Comparison of Acupuncture and NSAID Efficacy in Patients with Chronic Pelvic Pain Using Pain Disability Index and Visual Analogue Scale

2021 ◽  
Author(s):  
Raziye Desdicioğlu ◽  
Dilek Oztas ◽  
Fatma Tamara Köroğlu ◽  
Salih Mollahaliloğlu ◽  
Mehmet Uğurlu ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Pain Treatment ◽  
Acupuncture Group ◽  
Pain Disability Index ◽  
Pain Disability ◽  
Nsaid Group ◽  
Inflammatory Drugs ◽  
Pre Treatment ◽  
One Year

Chronic pelvic pain (CPP) is continuous, noncyclical, and present for more than six months. Nonsteroidal anti-inflammatory drugs (NSAID) are widely used. Complementary medicine is considered when pain treatment is insufficient. There are studies available investigating the effect of acupuncture. In this study, we aimed to compare the effectiveness of acupuncture with NSAIDs. Patients admitted to Ankara Atatürk Research Hospital in a one-year period and diagnosed with CPP were included. Patients with organic pathology were excluded. Acupuncture was applied to 38 patients and 30 patients received NSAIDs according to their choice. Visual Analog Scale (VAS) and Pain Disability Index (PDI) were applied. Pre-treatment PDI in the acupuncture group was 47.15±11.84and it was 24.95±14.16after treatment. Pre-treatment VAS score in the acupuncture group was 6.89±1.57 and it was 3.78±1.91 after treatment. Pre-treatment PDI in the NSAID group was 25.7 and it was 15.5 after treatment. VAS in the NSAID group pre-treatment was 4.40±2.44 and it was 2.63±2.20 after treatment. Both of the groups had significant decreases in their scores. The pre-treatment scores in the acupuncture group were higher than the NSAID group. This finding may indicate that patients in the acupuncture group were NSAID resistant. Hence, acupuncture could be a choice for NSAID resistant patients.

Validation of a Sham Acupuncture Procedure in a Randomised, Controlled Clinical Trial of Chronic Pelvic Pain Treatment

2011 ◽  
Vol 29 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Shaun Wen Huey Lee ◽  
Men Long Liong ◽  
Kah Hay Yuen ◽  
Wing Seng Leong ◽  
Nurzalina Karim Khan ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Pain Treatment ◽  
Sham Acupuncture ◽  
Controlled Clinical Trial ◽  
Randomised Controlled Clinical Trial ◽  
Randomised Controlled

Long-term outcomes after surgical and nonsurgical management of chronic pelvic pain: One year after evaluation in a pelvic pain specialty clinic

2006 ◽  
Vol 195 (2) ◽  
pp. 591-598 ◽  
Author(s):  
Georgine Lamvu ◽  
Rachel Williams ◽  
Denniz Zolnoun ◽  
Mary E. Wechter ◽  
Anne Shortliffe ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Long Term Outcomes ◽  
Specialty Clinic ◽  
Nonsurgical Management ◽  
One Year

scholarly journals Experience of combined pudendal and sacral electrostimulation in a patient with chronic pelvic pain

2019 ◽  
Vol 9 (3) ◽  
pp. 57-64
Author(s):  
Andrey A. Polushkin ◽  
Emil D. Isagulyan ◽  
Aleksey A. Tomskiy ◽  
Roman V. Salyukov
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Pain Treatment ◽  
Pain Syndrome ◽  
Pelvic Organ ◽  
Modern Medicine ◽  
First Year ◽  
Long Time ◽  
Self Service ◽  
Stimulation Of

Treatment of patients with chronic pelvic pain is one of the most difficult tasks of modern medicine. Recently, surgical neuromodulation has been increasingly used to treat chronic pain syndrome. The positive experience of chronic sacral stimulation usage in patients with pelvic organ dysfunction accompanied by pain syndrome determines the appropriateness of further search for effective methods of chronic pelvic pain treatment, for example, its combination with stimulation of peripheral nerves. The article presents a clinical observation of a patient suffering from chronic pelvic pain for a long time, who underwent chronic electrical stimulation of the sacral roots in combination with sacral nerve stimulation. After the first year of treatment, a decrease in pain intensity on the visual analog scale from 8 to 3 points, depression on the Zips from 14 to 10 points and a decrease in the indicator on the anxiety scale from 14 to 11 points was observed. The patients quality of life was improved, pain attacks were decreased, daily motor activity was increased, self-service along with social communication indicators were improved and the need for medicines was decreased.

scholarly journals The effectiveness of non-steroidal anti-inflammatory drugs in the treatment of chronic pelvic pain syndrome

2018 ◽  
pp. 111-115
Author(s):  
T.G. Romanenko ◽  
◽  
O.M. Sulimenko ◽  
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Antiplatelet Agents ◽  
Reproductive Age ◽  
Pelvic Pain Syndrome ◽  
Group I ◽  
Inflammatory Drugs

