Combined (physical and medical treatment) therapy versus physical treatment alone and medical treatment alone in the management of chronic pelvic inflammatory disease

• Published in: Egyptian Rheumatology and Rehabilitation Vol. 46; no. 2; pp. 132 - 139
• Main Authors: Faraj, Hibah M., Mursi, Daliya I., al-Khuli, Rim M., Futuh, Dina S., Sayf, Daliyah Salah
• Format: Journal Article
• Language: English
• Published: Cairo, Egypt The Egyptian Society for Rheumatology and Rehabilitation 01-04-2019; Springer Berlin Heidelberg; Wolters Kluwer India Pvt. Ltd; Springer Nature B.V; SpringerOpen
• Subjects: combined therapy; Inflammatory diseases; Medical treatment; Medicine & Public Health; Original Article; Pelvic inflammatory disease; physical therapy; Rehabilitation; shortwave diathermy; visual analog scale; الالتهاب; الحوض; العلاج الطبيعي; العلاج بالحرارة; combined therapy; medical treatment; physical therapy; shortwave diathermy; pelvic inflammatory disease; visual analog scale
• ISSN: 1110-161X; 2090-3235
• DOI: 10.4103/err.err_33_18

Pelvic inflammatory disease (PID) is the inflammation of the upper genital tract
involving the fallopian tubes as well as the ovaries. Symptoms of PID are fever,
cervical motion tenderness, lower abdominal pain, new or different discharge,
painful intercourse, uterine and adnexal tenderness, and irregular menstruation.
Aim
The aim was to determine the therapeutic efficacy of combined shortwave
diathermy and medical treatment in the management of chronic PID in
comparison to either therapy alone.
Materials and methods
Sixty participants were recruited and diagnosed as chronic PID for more than 6
months by history, clinical examination, cervical swab, and ultrasonography. They
were divided into three groups:
Statistical analysis
Descriptive and analytic study by SPSS version 16 on IBM compatible computer.
Results
There was a statistically highly significant clinical improvement regarding itching,
discharge and pain relief, laboratory improvement regarding the number of pus cells
in cervical swab, and radiological improvement regarding US parameters in the first
group of patients with PID compared with the baseline and compared with other
groups.
Conclusion
The greatest therapeutic efficacy can be obtained from combined physical and
medical treatment compared with each line alone in the treatment of chronic PID.