Manual Lymphatic Drainage vs Marian Clark Drainage in Pcs
- Conditions
- Pelvic Congestive Syndrome
- Interventions
- Other: Manual lymphatic drainage versus marian clark drainage
- Registration Number
- NCT05979766
- Lead Sponsor
- Riphah International University
- Brief Summary
Pelvic congestion syndrome is a debilitating and potentially life threatening disorder of the pelvic region there is a constant hindrance in patient's daily professional and personal life due to the chronic pain. it can provide a definite way to improve pelvic congestion and quality of life. In this way it can benefit a large percentage of community females suffering from pelvic congestion syndrome and disability. This can grow at large length in favour of patients, clinicians and overall women health.
- Detailed Description
As per researcher's knowledge there are limited researches in which efficacy of manual lymphatic drainage in pelvic congestion syndrome are analyzed furthermore my comparative intervention i.e Marian Clark drainage is a rarely used osteopathic technique and not much studies have been conducted on it. This study helped to in identifying the effect of manual lymphatic drainage versus Marian Clark drainage on pain and disability in patients with pelvic congestion syndrome.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- Female
- Target Recruitment
- 26
- Multiparous women
- Age ranging 20 to 50
- Ovarian veins >4mm in diameter on Ultrasound Chronic pelvic pain/pressure for more than 6 months.
- Dull, aching or "dragging" pain in the pelvis or lower back, particularly on standing and worse around the time of your menstrual period.
- Pelvic pain that worsens as the day goes on, particularly if much time is spent standing dyspareunia
- Swollen veins in pelvic region, butt, thighs, vulva and vagina.
- Associated Irritable bladder/Irritable bowel present
- Pelvic pain due to other organic cause like uterine fibroids, Endometriosis, Ovarian cyst pelvic pain due to neurological or musculoskeletal disorder
- Uterine prolapse
- Pelvic cancer
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Manual lymphatic drainage versus marian clark drainage Manual lymphatic drainage versus marian clark drainage Effect of Marian Clark drainage and manual lymphatic drainage in women suffering from pelvic congestion syndrome Manual lymphatic drainage vs marian clark drainage Manual lymphatic drainage versus marian clark drainage Effect of Marian Clark drainage and manual lymphatic drainage in women suffering from pelvic congestion syndrome
- Primary Outcome Measures
Name Time Method Manual lymphatic drainage 6 months Treatment protocol to group A
It consists of 15 patients who will receive manual lymphatic drainage 4 sessions per week for 12 weeks
Manual Lymph Drainage Techniques for Pelvic Decongestion
Step 1: short neck treatment (supraclavicular fossa or SCF)
Step 2: (two parts: visceral, deep)
Visceral:
Deep: Treatment of the thoracic duct, cisterna Chyli
Deep Abdominal Manual lymphatic drainage
Step-3. Treatment of right Axillary Lymph nodes
Step-4. Establish the Right inguino-Axillary Anastomosis.
Step-5. Decongest the right ipsilateral lower abdomen and suprapubic area
Step-6 Treatment of Left Axillary Lymph nodes
Step-7. Establish the Left inguino-Axillary Anastomosis.
Step-8. Decongest the Let ipsilateral lower abdomen and suprapubic areaMarian clark drainage 6 months It consists of 15 patients who will receive Marian clark drainage 4 sessions per week for 12 weeks each session will continue till therapist feels palpable change in congestion in pelvic area medial to Anterior superior Iliac spine.
* Stand to the side of the patient
* Patient semiprone on all fours
* Hook fingers medial to both Anterior superior Iliac spine
* Pull hands cephalad (traction)
* Patient arches back like a cat
* Encourage this movement with cephalad rocking
* Repeat for several minutes
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Jinnah hospital
🇵🇰Lahore, Punjab, Pakistan