Written by Oksana Lutsiuk, MD (Europe), DOMP, Osteopathic Manual Practitioner
Chronic pelvic and low back pain are common problems in women. There is no accurate epidemiological data, but the literature review demonstrates a prevalence of 2-24% for chronic low back and pelvic pain that is not associated with hormonal cycles. This pain can be associated with various diseases or conditions. Endometriosis has been found in at least 20% of these patients. Medical or surgical treatments do not always achieve a long-term revolution of symptoms.
Results of clinical studies demonstrate that women with chronic pelvic pain often had painful pelvic floor muscle tightness and this cannot be seen in healthy, symptom-free women.
Osteopathic treatment focuses on the muscular-fascial structures and their influence on symptoms. Numerous publications describe causality between numerous symptoms and diseases due to the fascial connections between the musculoskeletal system and the internal organs. Thus, inflammation of internal organs can cause musculoskeletal symptoms and vice versa. Also, a weakness, restriction or limitation in one area of the skeletal system can cause symptoms to occur at a different area in the body.
In clinical settings, osteopathy is well received by women with painful pelvic floor muscle tightness and appears to be an effective treatment option for endometriosis and other conditions associated with chronic back pain.
Unlike pelvic floor physiotherapists who can perform techniques internally to release the pelvic floor, osteopathic practitioners release fascial restrictions in the lower back, pelvis, abdomen, and legs in order to improve symptoms.