NMM/OMTCase Report

Myofascial Release for Vulvar Pain and Pubic Shear After a Straddle Injury in a 3 Year Old Girl

Maggie M. Dade, OMS IV, and Jane D. Broecker, MD
Notes and Affiliations
Notes and Affiliations

Received: September 10, 2018

Accepted: September 19, 2018

Published: November 1, 2019

J Osteopath Med; 119(11): 768-771

Pelvic malalignment is a somatic dysfunction that can lead to pelvic discomfort, despite normal genital examination findings. A 3 year old girl presented with vulvar discomfort after a straddle injury sustained while riding a tricycle. The symptoms persisted despite standard medical treatment for vulvovaginitis and chronic vulvar irritation. An osteopathic structural examination revealed distortions of the bony pelvis, often associated with genitourinary complaints. After 5 osteopathic manipulative treatment sessions, the patient experienced significant relief. With persistent vulvar pain, somatic dysfunction should be considered in the differential diagnosis. A brief musculoskeletal examination of the pubic tubercles, iliac crest, and iliac spines can help to identify somatic dysfunction in a gynecologic patient with symptoms that are unresponsive to standard treatments.

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