chronic pelvic pain, myofascial pain syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Women with chronic pelvic pain; age over 18 years; presence of all clinical diagnostic criteria for abdominal myofascial pain syndrome.
Exclusion criteria
Exclusion criteria: Women with typical clinical symptoms of endometriosis or painful bladder syndrome or irritable bowel syndrome or other disease that justify or contribute to chronic pelvic pain; endometrioma or hernia evidenced by ultrasound of abdominal wall; obesity (BMI > 30 kg/m²); use of anticoagulant; coagulation disturbance.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Expected: We evaluated the pain threshold at the trigger point before and after treatment by algometry (the minimum pressure required to cause the sensation of pain in trigger point); Found: there was no significant difference in pain thresholds, regardless of electromyographic patterns. | — |
Primary
| Measure | Time frame |
|---|---|
| Expected: Presence of abnormalities suggestive of denervation process and / or local reinnervation, evaluated by needle electromyography at trigger points; Found: 16 women had electromyographic changes and 13 had normal electromyographic patterns.;Expected: We evaluated the pain intensity before and after the reference treatment by visual analogue pain scale; Found: 93.8% of women in the group of electromyographic changes had significant reduction in pain intensity; however, only 38.5% of women with normal EMG pattern showed significant improvement. | — |
Countries
Brazil
Contacts
Departamento de Ginecologia e Obstetrícia - Comissão de Pesquisa