Prise en charge ostéopathique des douleurs pelviennes chroniques de la femme. Série de cas traités

Agathe Malexieux, Justine Saujot, Sophie Contreras, Arnaud Crépin
In: La Revue de l'Ostéopathie · 2025 · pp. 31 · doi:10.65071/rev.osteo2025.01.31.31 · W7117158388
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Osteopathic treatment significantly reduced chronic pelvic pain, dyspareunia, and improved quality of life parameters in fourteen women over two months.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This case series evaluated the potential benefits of an osteopathic intervention for chronic pelvic pain in 14 women, using three osteopathic consultations over a two-month follow-up. The primary outcome was the abbreviated Questionnaire de la Douleur de Saint-Antoine (QDSA), while secondary measures included numerical pain scales for dyspareunia and additional numeric ratings of pain-related effects on mood, relationships, enjoyment of life, general activity, walking ability, and sleep; the paper reports that outcomes were analyzed intragroup and compared by the presence versus absence of endometriosis. Significant intragroup decreases were found in overall QDSA and in dyspareunia scores for all participants, with larger QDSA improvements among those with endometriosis, and significant improvements across multiple quality-of-life-related items, though results were limited by the small, non-controlled case-series design and short follow-up. Relevance to endometriosis: endometriosis status was specifically compared and was associated with greater reductions in QDSA and different patterns for some quality-of-life items, though the paper’s main focus is osteopathic management of chronic pelvic pain generally.

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Abstract

Osteopathic treatment of chronic pelvic pain in women. Series of cases treated Context: Chronic pelvic pain (CPP) is a global public health issue affecting 15 to 24% of women. It impacts and impairs the quality of life of women who suffer from it. The aim of the study was to evaluate the benefits of osteopathic treatment for CPP in women and its impact on quality of life using assessment criteria that can be used in everyday practice. Methods: Fourteen cases of patients suffering from CPP were analyzed and followed over a two-month period with three osteopathic consultations. The primary endpoint was the abbreviated Questionnaire de Saint Antoine (QDSA). The secondary endpoint was the numerical pain scale (NPS) to assess the intensity of dyspareunia. The impact of pain was measured using NPS extracted from the Questionnaire Concis de la douleur and an NPS to assess the effect of pain on the couple's relationship. Results: The intragroup decrease in the mean QDSA overall score was significant for all 14 participants (p < 0.001), and greater for the five participants with endometriosis than for the nine without (intergroup p < 0.001). With or without endometriosis, the intra-group decrease in the mean NPS scores for dyspareunia was significant (p < 0.001), as was the decrease for the items Mood (p < 0.001), Relationships with others (p < 0.001), Enjoyment of life (p = 0.02), and Couple relationship (p = 0.03). The intragroup decrease in means was significant for the items General activity (p = 0.005), Walking Ability (p < 0.001) and Sleep (p < 0.001), and differed depending on the presence or absence of endometriosis (intergroup p values: 0.006, 0.001, and 0.003, respectively). Conclusion: The study suggests that osteopathy is effective in reducing pelvic pain and dyspareunia, as well as improving certain quality of life parameters. Further studies are needed to confirm these results.
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Conclusion

L’étude suggère une efficacité de l’ostéopathie sur la diminution des douleurs pelviennes et les dyspareunies ainsi que sur l’amélioration de certains paramètres de la qualité de vie. Des études complémentaires sont nécessaires pour confirmer ces résultats. Mots-clés : Douleur pelvienne, Dyspareunie, Qualité de vie, Ostéopathie Osteopathic treatment of chronic pelvic pain in women. Series of cases treated Malexieux A, Saujot J, Contreras S, Crépin A. Osteopathic treatment of chronic pelvic pain in women. Series of cases treated. La Revue de l'Ostéopathie. 2025;31:31-40. DOI: 10.65071/REV.OSTEO2025.01.31.31.

Abstract

Context: Chronic pelvic pain (CPP) is a global public health issue affecting 15 to 24% of women. It impacts and impairs the quality of life of women who suffer from it. The aim of the study was to evaluate the benefits of osteopathic treatment for CPP in women and its impact on quality of life using assessment criteria that can be used in everyday practice.

Methods

Fourteen cases of patients suffering from CPP were analyzed and followed over a two-month period with three osteopathic consultations. The primary endpoint was the abbreviated Questionnaire de Saint Antoine (QDSA). The secondary endpoint was the numerical pain scale (NPS) to assess the intensity of dyspareunia. The impact of pain was measured using NPS extracted from the Questionnaire Concis de la douleur and an NPS to assess the effect of pain on the couple's relationship.

Results

The intragroup decrease in the mean QDSA overall score was significant for all 14 participants (p < 0.001), and greater for the five participants with endometriosis than for the nine without (intergroup p < 0.001). With or without endometriosis, the intragroup decrease in the mean NPS scores for dyspareunia was significant (p < 0.001), as was the decrease for the items Mood (p < 0.001), Relationships with others (p < 0.001), Enjoyment of life (p = 0.02), and Couple relationship (p = 0.03). The intragroup decrease in means was significant for the items General activity (p = 0.005), Walking Ability (p < 0.001) and Sleep (p < 0.001), and differed depending on the presence or absence of endometriosis (intergroup p values: 0.006, 0.001, and 0.003, respectively).

Conclusion

The study suggests that osteopathy is effective in reducing pelvic pain and dyspareunia, as well as improving certain quality of life parameters. Further studies are needed to confirm these results.

Keywords

Pelvic Pain, Dyspareunia, Quality of Life, Osteopathic Medicine Article téléchargeable pour ordinateur Mac ou PC, IPad ou tablette PC. Non imprimable.

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Condition tags

endometriosischronic_pelvic_paindyspareunia

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