Table 2 Physiotherapeutic techniques and position of the patient during treatment sessions, depending on the location of the pain
Anterior location (abdomen, pubis, groin, perineum, vagina, penis, testicles) | Posterior location (lumbar, sacrum, coccyx, buttocks, anus, rectum) | |
|---|---|---|
Position: | Patient in supine position. CRMRF plate on lower back | Patient in the prone position. CRMRF plate on abdomen |
Techniques: | • Abdominal area: - Lift techniques of the peritoneum - Liberation of the urachus • Groin area: - Stretching the inguinal ligament - Myotensive techniques of the internal obturator • Vulvar, perineal and vaginal area: - Relaxation of the superficial fascia of the perineum - Stretching the prevesical ligament - Uterine release techniques - Stretching of the round ligament - Stretching of the wide ligament - Relaxation of the sacrorectogenitopubian laminae - Release of the pudendal nerve in Alcock’s canal • Penis and testicular area: - Relaxation of the superficial fascia of the perineum - Relaxation of the deep fascia of the perineum - Testicular drainage | • Lumbosacral area: - Relaxation of the quadratus lumbar - Relaxation of the paravertebral muscles • Gluteal area: - Decompression of the pudendal nerve in the greater sciatic foramen - Stretching of the sacrociatic ligament - Stretching of the sacrotuberous ligament - Release of the pudendal nerve in the ischiorectal fossa - Myotensive techniques of the pyramidal - Myotensive techniques of the external obturator • Anorectal area: - Sacral plexus release techniques - Relaxation of the sacrorectogenitopubian laminae - Stretching the Denonvilliers fascia - Prostate release techniques |
If there is scarring, manual scar work is performed, and the 35 mm resistive electrode is applied over it. | ||