The Consideration of Endometriosis in Women with Persistent Gastrointestinal Symptoms and a Novel Neuromusculoskeletal Treatment Approach
This paper reviews endometriosis as a chronic inflammatory disease associated with pelvic pain and infertility, and discusses a novel neuromusculoskeletal treatment approach.
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This paper is a commentary describing and contextualizing a non-operative neuromusculoskeletal protocol for chronic pelvic pain in women with previously treated, biopsy-confirmed endometriosis, focusing on gastrointestinal and colorectal symptom mechanisms. It discusses a cited retrospective chart review of 16 women treated with external ultrasound-guided pelvic floor trigger-point injections and peripheral nerve hydrodissection along the pudendal and posterior femoral/obturator pathways, delivered weekly for six weeks, with reported reductions in mean visual analogue scale pain and total functional pelvic pain scale scores after treatment; a stated caveat is that the evidence base is limited and there is no definitive cure for endometriosis. The commentary emphasizes links among endometriosis, bowel symptoms, pelvic floor hypertonia and myofascial trigger points, cross-sensitization, and peripheral/central sensitization. This paper is centrally about endometriosis — it proposes and frames a neuromusculoskeletal treatment approach aimed at endometriosis-associated chronic pelvic and gastrointestinal symptoms.
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References (26)
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