Tag: venous insufficiency

Pelvic congestion syndrome management: a comparative study of targeted physiotherapy interventions

Ramya.S, Jeslin.G. N, Harini PS, Pooja.S, Neha Lakshmanan, Mythri Jain, Vaheedha S, Simran Sharma

Ramya.S, Jeslin.G. N, Harini PS, Pooja.S, Neha Lakshmanan, Mythri Jain et al. – Pelvic congestion syndrome management: a comparative study of targeted physiotherapy interventions –  Fizjoterapia Polska 2025; 25(3); 412-415

DOI: https://doi.org/10.56984/8ZG7D19GXVH

Abstract
Introduction. Pelvic congestion syndrome (PCS) is a chronic condition causing pelvic pain due to venous insufficiency. Although medical treatments exist, there is limited research supporting the role of physiotherapy.
Aim of the study. To compare the effectiveness of two physiotherapy protocols in managing PCS symptoms, focusing on pain relief, pelvic floor muscle strength, and pelvic blood flow.
Materials and methods. A randomized controlled trial was conducted with 56 women diagnosed with PCS at Saveetha Hospital, SIMATS, India. Participants were randomly assigned to the MLP group (n = 28; received lymphatic drainage, myofascial manipulation, and pelvic floor exercises) or the MP group (n = 28; received myofascial manipulation and pelvic floor exercises). Interventions were applied three times per week for eight weeks. Outcomes included pain (visual analogue scale), muscle strength (electromyography), and blood flow (transabdominal ultrasonography), assessed at baseline and post-intervention.
Results. The MLP group showed significant improvement in pain (VAS: 6.7 ± 1.11 to 3.8 ± 1.5), muscle strength (EMG: 10.2 ± 3.5 to 17.7 ± 3.17), and blood flow (USG: 8.5±1.2 to 4.7±1.5) (p < 0.05). The MP group also demonstrated improvements, although less pronounced, across all outcomes.
Conclusion. The combination of lymphatic drainage, myofascial manipulation, and pelvic floor exercises is more effective than myofascial manipulation and pelvic floor exercises alone in reducing pain, increasing pelvic floor muscle strength, and improving pelvic blood flow in women with PCS.
Keywords
venous insufficiency, pelvic diaphragm, electromyography feedback, blood flow
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Efficacy of soft tissue manipulation technique vs therapeutic exercise for an inadequate venous supply in women after pregnancy

Jenifer Augustina S, Kamalakannan M, Radhika S, Dhanusia S, Bharathi Ravichandran

Jenifer Augustina S, Kamalakannan M, Radhika S, Dhanusia S, Bharathi Ravichandran – Efficacy of soft tissue manipulation technique vs therapeutic exercise for an inadequate venous supply in women after pregnancy –  Fizjoterapia Polska 2025; 25(1); 67-70

DOI: https://doi.org/10.56984/8ZG007DZPX0

Abstract
Background. It is caused by primary problems in the vascular wall and valve structure, as well as their insufficiency. Additionally, factors such as hormonal changes, pregnancy, obesity, insufficient movement, working in a sedentary position, and oral contraceptives contribute to impaired vascular tension and structure.
Objective. This study compares the effect of soft tissue manipulation technique and therapeutic exercise on inadequate venous supply in postpartum women.
Methodology. Thirty individuals were included in the study based on inclusion and exclusion criteria. They were randomly allocated into two groups receiving one of the two physiotherapy interventions. NPRS and SF-36 were used to assess the effect of the interventions by comparing venous blood flow improvement before and after the allotted treatment for 10 weeks.
Results. A significant difference in NPRS and SF-36 scores was observed in both groups, indicating the effectiveness of both myofascial release manual therapy and therapeutic exercise. However, myofascial release manual therapy proved to be more effective in improving venous blood flow.
Conclusion. This study concludes that both soft tissue manipulation and therapeutic exercise improve venous blood flow. However, soft tissue manipulation was significantly more effective than therapeutic exercise.
Keywords
physiotherapy, venous insufficiency, postpartum, manual therapy, therapeutic exercises
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Varicose Veins and Venous Insufficiency in the Lower Limbs among Physiotherapists

Damian Durlak

Damian Durlak – Varicose Veins and Venous Insufficiency in the Lower Limbs among Physiotherapists –  Fizjoterapia Polska 2024; 24(4); 107-117

DOI: https://doi.org/10.56984/8ZG01A8G4H8

Abstract
Varicose veins and chronic venous insufficiency of the lower limbs are common conditions affecting individuals of working age. The symptoms of these diseases are burdensome and can hinder or even prevent the performance of work-related tasks. Numerous factors may contribute to the development of these conditions. Physical therapists, particularly those who perform their duties predominantly in a standing position, should pay special attention to risk factors and preventive measures for varicose veins and venous insufficiency. This awareness can help in preventing the onset of these diseases. This paper presents the prevalence, risk factors, and prevention methods for varicose veins and venous insufficiency in the lower limbs.
Key words
varicose veins, venous insufficiency, physical therapists
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