The influence of myofascial release in treating pedundal nerve entrapment through childbearing years / Marwa Fakhry Aly Ibrahim ; Supervised Amel Mohamed Yousef , Adly Ali Sabbour , Amr Abdelaziz Nadim

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Gynecology and Obstetrics

Background: Pedundal nerve entrapment also referred as Alcock's canal syndrome , is a condition that results from the compression or pinching of the pedundal nerve. This cause chronic pain on the saddle site of the patient, this sites include perineal, pre anal and genital areas which is common in women. Purpose: this study was conducted to investigate the effect of myofascial trigger point release on pelvic pain in cases complaining from pudendal nerve entrapment syndrome. Design: A prospective, randomized, single-blind, pre{u2013}post-test, controlled trial. Participants: Forty married females suffering from pudendal nerve entrapment collected from outpatient Clinic for Gynaecology, Faculty of Medicine, Ain Shams University Hospital. They were randomly assigned into two groups; group (A) received medical treatment only Dexamethasone injection 40mg daily for 4 days 2times/day to be repeated every 14 days for 6 weeks and group (B) received medical treatment as group (A) and myofacial trigger point release sessions and pelvic floor exercise 3times/week for 6 weeks .Evaluation of both groups (A&B)were done using Pain Intensity Scale to assess severity of pelvic pain and Elecrtomyography to asses Terminal Motor Latency of pedundal nerve before starting and after the end of treatment program(6 weeks). Results: Comparing both groups after end of treatment program(6 weeks) revealed that there were statistically significant decrease in pelvic pain intensity as well as distal motor latency of pedundal nerve (P < 0.05)in both groups (A&B) and this significant reduction in favour of group (B).The results also indicated that there was a positive strong correlation between mean value of pain scale with mean value of distal motor latency of pudendal nerve (P=0.0001). This means that decrease indistal motor latency of pudendal nerve is consistent with decrease in pain scale this significant reduction in favour of group (B)

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