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Riding a Tiger: Maximizing Effects of Manual Therapies for Pelvic Pain
Mark D Bishop1,2, Joel E Bialosky1,2,3, Meryl J Alappattu1,2,3
1Department of Physical Therapy, University of Florida, Gainesville.
Journal of Women'S Health Physical Therapy
|June 24, 2021
Summary
Manual therapy for pelvic pain involves non-specific, specific, and contextual effects. Understanding these mechanisms helps providers optimize pain relief outcomes for patients.
Area of Science:
- Pain management and rehabilitation science.
- Physiotherapy and manual therapy research.
Background:
- Manual therapy is a common approach for managing pelvic pain.
- Pain relief is multifactorial, influenced by intervention-specific and non-specific effects.
Purpose of the Study:
- To elucidate the diverse mechanisms contributing to pain relief following manual therapy.
- To guide practitioners in optimizing treatment strategies for pelvic pain.
Main Methods:
- Review of existing literature on pain mechanisms and manual therapy outcomes.
- Analysis of the interplay between specific therapeutic actions and contextual factors.
Main Results:
- Pain relief stems from intervention-specific effects, non-specific effects, and the context of care.
- Harnessing all these elements can enhance treatment efficacy.
Conclusions:
- A comprehensive understanding of pain relief mechanisms is crucial for manual therapists.
- Providers can improve patient outcomes by intentionally integrating non-specific and contextual elements into pelvic pain management.
