Effects of Manual Lymphatic Drainage Versus Marian Clark Drainage on Pain and Disability in Patients With Pelvic Congestion Syndrome
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- Manual lymphatic drainage
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Investigator)
Eligibility Criteria
- Ages
- 20 Years to 50 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Manual lymphatic drainage
Time Frame: 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 area
Marian clark drainage
Time Frame: 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 Outcomes
No secondary outcomes reported