Evidence map›Paper›PMID 36713131›Full record

ArticleInternational journal of women's health2023

A Comprehensive Treatment Protocol for Endometriosis Patients Decreases Pain and Improves Function.

Allyson Shrikhande, Soha Patil, Merzia Subhan, Erika Moody, Janaki Natarajan, Yogita Tailor, Marjorie Mamsaang, Neha James, Kimberlee Leishear, Rakhi Vyas and 7 more

Open access · goldAbstract read
In one paragraph

Article in International journal of women's health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Endometriosis: From Genes to Global Burden.International journal of molecular sciences · 2025
    Article
  3. Review
  4. Article
  5. Article
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

17 authors at 2 institutions in 1 country.

Allyson ShrikhandePelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Soha PatilPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Merzia SubhanPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Erika MoodyPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Janaki NatarajanPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Yogita TailorPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Marjorie MamsaangPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Neha JamesPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Kimberlee LeishearPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Rakhi VyasPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Sandra SandhuPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.ORCID 0000-0003-4635-0412
Tayyaba AhmedPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Rosemarie FilartPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Gabrielle DanielPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Iris Kerin OrbuchProvidence St John's Hospital, Santa Monica, CA, USA.
Yaniv LarishPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Lora LiuPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL, USA.
Feinstein Institute for Medical Research · USSt. John's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of this paper is to evaluate the efficacy of a multimodal, outpatient neuromuscular protocol in treating remaining sensitization and myofascial pain in endometriosis patients post-surgical excision. Patients and Methods: A retrospective longitudinal study was conducted for women aged 22 to 78 with a history of surgically excised endometriosis. 60 women with an average duration of pain of 8.63 ± 7.65 years underwent a treatment protocol consisting of ultrasound guided trigger point injections, peripheral nerve blocks, and pelvic floor physical therapy for 6 weeks. Concomitant cognitive behavioral therapy once weekly for a total of 12 weeks was also undertaken. Pain intensity and pelvic functionality were assessed at new patient consults and 3-month follow ups using Visual Analogue Scale (VAS) and Functional Pelvic Pain Scale (FPPS). Results: At new patient consults, average VAS and FPPS were 7.45 ± 2.11 (CI 6.92-7.98) and 14.35 ± 6.62 (CI 12.68 -16.02), respectively. At 3-month follow ups, average VAS and FPPS decreased to 4.12 ± 2.44 (CI 3.50-4.73; p < 0.001) and 10.3 ± 6.55 (CI 8.64-11.96; p < 0.001), respectively. Among FPPS categories, sleeping, intercourse, and working showed the highest statistical significance. Conclusion: Data suggests the multimodal protocol was effective in treating the remaining underlying sensitization and myofascial pain seen in Endometriosis patients post-surgical excision, particularly in decreasing pain and improving function during work and intercourse.

Indexed as

central sensitizationchronic pelvic painmyofascial dysfunctionperipheral sensitization

Identifiers

PMID36713131
PMCPMC9882417
OpenAlexW4318542851

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.