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  • Multimodal Physical...

Multimodal Physical Therapy found Effective for Chronic Pelvic Pain, suggests research

Written By : Dr Riya Dave |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2025-01-24T20:15:49+05:30  |  Updated On 25 Jan 2025 12:22 PM IST
Multimodal Physical Therapy found Effective for Chronic Pelvic Pain,  suggests research
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Multimodal physical therapy was found to reduce pain intensity significantly in women with chronic pelvic pain (CPP), as reported by a recent study published in the American Journal of Obstetrics and Gynecology. Chronic pelvic pain is a complex condition affecting the quality of life in women, and its implications reach the domains of physical, psychological, and sexual health. The study was conducted by Małgorzata Starzec-Proserpio and colleagues.

The study used data from 38 randomized controlled trials involving 2168 women with a mean age of 35.1±8.6 years. The search for literature of electronic databases such as Medline, PubMed, Embase, and Cochrane Central Register of Controlled Trials was done in January 2023 and updated in December 2023. Randomized controlled trials were included for nonpharmacological conservative therapies against placebo, usual care, or other treatments that are not conservative in nature, such as surgical or pharmacological interventions.

Therapies considered were as follows:

• Multimodal physical therapy

• Psychological approaches

• Acupuncture

Tissue-based monotherapies such as electrophysical agents, manual stretching.

The studies with similar intervention and outcome were analyzed using a random effect model to perform the meta-analysis. Outcomes assessed included pain intensity, sexual function, psychological health, and physical functions as well as quality of life. The Physiotherapy Evidence Database scale and GRADE criteria were used to review the evidence quality and certainty.

Results

• Of 5776 studies retrieved, 38 randomized controlled trials were included in the analysis.

Multimodal Physical Therapy:

• Short-term: Pain intensity significantly reduced (standardized mean difference [SMD] −1.69, 95% CI −2.54, −0.85; high certainty).

• Intermediate-term: Pain intensity also reduced (SMD −1.82, 95% CI −3.13, −0.52; moderate certainty).

Predominantly Psychological Approaches:

• No significant effect on pain intensity (SMD −0.18, 95% CI −0.56, 0.20; moderate certainty).

• Slight improvement in sexual function (SMD −0.28, 95% CI −0.52, −0.04; moderate certainty).

Acupuncture:

• Results showed no statistically significant effect on pain intensity (SMD 1.08, 95% CI −1.38, 3.54), favoring control treatment.

Multimodal physiotherapy represents an effective, evidence-based approach in decreasing intensity of pain in females with CPP. Its inclusion into clinical practice has become necessary in order to promote better patient results.

Reference:

Starzec-Proserpio, M., Frawley, H., Bø, K., & Morin, M. (2025). Effectiveness of nonpharmacological conservative therapies for chronic pelvic pain in women: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology, 232(1), 42–71. https://doi.org/10.1016/j.ajog.2024.08.006
American Journal of Obstetrics and GynecologyChronic pelvic painmultimodal physical therapynonpharmacological therapywomen’s healthsystematic reviewmeta-analysispain intensityquality of life
Source : American Journal of Obstetrics and Gynecology
Dr Riya Dave
Dr Riya Dave

    Dr Riya Dave has completed dentistry from Gujarat University in 2022. She is a dentist and accomplished medical and scientific writer known for her commitment to bridging the gap between clinical expertise and accessible healthcare information. She has been actively involved in writing blogs related to health and wellness.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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