The effectiveness of osteopathic manipulative treatment in an abnormal uterine bleeding related pain and health related quality of life (HR-QoL) – A case report

Kanu S. Goyal, Kanu Goyal, Goyal K, Goyal M, Manu Goyal, Kanimozhi Narkeesh, Narkeesh K, Asir John Samuel, John Samuel A, Sharma S, Sorabh Sharma, Chatterjee S, Subhasish Chatterjee, Narkeesh Arumugam
Journal of bodywork and movement therapies · 2016 · vol. 21(3) , pp. 569–573 · doi:10.1016/j.jbmt.2016.08.010 · PMID:28750966 · W2516325126
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Osteopathic manipulative treatment was investigated for its effects on pain and health-related quality of life in a patient experiencing abnormal uterine bleeding.

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Abstract

Abnormal uterine bleeding is characterized by painful and/or excessive menorrhea, chronic pelvic pain due to the endometriosis (Em). Osteopathic treatment is commonly used in the gynecological dysfunctions. The aim of the present case study was to explore the effect of osteopathic treatment (OT) for a woman with abnormal uterine bleeding related pain and quality of life (QoL). We reported a case of 29 year old female who presented with chief complaints of increased flow during periods, lower abdominal pain, leukorrhoea, lower back pain and with occasional constipation for the last 3 years. Patient is a mother of 6 years old male child born with normal delivery. On diagnostic ultrasonography the uterus was found bulky with insignificant endometriosis and no other abnormality was detected. She did not have any relevant past medical and surgical history. The pre and post osteopathic treatment measurements were measured using Visual Analog Scale (VAS) and the health related quality of life (HR-QoL) questionnaire called short form Endometriosis Health Profile Questionnaire (EHP) - 5. In the present case the pain due to the endometriosis was treated with the osteopathic treatment consists of all the major diaphragms' release (release of pelvic diaphragm, abdominal diaphragm, thoracic outlet release and hyoid diaphragm) during the first session and in the second session gastro-esophageal (GE) junction release, sigmoid colon release, cranial therapy to the occiput, sacral release and dural tube rocking. Following that improvement of pain from VAS 8.3/10 to 3.9/10 and QoL improvement from EHP-5, 72/100 to 26/100 was noted. Osteopathic manipulative approach (OMA) in the patient with Em might improve the abnormal uterine bleeding related pain and health related quality of life (HR-QoL).

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Manipulation, Osteopathic Pelvic Pain Adult Endometriosis Endometriosis Female Humans Manipulation, Osteopathic Pelvic Pain Pelvic Pain Quality of Life Uterine Hemorrhage Uterine Hemorrhage

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