PHYSIOTHERAPY APPROACHES IN MANAGING CHRONIC PELVIC PAIN: INTEGRATING MANUAL THERAPY, BIOFEEDBACK, AND PATIENT EDUCATION

Abstract

Chronic pelvic pain (CPP) occurs in 15 to 25 percent of all women and 8 to 12 percent of men around the world and has created a tremendous impact on physical, psychological, and economic statuses, costing annual healthcare attention in the United States, which is estimated to be 2.4 billion dollars. The physiotherapy management of CPP may consist of physiotherapy, such as massage therapy, biofeedback, and patient education, providing non-invasive, evidence-based treatment to the musculoskeletal, neurological, and psychosocial aspects of CPP. This systematic review is based on  peer-reviewed articles (2018-2025) (PRISMA) that aim at examining the effectiveness, processes, and limitations in the implementation of such strategies. In manual therapy, the pain is lowered by 20-40 per cent and the pelvic floor is improved. In biofeedback, muscle control improves with a 25-30 per cent improvement in pain reduction, patient education encourages self-management, and quality of life improves 20-35 per cent. Integrated programs show 50 percent pain reduction but are barricaded by issues like overpricing ($500 to $5000), location inability in rural areas, and the variability of protocols. The presented review is a valuable guideline to clinicians, researchers, and policymakers that promotes the idea of standard procedures, a multidisciplinary approach, the validation of telehealth, and culturally competent education as a way to utilize CPP management to its fullest potential and minimize the worldwide burden of this condition.