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@article{204626,
        author = {Dr Krishnaveni K and Dr Nithya Raj S C and Dr Anisha Nallasamy and Dr Suresh S},
        title = {A BIOPSYCHOSOCIAL MODEL FOR MANAGING CHRONIC PELVIC PAIN IN YOUNG WOMEN: A PHYSIOTHERAPY PERSPECTIVE},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {13},
        number = {1},
        pages = {2916-2924},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=204626},
        abstract = {Background:
Non-cyclic pelvic pain that lasts longer than six months is the hallmark of young women's chronic pelvic pain (CPP), a complicated and chronic illness. Social interaction, emotional health, and everyday functioning are all significantly impaired. Because of its complicated etiology, which encompasses social, neurological, musculoskeletal, and psychological components, CPP is frequently misdiagnosed or receives inadequate treatment, despite its prevalence.

Objective:
The purpose of this study is to assess the effectiveness of a biopsychosocial approach under the supervision of a physiotherapist in managing chronic pelvic pain in young women and to quantify gains in psychological well-being, functional ability, and pain severity.

Methodology:
Using a mixed-methods approach, the study recruited 30 female volunteers aged 18 to 35 who had a clinical diagnosis of CPP. The participants had a thorough physiotherapy program that included breathing techniques, myofascial release, pelvic floor rehabilitation, posture correction, pain neuroscience education, and cognitive-behavioral therapies. Quantitative outcomes were measured using the Visual Analog Scale (VAS) for pain, the Patient-Specific Functional Scale (PSFS), the Depression Anxiety Stress Scales (DASS-21), and the Pelvic Floor Distress Inventory (PFDI-20). Qualitative data regarding patients' opinions of treatment outcomes were collected through semi-structured interviews.

Results:
The results of the post-intervention study demonstrated a statistically significant decrease in pain scores (mean VAS dropped from 7.1 to 3.4, p < 0.001), improved psychological state DASS-21 showed reduced levels of stress and anxiety scores dropped dramatically from 22.50 ± 4.30 at baseline to 14.20 ± 3.80. With a 95% confidence interval of 6.14 to 10.46, the mean difference of 8.30 was statistically significant (t = 7.86, df = 29, p < 0.001)), and improved pelvic function (a 35% decline in PFDI-20 scores). Patient-Specific Functional Scale (PSFS) increased from 3.10 ± 0.90 prior to intervention to 7.60 ± 1.20 following it, indicating a significant improvement in functional performance.  Furthermore, there was a significant decrease in the Pelvic Floor Distress Inventory-20 (PFDI-20) scores from 145.60 ± 20.50 pre-intervention to 82.30 ± 18.40 post-intervention. With a 95% CI of 51.80 to 74.80, the mean difference of 63.30 was very significant (t = 11.25, df = 29, p < 0.001). Overall, the findings show that the physiotherapy intervention led to statistically significant improvements in pelvic floor symptoms, pain, functional ability, and emotional well-being. 

Conclusion:
The biopsychosocial physiotherapy paradigm demonstrated significant benefits in reducing CPP in young women. A comprehensive, patient-centered strategy that tackles the multifaceted nature of pelvic pain is provided by combining physical therapy with psychological and educational interventions. By giving young women the tools they need to take control of their health in the long term, this approach may reduce the need for medication or surgery.},
        keywords = {Chronic pelvic pain, physiotherapy, biopsychosocial model, young women, pelvic floor dysfunction, pain management.},
        month = {June},
        }