Skip to main content
Egyptian Rheumatology and Rehabilitation
Download PDF
  • Original article
  • Open access
  • Published:

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

Egyptian Rheumatology and Rehabilitation volume 46, pages 132–139 (2019)Cite this article

Abstract

Context

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.

References

  1. Mitchell C, Prabhu M. Pelvic inflammatory disease: current concepts in pathogenesis, diagnosis and treatment. Infect Dis Clin North Am 2013; 27:793–809.

    Article  Google Scholar 

  2. Bernadette Z, Cantor MD, Pappas M, Daeges M, Nelson HD. Screening for Gonorrhea and Chlamydia: a systematic review for the U.S. Preventative Services Task Force. Ann Intern Med 2014; 161:884–894.

    Google Scholar 

  3. Sternak S, Mestrovic T. Chlamydia trachomatis and Genital mycoplasmas: pathogens with an impact on human reproductive health. J Pathog 2014; 31:1–15.

    Article  Google Scholar 

  4. Evseeva CL, Serov VN, Tkachenko NM. Chronic salpingo-oophoritis: clinical and physiological rationale for therapeutic application of pulse low frequency electro-static field. Vopr Kurortol Lech Fiz Kuit 2006; 1:21–24.

    Google Scholar 

  5. Lamina S, Gagarawa YS, Hanif S. Short wave diathermy in the symptomatic management of chronic pelvic inflammatory disease pain. Physiother Res Int 2011; 16:50–56.

    Article  Google Scholar 

  6. Shields N, O’Hare N, Boyle G, Gormley J. Development and application of a quality control procedure for short-wave diathermy units. Med Biol Eng Comput 2003; 41:62–68.

    Article  CAS  Google Scholar 

  7. Jan MH, Chai HM, Way CL, Lin YF, Tsai LY. Effects of repetitive short wave diathermy for reducing synovitis in patients with knee osteoarthritis: an ultrasonographic study. Phys Ther 2006; 86:236–244.

    Article  Google Scholar 

  8. Smith KJ, servat J, Ness RB, Wiesenfeld HC, Roberts MS. Quality of life utilities for pelvic inflammatory disease health. J Sex Transm Dis 2008; 35:307–311.

    Article  Google Scholar 

  9. Centers for Disease Control and Prevention (CDC). Sexually transmitted diseases treatment guidelines 2015. MMWR 2015; 51: 48–52.

    Google Scholar 

  10. Hendiani JA, Westlund KN, Lawand N. Mechanical sensation and pain thresholds in patients with chronic arthropathies. J Pain 2003; 4:203–211.

    Article  Google Scholar 

  11. Kloth L. Shortwave and microwave diathermy (Chapter 8). In: Michlovitz SL, Wolf SL, editors. Thermal agents in rehabilitation. Philadelphia: F A Davis Company; 1986. 177–216.

  12. Pages IH. Circulatory changes in local and segmental use of shortwave diathermy [in German]. Wien Klin Wochenshr 1993; 105:216–219.

    CAS  Google Scholar 

  13. Morton RF, Hebel JR, McCarter RJ. [electronic resource]. A study guide to epidemiology and biostatistics. 3th ed. Rockville, Maryland: Aspen Publishers; 2001. 71–74.

  14. Sonali J, Kaur A, Mitra M. Effect of short wave diathermy in reducing pain and improving function in patients with pelvic inflammatory diseases. Indian J Physiother Occup Ther 2015; 9:20–23.

    Google Scholar 

  15. Balogun JA, Okonofua FE. Management of chronic pelvic inflammatory disease with shortwave diathermy. A case report. Phys Ther 1988; 68:1541–1545.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Menoufyia University, From Shebeen El Coom, Menoufyia Governorate, Egypt

    Dalia S. Saif (Lecturer) & Dina S. Fotoh (Lecturer)

  2. Clinical Pathology, Faculty of Medicine, Menoufyia university, Menoufya, Egypt

    Reem M. E. L. Kholy (Lecturer)

  3. Gynecology and Obstetric, Faculty of Medicine, Menoufyia university, Menoufya, Egypt

    Dalia I. Morsi (Lecturer) & Heba M. Farag (Lecturer)

Authors
  1. Dalia S. Saif
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dina S. Fotoh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Reem M. E. L. Kholy
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Dalia I. Morsi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Heba M. Farag
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dalia S. Saif.

Additional information

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work noncommercially, as long as the author is credited and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Saif, D.S., Fotoh, D.S., Kholy, R.M.E.L. et al. Combined (physical and medical treatment) therapy versus physical treatment alone and medical treatment alone in the management of chronic pelvic inflammatory disease. Egypt Rheumatol Rehabil 46, 132–139 (2019). https://doi.org/10.4103/err.err_33_18

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/err.err_33_18

Keywords