Impact of Pelvic Floor Rehabilitation Combined With Ultrasound Therapy on Osteomyoarticular Symptoms in Chronic Perineal Pain

Impact of Pelvic Floor Rehabilitation Combined With Ultrasound Therapy on Osteomyoarticular Symptoms in Chronic Perineal Pain

The purpose of the study is to find out the effect of pelvic floor rehab combined with ultrasound have effect in chronic perineal pain subjects associated with osteomyoarticular symptoms .

Chronic perineal pain is the anorectal and perineal pain without underlying organic disease, anorectal or endopelvic, which has been excluded by careful physical examination, radiological and endoscopic investigations. So, perineal and vaginal pain after vaginal delivery has been associated with tissue trauma related to operative vaginal delivery, perineal laceration, and episiotomy.

Studies assessing chronic pain after vaginal delivery report 2% to 10% of women with pain at six months and later, almost exclusively in mothers who had an assisted vaginal birth. Postpartum pain intensity is usually higher when it is related to vaginal delivery than to cesarean delivery and more severely affects the woman's quality of life and mood.

Inclusion Criteria:

1. The age of the subjects will be ranged from 20 to 35 years.
2. All participants had vaginal delivery with episiotomy.
3. They are in late post partum period over 6 months
4. Their BMI will be ranger from 25 to 30 kg/m2.
5. All participants have mechanical low back pain.
6. All participants have perineal pain.
7. The Number of parity Ranged from 2-3 times.

Exclusion Criteria:

1. Females will be excluded if they have any spine or lower extremities injuries or previous surgeries.
2. Females with radicular back pain.
3. Inability to understand the written and verbal instruction.
4. Females had irregular menstrual cycle