Effect of Extracorporeal Shockwave Therapy, Pulsed Electromagnetic Field Therapy and Drug Therapy on Chronic Pelvic Pain Syndrome: A Prospective Randomized Study

Interstitial cystitis/bladder pain syndrome is a chronic pelvic pain condition with no known etiology that affects millions of women and men in the United States. Current management can be aggressive for individuals who are refractory to less invasive options, often resulting in the use of opioid narcotics and/or surgical procedures under general anesthesia, with higher risks and side effects to patients. Pulsed electromagnetic field therapy is a noninvasive therapeutic strategy that is thought to reduce inflammation and pain via alteration of cellular function and microcirculation. This therapy has demonstrated efficacy in management of other chronic pain syndromes including fibromyalgia and chronic low back pain. Herein, we describe a case of pulsed electromagnetic field therapy for management of interstitial cystitis/bladder pain syndrome that resulted in decreases in pelvic pain, burning with bladder filling, and other nonpelvic pain symptoms. This case provides support for a formal clinical trial to evaluate the efficacy of pulsed electromagnetic field therapy for the management of chronic pelvic pain in interstitial cystitis/bladder pain syndrome.

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Effect of pulsed electromagnetic field therapy on experimental pain: A double-blind, randomized study in healthy young adults

Electromagnetic Biology and Medicine ◽

10.3109/15368378.2015.1075409 ◽

2016 ◽

Vol 35 (3) ◽

pp. 237-244 ◽

Cited By ~ 2

Author(s):

Karen Beaulieu ◽

Patricia Beland ◽

Marilee Pinard ◽

Guilène Handfield ◽

Nicole Handfield ◽

...

Keyword(s):

Electromagnetic Field ◽

Young Adults ◽

Randomized Study ◽

Experimental Pain ◽

Pulsed Electromagnetic Field ◽

Double Blind ◽

Field Therapy ◽

Pulsed Electromagnetic ◽

Pulsed Electromagnetic Field Therapy

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Low intensity extracorporeal shockwave therapy for chronic pelvic pain syndrome patients with erectile dysfunction

Medicine ◽

10.1097/md.0000000000028546 ◽

2022 ◽

Vol 101 (2) ◽

pp. e28546

Author(s):

Datesh Daneshwar ◽

Abid Nordin

Keyword(s):

Erectile Dysfunction ◽

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Chronic Pelvic Pain Syndrome ◽

Pain Syndrome ◽

Pelvic Pain Syndrome ◽

Extracorporeal Shockwave Therapy ◽

Extracorporeal Shockwave ◽

Shockwave Therapy ◽

Low Intensity

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The 12-month follow-up of the low-intensity extracorporeal shockwave therapy in the treatment of patients with chronic pelvic pain syndrome refractory to 3-As medications

The Aging Male ◽

10.1080/13685538.2019.1597341 ◽

2019 ◽

pp. 1-8 ◽

Cited By ~ 4

Author(s):

Shiao-Jin Guu ◽

Chia-Chu Liu ◽

Yung-Shun Juan ◽

Ching-Chia Li ◽

Chia-Chun Tsai

Keyword(s):

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Chronic Pelvic Pain Syndrome ◽

Pain Syndrome ◽

Pelvic Pain Syndrome ◽

Extracorporeal Shockwave Therapy ◽

Extracorporeal Shockwave ◽

Shockwave Therapy ◽

Low Intensity

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Clinical Efficacy of Multi-Focal Low-Intensity Extracorporeal Shockwave Therapy in the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Prospective-Randomized, Double Blind, Placebo-Controlled Study

The World Journal of Men s Health ◽

10.5534/wjmh.210078 ◽

2021 ◽

Vol 39 ◽

Author(s):

Kang Sup Kim ◽

Yong Sun Choi ◽

Woong Jin Bae ◽

Hyuk Jin Cho ◽

U-Syn Ha ◽

...

Keyword(s):

Chronic Prostatitis ◽

Chronic Pelvic Pain ◽

Chronic Pelvic Pain Syndrome ◽

Pain Syndrome ◽

Controlled Study ◽

Pelvic Pain Syndrome ◽

Double Blind ◽

Extracorporeal Shockwave Therapy ◽

Shockwave Therapy ◽

Low Intensity

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The Efficacy and Safety of Extracorporeal Shockwave Therapy versus Acupuncture in the Management of Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Evidence Based on a Network Meta-analysis

American Journal of Men s Health ◽

10.1177/15579883211057998 ◽

2021 ◽

Vol 15 (6) ◽

pp. 155798832110579

Author(s):

Yongming Kang ◽

Pan Song ◽

Dehong Cao ◽

Xiaoyu Di ◽

Yanyong Lu ◽

...

Keyword(s):

Chronic Prostatitis ◽

Meta Analysis ◽

Chronic Pelvic Pain Syndrome ◽

Pain Syndrome ◽

Urinary Symptoms ◽

Pelvic Pain Syndrome ◽

Efficacy And Safety ◽

Extracorporeal Shockwave Therapy ◽

Shockwave Therapy

The aim of this study was to evaluate the efficacy and safety of extracorporeal shockwave therapy (ESWT) and acupuncture therapy for patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). We searched electronic databases including PubMed, Cochrane Library, Embase and web of science from its inception to June 1, 2021. The randomized controlled trials (RCTs) that compared ESWT and acupuncture in the management of CP/CPPS were identified. A network meta-analysis was conducted with the software of STATA 14.0. Nine RCTs with 525 patients were enrolled in our analysis. The results revealed that both ESWT and acupuncture were significantly better than the sham procedure in the outcomes of total score of NIH-CPSI, pain subscore, urinary symptoms subscore, QoL subscore, IPSS score, the IIEF score and response rates ( p < .05). Both ESWT and acupuncture were well-tolerated and had no obviously increased adverse events. Compared with acupuncture, ESWT was associated with better short term (<4w) and mid-term (8-12 w) efficacy of total score, pain subscore, urinary symptoms subscore, and QoL subscore of NIH-CPSI, IPSS score, IIEF score, and response rate. However, ESWT did not present better long-term (<24 w) outcomes than acupuncture in total score, pain subscore, urinary symptoms subscore, and QoL subscore of NIH-CPSI. Both ESWT and acupuncture were effective and well-tolerated in the management of CP/CPPS. ESWT seemed to have better short (<4 w) and mid-term (8-12 w) efficacy but similar long-term (>24 w) efficacy than acupuncture.

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