Case Report  |   November 2019
Myofascial Release for Vulvar Pain and Pubic Shear After a Straddle Injury in a 3-Year-Old Girl
Author Notes
  • From Ohio University Heritage College of Osteopathic Medicine (Student Doctor Dade) Department of Obstetrics and Gynecology (Dr Broecker) and Ohio Health O'Bleness Memorial Hospital (Dr Broecker) in Athens. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Maggie Dade, OMS IV, 1787 State Rte 850 Unit D, Bidwell, OH 45614. Email: md334415@ohio.edu
     
Article Information
Emergency Medicine / Neuromusculoskeletal Disorders / Obstetrics and Gynecology / Osteopathic Manipulative Treatment
Case Report   |   November 2019
Myofascial Release for Vulvar Pain and Pubic Shear After a Straddle Injury in a 3-Year-Old Girl
The Journal of the American Osteopathic Association, November 2019, Vol. 119, 768-771. doi:https://doi.org/10.7556/jaoa.2019.127
The Journal of the American Osteopathic Association, November 2019, Vol. 119, 768-771. doi:https://doi.org/10.7556/jaoa.2019.127
Abstract

Pelvic malalignment is a somatic dysfunction that can lead to pelvic discomfort, despite normal genital examination findings. A 3-year-old girl presented with vulvar discomfort after a straddle injury sustained while riding a tricycle. The symptoms persisted despite standard medical treatment for vulvovaginitis and chronic vulvar irritation. An osteopathic structural examination revealed distortions of the bony pelvis, often associated with genitourinary complaints. After 5 osteopathic manipulative treatment sessions, the patient experienced significant relief. With persistent vulvar pain, somatic dysfunction should be considered in the differential diagnosis. A brief musculoskeletal examination of the pubic tubercles, iliac crest, and iliac spines can help to identify somatic dysfunction in a gynecologic patient with symptoms that are unresponsive to standard treatments.

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