Manual Lymphatic Drainage vs Marian Clark Drainage in Pcs

Study Overview
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Brief Summary
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Pelvic congestion syndrome is a debilitating and potentially life threatening disorder of the pelvic region there is a constant hindrance in patient's daily professional and personal life due to the chronic pain. it can provide a definite way to improve pelvic congestion and quality of life. In this way it can benefit a large percentage of community females suffering from pelvic congestion syndrome and disability. This can grow at large length in favour of patients, clinicians and overall women health.

Detailed Description
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As per researcher's knowledge there are limited researches in which efficacy of manual lymphatic drainage in pelvic congestion syndrome are analyzed furthermore my comparative intervention i.e Marian Clark drainage is a rarely used osteopathic technique and not much studies have been conducted on it. This study helped to in identifying the effect of manual lymphatic drainage versus Marian Clark drainage on pain and disability in patients with pelvic congestion syndrome.

Official Title
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Effects of Manual Lymphatic Drainage Versus Marian Clark Drainage on Pain and Disability in Patients With Pelvic Congestion Syndrome

Conditions
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Pelvic Congestive Syndrome

Intervention / Treatment
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* Other: Manual lymphatic drainage versus marian clark drainage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Multiparous women Age ranging 20 to 50 Ovarian veins >4mm in diameter on Ultrasound Chronic pelvic pain/pressure for more than 6 months. Dull, aching or dragging pain in the pelvis or lower back, particularly on standing and worse around the time of your menstrual period. Pelvic pain that worsens as the day goes on, particularly if much time is spent standing dyspareunia Swollen veins in pelvic region, butt, thighs, vulva and vagina. Associated Irritable bladder/Irritable bowel present Exclusion Criteria: Pelvic pain due to other organic cause like uterine fibroids, Endometriosis, Ovarian cyst pelvic pain due to neurological or musculoskeletal disorder Uterine prolapse Pelvic cancer

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Manual lymphatic drainage vs marian clark drainage<br>Effect of Marian Clark drainage and manual lymphatic drainage in women suffering from pelvic congestion syndrome | Other: Manual lymphatic drainage versus marian clark drainage<br>* Manual lymphatic drainage versus marian clark drainage<br>|
| Active Comparator: Manual lymphatic drainage versus marian clark drainage<br>Effect of Marian Clark drainage and manual lymphatic drainage in women suffering from pelvic congestion syndrome | Other: Manual lymphatic drainage versus marian clark drainage<br>* Manual lymphatic drainage versus marian clark drainage<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Manual lymphatic drainage | Treatment protocol to group A It consists of 15 patients who will receive manual lymphatic drainage 4 sessions per week for 12 weeks Manual Lymph Drainage Techniques for Pelvic Decongestion Step 1: short neck treatment (supraclavicular fossa or SCF) Step 2: (two parts: visceral, deep) Visceral: Deep: Treatment of the thoracic duct, cisterna Chyli Deep Abdominal Manual lymphatic drainage Step-3. Treatment of right Axillary Lymph nodes Step-4. Establish the Right inguino-Axillary Anastomosis. Step-5. Decongest the right ipsilateral lower abdomen and suprapubic area Step-6 Treatment of Left Axillary Lymph nodes Step-7. Establish the Left inguino-Axillary Anastomosis. Step-8. Decongest the Let ipsilateral lower abdomen and suprapubic area | 6 months | 
| Marian clark drainage | It consists of 15 patients who will receive Marian clark drainage 4 sessions per week for 12 weeks each session will continue till therapist feels palpable change in congestion in pelvic area medial to Anterior superior Iliac spine. Stand to the side of the patient Patient semiprone on all fours Hook fingers medial to both Anterior superior Iliac spine Pull hands cephalad (traction) Patient arches back like a cat Encourage this movement with cephalad rocking Repeat for several minutes | 6 months |