Bolesti v oblasti panvy u žien po pôrode a fyzioterapia

Abstract

Background: There are many types of pelvic pain. Pelvic plexus pain, coccyx pain, pain from episiotomy scars, and vulvodynia are frequently seen in postpartum women. The aim of this study was to conduct a systematic review of studies on pelvic pain in postpartum women to assess the effect of physiotherapy interventions on each type of pain.

Methods: A comprehensive literature review was conducted by searching PubMed, Ovid Embase, Scopus Web of Science using the keywords " pelvic pain", ,,women after childbirth,, ,,pelvic pain,, ,,coccygodynia,, ,,episiotomy,, ,,vulvodynia,, ,,physiotherapy,,. The author reviewed all identified articles and selected articles for inclusion according to relevance to the topic.

Conclusion: Based on the analysis of the above studies, it can be concluded that a comprehensive physiotherapy designed for postpartum women that includes manual techniques, behavioral techniques, relaxation of hypo-tonic and shortened muscles, and strengthening of hypotonic muscles can positively affect a wide range of pain and associated dysfunctions of the pelvic floor and trunk muscles.

Keywords : postpartum women, pain, episiotomy, pelvic griddle, coccyx, vulvodynia