Session Time: 12:45pm-1:45pm
Disclosures: Emma L. Desjardins, DO: No financial relationships or conflicts of interest
Objective: The aim of this study is to provide evidence for the effectiveness of the Pelvic Rehabilitation Medicine protocol, a unique multimodal approach to Chronic Pelvic Pain Syndrome, by studying it with a larger and more diverse patient population than in a previous study.
Design: Retrospective chart review Setting : Outpatient private pelvic rehabilitation practice. Participants : 100 female patients diagnosed with CPPS by a physiatrist conducting specific history and physical exam and who underwent the PRM treatment protocol.
Interventions: The PRM protocol consists of external ultrasound guided trigger point injections to the bilateral levator ani muscles weekly for 6 weeks and hydrodissection of pudendal and posterior femoral cutaneous nerves using dexamethasone and lidocaine followed by traumeel for subsequent injections with each side receiving 3 injections. As part of the multimodal approach patients also continued with pelvic floor PT along with other physical and pharmacologic treatments.
Main Outcome Measures: Visual Analogue Scale and Functional Pelvic Pain Scale scores were obtained during treatment. A Wilcoxon signed-rank test was used to match the differences from before treatment and 4-8 weeks after treatment for each patient for pain, total function and each individual category of function.
Results: Both VAS scores and total FPPS scores showed improvement that was statistically significant (P < 0.05) with a 95% CI. These categories also had the largest number of patients with improvement post treatment. The scores for each individual category of the FPPS also showed improvement with statistical significance except for the categories of bladder, bowel, and running. Conclusions: This study demonstrates a statistically significant relief of pain and improvement of function 6 weeks after PRM protocol treatment in female patients with CPPS. The PRM protocol is a safe and effective treatment that can improve quality of life.
Level of Evidence: Level IV
To cite this abstract in AMA style:Desjardins EL, Brooks B, Leishear K, Aronson R, Howell M, Shrikhande AA. A Novel, Non-Opioid Treatment Protocol for Women with Chronic Pelvic Pain Syndrome [abstract]. PM R. 2020; 12(S1)(suppl 1). https://pmrjabstracts.org/abstract/a-novel-non-opioid-treatment-protocol-for-women-with-chronic-pelvic-pain-syndrome/. Accessed February 27, 2024.
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