骨盆底功能障碍与睾丸疼痛之间的生物力学联系:一项临床综述

Q4 Medicine
Cody Jackson, Lubayna Fawcett
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引用次数: 0

摘要

在美国,慢性阴囊内容物疼痛每年影响10万名男性。高达50%的这些病例不能通过常规治疗算法解决,被认为是特发性的。很少有同行评议的文献支持盆底功能障碍和慢性阴囊内容物痛之间的具体因果关系。此外,在这些类型的患者体格检查的特异性是不存在的文献。总的来说,文献缺乏针对大量被认为是特发性病例的拟议治疗算法。患有慢性阴囊内容物痛的患者可能受益于整骨疗法的诊断和治疗方法。在这些类型的患者中,我们建议在手术干预之前进行整骨疗法或骨盆底手动治疗。这种保守的方法可以减少大部分被认为是特发性的病例。骨科医学教育中对结构和功能的强调使骨科家庭医生处于一个独特的位置,能够正确诊断和治疗这种类型的疼痛。由于大多数慢性阴囊内容物疼痛的病例最初都是在初级保健环境中处理的,因此骨科初级保健医生在评估这些类型的患者时,保持警惕,考虑肌肉骨骼功能障碍是很重要的。本临床回顾强调了一个独特的案例介绍,一个男性大学运动员,他帮助证明了在男性盆底和阴囊内容物疼痛的文献中存在较大的差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Biomechanical Links Between Pelvic Floor Dysfunction and Testicular Pain: A Clinical Review
Chronic scrotal content pain affects 100,000 men in the United States annually. Up to 50% of these cases do not resolve by following conventional treatment algorithms and are deemed to be idiopathic. There is little peer-reviewed literature supporting the specific cause and effect relationship between pelvic floor dysfunction and chronic scrotal content pain. Additionally, the specificity of the physical exam in these types of patients is not present in the literature. Overall, the literature is deficient in proposed treatment algorithms that address the large number of cases that are deemed to be idiopathic. Patients presenting with chronic scrotal content pain may benefit from an osteopathic diagnostic and treatment approach. In these types of patients, we recommend osteopathic manipulative therapy (OMT) or pelvic floor manual therapy prior to surgical intervention. This conservative approach may reduce the large portion of cases that aredeemed to be idiopathic. The emphasis on structure and function within osteopathic medical education places osteopathic family physicians in a unique position to be able to properly diagnose and treat this type of pain. Since most cases of chronic scrotal content pain are initially addressed in the primary care setting, it is important for osteopathic primary care physicians to remain vigilant in considering musculoskeletal dysfunction when evaluating these types of patients. This clinical review is underscored by a unique case presentation of a male collegiate athlete who helps demonstrate the larger gap that is present in the literature on male pelvic floor and scrotal content pain.
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来源期刊
Osteopathic Family Physician
Osteopathic Family Physician Medicine-Family Practice
CiteScore
0.10
自引率
0.00%
发文量
17
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