Pelvic Floor Physical Therapy and Its Merit in the Treatment of Female Urogenital Pain
Recent studies show pelvic floor physical therapy improves pain scores and function in women with certain urogenital pain diagnoses compared to no intervention or placebo.
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This review article assessed the evidence for pelvic floor physical therapy (PFPT) in treating female urogenital pain (FUGP) by searching PubMed and the Cochrane databases for studies published between 2005 and 2022, including systematic reviews, randomized controlled trials, cohorts, and case analyses. It reports that more recent studies over the prior two years found PFPT benefits for certain FUGP diagnoses, with improved pain scores and function versus no intervention or placebo. The paper’s stated caveat is that there is limited knowledge of PFPT’s scope within the medical community, which may hinder appropriate referral pathways, and the overall evidence is summarized across heterogeneous FUGP diagnoses rather than focused on a single condition. Relevance to endometriosis: the paper discusses musculoskeletal pelvic-floor contributors to chronic pelvic pain and is therefore applicable to the endometriosis-adjacent framework of pelvic pain syndromes, even though it does not explicitly focus on endometriosis or adenomyosis.
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