Matrix Radiofrequency Combined with Myofascial Manipulation in the Treatment of Myofascial Pelvic Pain - Retrospective Study

Q: What treatment approach was evaluated in the study?

The study assessed matrix radiofrequency combined with myofascial manipulation for myofascial pelvic pain (MPP) and compared it with myofascial manipulation alone.

Q: How many patients were included, and how were they grouped?

Eighty-seven MPP patients were retrospectively analyzed and divided into an observation group (combination therapy) and a control group (myofascial manipulation alone).

Q: Which outcomes were measured to judge effectiveness?

Pain was measured using the Visual Analog Scale (VAS), and pelvic floor muscle function was assessed using pelvic floor surface electromyography evaluated by Glazer criteria before and after treatment.

Sep 28, 2026

Uploaded by Aria Callaghan

A retrospective study evaluated whether matrix radiofrequency combined with myofascial manipulation improves clinical outcomes for myofascial pelvic pain (MPP). Eighty-seven patients treated between January 2021 and December 2024 were compared with a control group receiving myofascial manipulation alone. Outcomes included pain intensity assessed by VAS and pelvic floor muscle function evaluated by pelvic floor surface electromyography using Glazer criteria before and after treatment. The combination produced larger pain reduction and greater improvements in muscle contraction and electromyographic amplitude, with a higher overall effective rate.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages8

Reading Time20 min

AccessFree to download

Abstract

Introduction and Hypothesis

Methods

Results

Conclusion

Keywords and Abbreviations

Abbreviations

International Urogynecology Journal (2025) 36:2411–2418 [https://doi.org/10.1007/s00192-025-06202-1](https://doi.org/10.1007/s00192-025-06202-1) Matrix Radiofrequency Combined with Myofascial Manipulation in the Treatment of Myofascial Pelvic Pain: A Retrospective Study Hongyan Wang1 · Wenying Wang1 · Fangfang Xue1 Received: 19 February 2025 / Accepted: 22 May 2025 / Published online: 10 July 2025 © The Author(s) 2025 Abstract Introduction and Hypothesis This study is aimed at evaluating the clinical efficacy of matrix radiofrequency combined with myofascial manipulation in the treatment of myofascial pelvic pain (MPP) and to assess its effects on pain relief and pelvic floor muscle function improvement. Methods A retrospective analysis was conducted on the clinical data of 87 MPP patients treated at our hospital between January 2021 and December 2024. According to their treatment modalities, patients were divided into the observation group (matrix radiofrequency combined with myofascial manipulation) and the control group (myofascial manipulation alone) . Pain levels and pelvic floor muscle function were assessed using the Visual Analog Scale (VAS) and pelvic floor surface electromyography by Glazer evaluation before and after treatment in both groups. Results After the treatment course, the VAS scores significantly decreased in both groups. However, the post-treatment VAS score in the observation group (1.21 ± 0.95) was significantly lower than that in the control group (2.76 ± 0.80), with a statistically significant difference between the two groups (p < 0.001). The Glazer evaluation of pelvic floor muscles showed that the improvements in fast-twitch contraction, tonic contraction, and endurance contraction in the observation group were significantly greater than those in the control group (p < 0.001), and the reduction in resting electromyographic amplitude was also more pronounced. Moreover, the overall effective rate in the observation group was significantly higher than that in the control group (p < 0.05) . Conclusion Matrix radiofrequency combined with myofascial manipulation is significantly more effective than myofascial manipulation alone in alleviating pain and improving pelvic floor muscle function in patients with MPP. This combination therapy provides a safe and effective treatment option, which can significantly improve the clinical efficacy of patients. Keywords Matrix radiofrequency · Myofascial manipulation · Myofascial pelvic pain · Treatment Abbreviations CPP Chronic pelvic pain EMG Electromyography MPP Myofascial pelvic pain MTrPs Myofascial trigger points RF Radiofrequency SD Standard deviation VAS Visual Analog Scale Handling Editor: Baerbel Junginger Editor in Chief: Maria A. Bortolini * Fangfang Xue [dzbsjwk@126.com](dzbsjwk@126.com) 1 Department of Gynecology, The First Affiliated Hospital of Xi’an Medical University, No. 48 Fenghao West Road, Xi’an 710077, Shaanxi Province, China Introduction Myofascial pelvic pain (MPP) is a significant subtype of chronic pelvic pain (CPP) [1, 2], characterized by localized or radiating pain originating from myofascial trigger points (MTrPs) within the pelvic floor muscles and fascia [3] . Studies have shown that the prevalence of MPP among female CPP patients ranges from 14 to 78%, severely impacting their quality of life and daily functioning [4, 5] . The pathophysiology of MPP is complex, primarily involving excessive tension in the pelvic floor muscles and the activation of trigger points [7] . Trigger points are localized hypertense regions within muscles, often accompanied by local inflammation, and they may contribute to mechanical hyperalgesia and tactile allodynia through central sensitization [8, 9] . Moreover, the presence of central sensitization may amplify pain perception in MPP patients, leading to an expansion of pain intensity and distribution [10] . The treatment of MPP includes pharmacological therapy,

FAQs

What treatment approach was evaluated in the study?

The study assessed matrix radiofrequency combined with myofascial manipulation for myofascial pelvic pain (MPP) and compared it with myofascial manipulation alone.

How many patients were included, and how were they grouped?

Eighty-seven MPP patients were retrospectively analyzed and divided into an observation group (combination therapy) and a control group (myofascial manipulation alone).

Which outcomes were measured to judge effectiveness?

Pain was measured using the Visual Analog Scale (VAS), and pelvic floor muscle function was assessed using pelvic floor surface electromyography evaluated by Glazer criteria before and after treatment.

Sep 28, 2026

Uploaded by Aria Callaghan