Manual therapy formyofascial pelvic pain: A case report and narrative review

Abstract

Background. Myofascial pelvic pain (MFPP) is characterized by the presence of tender myofascial trigger points (MTrPs) in the muscles and fascia of the pelvic floor. Pelvic floor manual therapy is frequently suggested as the first line of treatment for MFPP. Main body of the abstract. The existing literature affirms the beneficial outcomes of manual therapy in the treatment of MFPP and offers a concise summary of how these techniques are applied to patients with MFPP. Literature includes ten techniques; (1) myofascial trigger point release, (2) Thiele massage, (3) internal self-massage, (4) perineal massage, (5) combined manual techniques, (6) pelvic myofascial mobilization, (7) manual visceral therapy, (8) connective tissue manipulation, (9) scar release, and (10) internal coccyx manipulation. Methods. A narrative review was carried out to summarize the available evidence on pelvic floor manual therapy techniques for MFPP. Key content and findings. Upon review of the current research landscape, twenty-five studies met the inclusion criteria. Available evidence suggests that pelvic floor manual therapy is effective in the treatment of MFPP. Conclusion. Although current available studies are limited in number with limitations in study design, manual therapy is considered a promising, effective, and safe option for the treatment of MFPP.