Physical, Complementary, and Alternative Medicine in the Treatment of Pelvic Floor Disorders
AbstractPurpose of ReviewThe purpose of the study was to catalog the most recent available literature regarding the use of conservative measures in treatment of pelvic floor disorders.Recent FindingsPelvic floor disorders encompass abnormalities of urination, defecation, sexual function, pelvic organ prolapse, and chronic pain, and can have significant quality of life implications for patients. Current guidelines recommend behavioral modifications and conservative treatments as first-line therapy for pelvic floor disorders. We have reviewed the literature for articles published on physical, complementary, and alternative treatments for pelvic floor disorders over the past 5 years. Review of pelvic floor muscle physiotherapy (PFMT) and biofeedback (BF) shows a benefit for patients suffering from bladder dysfunction (incontinence, overactive bladder), bowel dysfunction (constipation, fecal incontinence), pelvic organ prolapse, and sexual dysfunction (pelvic pain). Comb ination of PFMT and BF has shown improved results compared to PFMT alone, and some studies find that electrical stimulation can augment the benefit of BF and PFMT. Additionally, acupuncture and cognitive behavioral therapy has shown to be an effective treatment for pelvic floor disorders, particular ly with respect to pelvic pain.SummaryThis update highlights beneficial conservative treatments available for pelvic floor dysfunction, and supplements the current literature on treatment options for patients su...
_____ “The future is already here — it’s just not very evenly distributed” — William Gibson Last week we asked the question, Have you ever used–for yourself or for others–technologies or products that you think would fall into the category of brain enhancement? a) If Yes, what did you use and what lessons learned can you share? b) If No, what issues would you like to see addressed before considering doing so? Thank you everyone for your great answers and comments! They are very valuable in helping us finalize the agenda of the the upcoming 2017 SharpBrains Virtu...
A lawyer asked me a couple thought-provoking questions: Lawyer: "Doctor, is there a professional consensus on the use of opioids for chronic pain?" Me: "No." Lawyer: "Doctor, has the field of pain management abandoned using opioids for treating chronic pain?" Me: "No." So, it got me thinking. What have we abandoned? How will we ever know that there is a consensus about the appropriate use of a modality based upon evidence? Everything (chiro, acupuncture, opioids, PT, psych, etc)... Abandoned Practices for Chronic Pain???
CONCLUSION: Many patients with OAB seek initial evaluation and treatment from their family physicians. Optimal management of OAB by family physicians will improve patients' quality of life. More severe cases or 'red flags' uncovered while making the diagnosis, might warrant referral to a urologist. PMID: 29151006 [PubMed - in process]
Nonmedical use of prescription drugs linked to dating violence for male, female high school students
Condition: Pain Interventions: Drug: DEX-IN; Drug: Fentanyl; Drug: Placebo Sponsor: Recro Pharma, Inc. Recruiting
Condition: Constipation - Functional Intervention: Other: Taking two kinds of mineral water Sponsor: Quanta Medical Completed
Conditions: Cystoscopy; Lidocaine; Pain Perception Interventions: Drug: lidocaine gel; Drug: Lubricant Gel Sponsor: Louisiana State University Health Sciences Center in New Orleans Recruiting
Condition: Post-Operative Pain Interventions: Drug: VVZ-149 injections; Drug: Placebo Sponsor: Vivozon, Inc. Recruiting
Conditions: Bladder Cancer; Nutrition Aspect of Cancer Interventions: Combination Product: Trimodal Prehab & ERP; Other: No Prehab; ERP Alone Sponsors: Jason Martyn; Alberta Health Services; University of Calgary; Physiotherapy Alberta - College + Association; University of Alberta Not yet recruiting