Osteopathic Manual Therapy along with Cranial Electric Stimulation in Primary Dysmenorrhoea

Primary dysmenorrhoea is described as lower abdominal discomfort that occurs soon before or during menstruation but pathology is called secondary dysmenorrhoea. Gynaecological dysfunctions are routinely treated using osteopathy and other physiotherapy treatments. The case report determines pre and postuterocervical angle, pain, physical activity level and psychological state after osteopathy manual therapy and conservative management on primary dysmenorrhoea. A 22-year-old female was diagnosed with primary dysmenorrhoea and was referred to the physiotherapy Outpatient Department (OPD) for conservative management. Physiotherapy assessment included Visual Analog Scale (VAS) for pain, International Physical Activity Questionnaires (IPAQ) for physical activity and Depression, Anxiety and Stress Scale-21 items (DASS-21) for psychological assessment at baseline. She received Cranial Electric Stimulation (CES), osteopathic manual therapy, deep breathing exercise, core strengthening exercise, lower limb stretching exercises and music therapy for relaxation. She received intervention for seven days a month for four consecutive months during menstruation cycles. After four months, her pain and psychological status improved significantly, uterocervical angle increased and there was an increase in physical activity. Thus, CES with osteopathic manual therapy along with conventional therapy helps reduce pain, increase physical functions, improve psychological status and even has a positive effect on uterocervical angle.