The Somatic Connection  |   July 2018
Neuromuscular Manipulation Improves Pain Intensity and Duration in Primary Dysmenorrhea
Author Notes
  • Western University of Health Sciences College of Osteopathic Medicine of the Pacific-Northwest, Lebanon, Oregon 
Article Information
The Somatic Connection   |   July 2018
Neuromuscular Manipulation Improves Pain Intensity and Duration in Primary Dysmenorrhea
The Journal of the American Osteopathic Association, July 2018, Vol. 118, 488-489. doi:10.7556/jaoa.2018.109
The Journal of the American Osteopathic Association, July 2018, Vol. 118, 488-489. doi:10.7556/jaoa.2018.109
Barassi G, Bellomo RG, Porreca A, Di Felice PA, Prosperi L, Saggini R. Somato-visceral effects in the treatment of dysmenorrhea: neuromuscular manual therapy and standard pharmacological treatment. J Altern Complement Med. 2018;24(3):291-299. doi:10.1089/acm.2017.0182 
Primary dysmenorrhea, defined as pain at or just before the onset of menses without organic disease, is one of the leading causes of pelvic pain leading to absenteeism at work or school and decreased quality of life.1 The pain is caused by increased production of prostaglandins, which lead to increased uterine tone and subsequent uterine contractions.2 Nonsteroidal anti-inflammatory drugs (NSAIDs) are the first-line treatment,3 but some women prefer not to use pharmacotherapy (PT). Many studies have explored alternative pain relief methods, including acupuncture, acupressure, transcutaneous electrical nerve stimulation, and exogenous thermotherapy.4 Researchers at D'Annuzio University in Chieti, Italy, recently investigated whether neuromuscular therapy (NMT) is as effective as PT for managing primary dysmenorrhea. 

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