Evidence map›Paper›PMID 36513896›Full record

ArticleArchives of gynecology and obstetrics2023

Trigger point injections followed by immediate myofascial release in the treatment of pelvic floor tension myalgia.

Gregory K Lewis, Anita H Chen, Emily C Craver, Julia E Crook, Aakriti R Carrubba

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05851742 naunknown statusnot on this map

Effects of Myofascial Release With and Without Electrical Stimulation on Pain and Functionality in Women With Chronic Pelvic Pain

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2023Enrolled24ConditionsChronic Pelvic Pain, Myofascial Trigger Point PainArmsTENS, Myofascial trigger point release
NCT07114068 nacompletednot on this mapstarted 2024, after this paper: background citation

Does Self-Soft Tissue Mobilization of Obturator Internus Reduce Pelvic Floor or Hip Dysfunction

TypeinterventionalSponsorGeorge Fox UniversityRan2024 to 2024Enrolled30ConditionsPelvic Floor Dysfunction, Hip PainArmsSelf mobilization of Obturator Internus Muscle using wand
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Gregory K LewisDepartment of Medical and Surgical Gynecology, Mayo Clinic, 4500 San Pablo South Road, Jacksonville, FL, 32224, USA. gklewlew@gmail.com.ORCID http://orcid.org/0000-0003-4922-1165
Anita H ChenDepartment of Medical and Surgical Gynecology, Mayo Clinic, 4500 San Pablo South Road, Jacksonville, FL, 32224, USA.
Emily C CraverDivision of Clinical Trials and Biostatistics, Department of Quantitative Health Sciences, Mayo Clinic, Jacksonville, FL, 32224, USA.
Julia E CrookDivision of Clinical Trials and Biostatistics, Department of Quantitative Health Sciences, Mayo Clinic, Jacksonville, FL, 32224, USA.
Aakriti R CarrubbaDepartment of Medical and Surgical Gynecology, Mayo Clinic, 4500 San Pablo South Road, Jacksonville, FL, 32224, USA.
Mayo Clinic in Florida · USWinnMed · USJacksonville College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePelvic floor physical therapy (PFPT) is first-line therapy for treatment of pelvic floor tension myalgia (PFTM). Pelvic floor trigger point injections (PFTPI) are added if symptoms are refractive to conservative therapy or if patients experience a flare. The primary objective was to determine if a session of physical therapy with myofascial release immediately following PFTPI provides improved pain relief compared to trigger point injection alone.

methodsThis was a retrospective cohort analysis of 87 female patients with PFTM who underwent PFTPI alone or PFTPI immediately followed by PFPT. Visual analog scale (VAS) pain scores were recorded pre-treatment and 2 weeks post-treatment. The primary outcome was the change in VAS between patients who received PFTPI alone and those who received PFTPI followed by myofascial release.

resultsOf the 87 patients in this study, 22 received PFTPI alone and 65 patients received PFTPI followed by PFPT. The median pre-treatment VAS score was 8 for both groups. The median post-treatment score was 6 for the PFTPI only group and 4 for the PFTPI followed by PFPT group, showing a median change in VAS score of 2 and 4, respectively (p = 0.042). Seventy-seven percent of patients in the PFTPI followed by PFPT group had a VAS score improvement of 3 or more, while 45% of patients in the PFTPI only group had a VAS score improvement greater than 3 (p = 0.008).

conclusionPFTPI immediately followed by PFPT offered more improvement in pain for patients with PFTM. This may be due to greater tolerance of myofascial release immediately following injections.

Indexed as

MyalgiaTrigger PointsFemaleHumansMyofascial Release TherapyPelvic FloorRetrospective StudiesTreatment OutcomeMyofascial pelvic painMyofascial releasePelvic floor physical therapyPelvic floor tension myalgiaTrigger point injections

Identifiers

PMID36513896
OpenAlexW4311307707

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.