Open AccessTreatment of Localized Vulvar Pain with Neural Therapy: A Case Series and Literature Review
Author(s) -
Modesto Rey Novoa,
Montserrat Muñoz-Sellart,
Marta Catalán Soriano,
David Vinyes
Publication year - 2021
Publication title -
complementary medicine research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.238
H-Index - 38
eISSN - 2504-2106
pISSN - 2504-2092
DOI - 10.1159/000514945
Subject(s) - medicine , gynecology , procaine , randomized controlled trial , clinical trial , surgery , physical therapy , anesthesia
Background: Localized vulvar pain (LVP) is a common condition among fertile women, with physical and psychosexual implications. Treatment is complex with limited benefits. Neural therapy is a regulatory therapy that uses injections of local anesthetics in low concentrations in specific points to treat different conditions. Case Presentation: We present the cases of 5 women, ages 33–44 years, with LVP treated with procaine 0.5% injections in painful points. Complete relief from pain occurred in 2 patients, and significant improvement in 3. Only 1 or 2 sessions were required. Initial VAS score was ≥70 and decreased to ≤30 after the intervention. The improvement was maintained over time, with a minimum follow-up period of 6 months. None of the patients were able to have sex or use tampons due to pain, but they were able to resume after the intervention. Conclusions: In this case series, local injections of procaine showed a favorable outcome. Future randomized clinical trials could help elucidate the role of this intervention in LVP.