Mindfulness in Facilitating Pelvic Floor Botulinum Toxin Injection in Women with Chronic Pelvic Pain.
Jacqueline V AredoHannah K TandonSamin PanahiVy T PhanRezvan AmeliBarbara Illowsky KarpPamela StrattonPublished in: Toxins (2024)
Botulinum toxin (BoNT) injection can safely be done as an office-based procedure, but can be painful itself, especially when injecting pelvic floor muscles to treat chronic pelvic pain (CPP). Mindfulness interventions may reduce procedure-associated acute anxiety and pain. We applied mindfulness techniques to increase the tolerability of office-based pelvic floor BoNT injections in women with CPP. Women enrolled in a clinical trial of BoNT for endometriosis-associated CPP were offered a brief, guided mindfulness session before and/or after transvaginal injection. Anxiety, pain, and dysphoria were rated on a 0-10 numerical rating scale (NRS) before and after each mindfulness session. Eight women underwent mindfulness sessions. Five participants had a session before and two after the transvaginal injection. One participant had two sessions: one before and one after separate injections. All six women completing a session prior to injection had at least moderate anxiety, which lessened after the mindfulness session (median NRS change: -3.3/10). All three women reporting injection-associated pain experienced less intense pain following the post-injection session (median NRS change: -3/10). Three women experiencing dysphoria improved after the session (median NRS change: -3/10). A brief, guided mindfulness session may lessen acute pain, anxiety, and dysphoria associated with office-based transvaginal BoNT injection.
Keyphrases
- chronic pain
- ultrasound guided
- pain management
- high intensity
- transcranial direct current stimulation
- neuropathic pain
- polycystic ovary syndrome
- botulinum toxin
- clinical trial
- pregnancy outcomes
- liver failure
- rectal cancer
- minimally invasive
- adipose tissue
- physical activity
- type diabetes
- intensive care unit
- cervical cancer screening
- electronic health record