency in the physiotherapeutic treatment of chronic pelvic pain syndrome: a randomized controlled trial. Neurourol Urodyn. 2022;41:962–72. https://doi.org/10.1002/nau.24903.CrossRefPubMed Carralero-Martínez A, Muñoz Pérez MA, Kauffmann S, Blanco-Ratto L, Ramírez-García I. Efficacy of capacitive resistive monopolar radiofrequency in the physiotherapeutic treatment of chronic pelvic pain syndrome: a randomized controlled trial. Neurourol Urodyn. 2022;41:962–72. https://​doi.​org/​10.​1002/​nau.​24903.CrossRefPubMed
20.
go back to reference Laycock J, Jerwood DJP. Pelvic floor muscle assessment: the PERFECT scheme. Physiotherapy. 2001;87:631–42.CrossRef Laycock J, Jerwood DJP. Pelvic floor muscle assessment: the PERFECT scheme. Physiotherapy. 2001;87:631–42.CrossRef
21.
go back to reference Glazer HI, Hacad C. The Glazer Protocol: evidence-based medicine pelvic floor muscle (PFM) surface electromyography (SEMG). Biofeedback. 2012;40:75–9.CrossRef Glazer HI, Hacad C. The Glazer Protocol: evidence-based medicine pelvic floor muscle (PFM) surface electromyography (SEMG). Biofeedback. 2012;40:75–9.CrossRef
24.
go back to reference Laycock J, Haslam J. Therapeutic management of incontinence and pelvic pain: pelvic organ disorders. London: Springer. 2002. Laycock J, Haslam J. Therapeutic management of incontinence and pelvic pain: pelvic organ disorders. London: Springer. 2002.
Metadata
Title
Evaluating the Effectiveness of Radiofrequency Therapy and Manual Pelvic Fascial Release in Treating Myofascial Pelvic Pain
Authors
Dan Li
Meng Li
Guangping Wu
Lan Wu
Yuejuan Ma
Xinwen Zhang
Publication date
09-05-2024
Publisher
Springer International Publishing
Keyword
Pain Syndromes
Published in
International Urogynecology Journal
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-024-05763-x