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Non-pharmacological therapies significantly improve pain, function and QoL
of individuals with chronic pain conditions and thus should be considered an
essential part of the therapeutic regimen of CPP management.
CPP can be defined as the pain that exists for at least six months. Data investigating the role of nonpharmacological therapies in CPP management is lacking. The study was therefore conducted with a purpose to explore the nonsurgical and nonpharmacologic strategies for CPP management.
A multifaceted approach is
needed for CPP patients to get an effective treatment, with thoughtful
consideration of surgical pharmacologic and nonpharmacologic strategies. There
is increasing evidence for physical therapy and trigger point injections for
treatment of myofascial components of CPP. There is insufficient but favourable
data on neuromodulation techniques like percutaneous tibial nerve stimulation
and transcutaneous electrical stimulation in patients with CPP. Behavioural
strategies, such as exercise, cognitive behavioural therapy, and mindfulness,
have revealed remarkable improvements in pain, function and quality of life in
patients with a variety of chronic pain conditions. These strategies are
promising avenues for future research in CPP.
Curr Opin Obstet Gynecol. 2017 Jun 9
The role of nonpharmacologic therapies in the management of chronic pelvic pain: what to do when surgery fails
Till SR et al.
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