TRF Protocol - Trigger Release and Facilitation for Pelvic Floor Disorders With Pelvic Pain Among Urogynecoloical Cancer Survivors

According to the National Cancer Institute of Cancer Survivorship, an individual is considered to be a survivor who are beyond thea cute diagnosis and treatment phase 1.

In U.S the number of cancer survivors increased to 13.7 million, with nearly two third diagnosed more than 5 years ago and 40%a live more than 10 years after diagnosis.

The study by International team of research to analyze globalc ancer survival trends, has found the highest survival rates for most cancer in Australia, Canada, Finland, Norway U.S, India. Pain is common problem In cancer survivors, especially In first few years after the treatment. Chronic pelvic pain is a frequent complication in cancer survivors.

It is defined as pain that persists longer than the time of natural healing located in hips, groins, lower back, radiating pain, pain in rest or activity, pain influencing daily activities. 

Pelvic floor dysfunction is a common and less talked about problem many cancer survivors face, It includes incontinence, pelvic pain, constipation, sexual dysfunction about 58% of survivor reported incontinence and bladder control.

A study conducted by Igvild et.al, that cervical cancer survival have a higher prevalence of pain in pelvic region 35/92(38%). Recent studies have reported the cumulative 5 years incidence of pelvic insufficiency fracture diagnosed by MRI to be 82-197% after whole pelvic radiotherapy.

Pelvic rehabilitation is a key component of regaining quality and not just quantity of life after treatment ends says Yang e j, et.al. In A study conducted on the effect of PFM training program on gynecological cancer survivor with pelvic floor dysfunctions.