Evidence-based medicine is an approach to medical practice in which the decision on the appointment of therapeutic, diagnostic or preventive measures is based on the evidence of their effectiveness and safety. The objective: assessment of the effectiveness and safety of the use of NSAIDs in the treatment of chronic pelvic pain in women of reproductive age. Materials and methods. Under our supervision, there were 101 women of reproductive age with chronic pelvic pain syndrome (CPPS) on the background of chronic inflammatory processes of the pelvic organs. Patients, depending on the received treatment, were randomly divided into two groups: Group I (n=54) – complex antibiotic (AB) therapy was conducted in combination with antiplatelet agents, antihypoxants, analgesics; Group II (n=47) – complex antibiotic (AB) therapy was performed in combination with antiplatelet agents, antihypoxants and NSAIDs (DICLOSAFE, diclofenac sodium 100 mg). The exclusion criterion was the presence of an endometriosis in a patient. When patients were included in the study and 6 months after the completion of the treatment, a questionnaire was conducted to determine the severity of the pain syndrome, psychological status and quality of life. Results. Positive dynamics of quantitative and qualitative characteristics of the pain syndrome, as well as dynamics of its intensity as a result of conservative treatment for 6 months in group ІІ, was noted. Also, in group ІІ, statistically significant data on the reduction of depression and personal anxiety are noted, in contrast to the indicators of group I. The results of the questionnaire of patients in group II after treatment indicated improvement of all components of physical health. Statistically significant differences with the indicators of Group I were obtained on the scale of the effect of pain on daily activity (BP). In addition, after treatment in the II group, the patients showed statistically significant changes in mental health and all its components: vital activity (VT), social activity (SF), limitation of daily activity due to emotional problems (RE) and mental health I (MH). Conclusion. Pathogenetically grounded use of NSAIDs (DICLOSAFE suppositories) in the complex treatment of patients with CPPS allows to achieve a significant improvement in quality of life indicators due to the correction of pain syndrome. Key words: chronic pelvic pain syndrome, treatment, nonsteroidal anti-inflammatory drugs.

Modern aspects of the rational choice of non-steroidal anti-inflammatory drugs: gynecologist’s view (Сlinical lecture)

2017 ◽  
pp. 11-15
Author(s):  
V.I. Pyrohova ◽  
Keyword(s):  
Key Words ◽  
Rational Choice ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Modern Medicine ◽  
Mechanisms Of Action ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

The main mechanisms of action of non-steroidal anti-inflammatory drugs, their classification are considered in the article. The indications and aspects of the safe use of non-steroidal anti-inflammatory drugs in gynecological practice from the positions of modern medicine are considered. Key words: nonsteroidal anti-inflammatory drugs, chronic pelvic pain, Diclofenac, Dicloberl.

scholarly journals Pelvic congestion syndrome

Mediscope ◽  
2015 ◽  
Vol 1 (1) ◽  
pp. 33-35
Author(s):  
Razia Sultana ◽  
Rowshan Ara Begum ◽  
Ferdousi Begum
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Premenopausal Women ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Standing Position ◽  
Pelvic Congestion Syndrome ◽  
History Of ◽  
One Year ◽  
Pelvic Congestion

Chronic pelvic pain is a common gynecological problem with many causes and may account for approximately 10% outpatient gynecological visit. Pelvic Congestion Syndrome (PCS) is defined as a condition characterized by congestion of the pelvic veins visible on selective ovarian venography in multiparous premenopausal women with a history of chronic pelvic pain for more than six months. We report a case of PCS in 35 years old multiparous lady complaining of chronic pelvic pain for one year. The pain was worsened by sitting and standing position. Other general symptoms were present such as dysmenorrhea, rectal discomfort and urinary frequency. On examination patient was depressed, there was abdominal and pelvic tenderness. Pelvic ultrasound and Doppler examination showed dilated and tortuous ovarian veins and dilated tortuous arcuate veins in the myometrium. An ovarian cyst was present and uterus was enlarged. In this case total abdominal hysterectomy was done although ideal treatment for PCS is ovarian vein embolisation by interventional radiology which is not available in our country. DOI: http://dx.doi.org/10.3329/mediscope.v1i1.21635 Mediscope Vol. 1, No. 1: 2014, Pages 33-35

scholarly journals Assessment of quality of life and psychological condition of women with chronic inflammatory processes of the pelvic organs on the background of pelvic pain

2021 ◽  
Vol 2 ◽  
pp. 69-72
Author(s):  
N. Matviikiv
Keyword(s):  
Quality Of Life ◽  
Pelvic Inflammatory Disease ◽  
Pelvic Pain ◽  
Inflammatory Disease ◽  
Chronic Pelvic Pain ◽  
Pelvic Organs ◽  
Inflammatory Processes ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

The objective: was to assess the psychological status and quality of life of women in the treatment of recurrent pelvic inflammatory disease with chronic pelvic pain syndrome.Materials and methods. We observed 100 women of reproductive age who suffered from chronic pelvic pain syndrome in chronic inflammatory processes of the pelvic organs. All women were prescribed antibacterial therapy in combination with antihypoxants and antiplatelet agents. The first group included women (n=48) who were prescribed analgesics domestically due to existing contraindications to the use of non-steroidal anti-inflammatory drugs. The second group of women (n=52) received a rectally non-steroidal anti-inflammatory drug. The second group of women (n=52) received a rectally nonsteroidal anti-inflammatory agent. Patients were interviewed 3 months after treatment: using the Visual Analog Scale (VAS), the McGill Questionnaire, the Spielberger–Hanin Questionnaire, the Depression Center of the US Center for Epidemiological Research, the Beck Depression Rating Scale, and the SF-36 Questionnaire.Results. According to the results of the assessment of quality of life and changes in psychological state, we noticed the following differences. In the group of women who received analgesic medium before muscle therapy, the change in muscle changed but slightly compared with the group of women who were offered the use of nonsteroidal anti-inflammatory drugs. Indicators of quality of life and psychological condition in women of the second group have significantly improved.Conclusions. The results of this study indicate the relationship and comprehensive approach in the treatment of pelvic inflammatory disease, which is accompanied by pelvic pain.

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