PERSISTENT GENITAL AROUSAL DISORDER INTERVENTION WITH MANUAL PHYSIOTHERAPY - A CASE STUDY
DOI:
https://doi.org/10.22159/ajpcr.2018.v11i10.27327Keywords:
Persistent genital arousal disorder, Myofascial trigger points, Genital arousal, Restless leg syndrome, Overactive pelvic floor muscle, Manual physiotherapyAbstract
A 36-year-old female patient came with an bilateral lower extremity pain and altered sensation, physical evaluation and radiological finding are normal, and there was presence of myofascial trigger points in both lower extremities diagnosed as a myofascial pain syndrome (MPS) and had been treated for it. The failure of treatment for MPS is followed by reevaluation, and on subjective evaluation, her genital symptoms such as unresolving genital arousal, fullness, engorgement, and restless leg syndrome were revealed, and on the objective evaluation, there was an overactive pelvic floor muscles; with subjective and objective findings, the problem was diagnosed as persistent genital arousal disorder (PGAD), the problem causing pathoanatomic structure and pathomechanism was discovered and addressed with manual physiotherapy, and the patient got complete solution from the PGAD. The informed consent was obtained from the patient.
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References
Padoa A, Rosenbaum TY. The Overactive Pelvic Floor. Switzerland: Springer; 2016.
Nazik H, Api M, Aytan H, Narin R.A new medical treatment with botulinum toxin in persistent genital arousal disorder: Successful treatment of two cases. J Sex Marital Ther 2014;2014:1-5.
Hrynko M, Kotas R, Pokryszko-Dragan A, Nowakowska-Kotas M, Podemski R. Persistent genital arousal disorder-a case report. Psychiatr Pol 2017;51:117-24.
Prasad SM, Venugopal SP, Alagarsamy V, Sridevi C. The preliminary phytochemicals analysis and oral acute toxicity study of stem bark. Int J Pharm Pharm Sci 2016;8:975-1491.
Barrel JP, Crobber A. Viscero-Vascular Manipulation. Philadelphia, PA: Churchill Livingston;2011. Sebastian D.
Sebastian D. Principles of Manual Therapy. Elsevier Saunders: Jaypee Publications; 2008.
Neumann DA. Kinesiology of the hip: A focus on muscular actions. J Orthop Sports Phys Ther 2010;40:82-94.
Travell JG , Simons DG. Myofascial Pain and Dysfunction. The Trigger Point Manual, The Lower Extremeties. Vol. 2. Baltimore: Lippincott Williams and Wilkins; 1984.
Pace JB, Nagle D. Piriform syndrome. West J Med 1976;124:435-9.
Smith CF, Dilley A, Mitchell BS, Drake RL. Gray’s Surface Anatomy and Ultrasound. A Foundation for Clinical Practice. Elsevier Saunders: Elsevier; 2018.
Rea W, Curran N. Abdominal pelvic pain syndromes. Contin Educ Anaesth Crit Care Pain 2015;1 38-43 5
Faubion SS, Shuster LT, Bharucha AE. Recognition and management of nonrelaxing pelvic floor dysfunction. Mayo Clin Proc 2012;87:187-93.
Stone C. Visceral and Obstetrics Osteopathy. United Kingdom: Churchill Livingstone Elsevier; 2007
Sengupta P. The bliss yoga inculcates during the different stages of pregnancy. Int J Pharm Pharm Sci 2014;6:975-1491.
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