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Physical therapy management of female chronic pelvic pain: Anatomic considerations
Author(s) -
George Susan E.,
Clinton Susan C.,
BorelloFrance Diane F.
Publication year - 2013
Publication title -
clinical anatomy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.667
H-Index - 71
eISSN - 1098-2353
pISSN - 0897-3806
DOI - 10.1002/ca.22187
Subject(s) - medicine , pelvic pain , differential diagnosis , psychological intervention , physical examination , physical therapy , chronic pain , manual therapy , health care , pain management , alternative medicine , surgery , pathology , psychiatry , economic growth , economics
The multisystem nature of female chronic pelvic pain (CPP) makes this condition a challenge for physical therapists and other health care providers to manage. This article uses a case scenario to illustrate commonly reported somatic, visceral, and neurologic symptoms and their associated health and participation impact in a female with CPP. Differential diagnosis of pain generators requires an in‐depth understanding of possible anatomic and physiologic contributors to this disorder. This article provides a detailed discussion of the relevant clinical anatomy with specific attention to complex interrelationships between anatomic structures potentially leading to the patient's pain. In addition, it describes the physical therapy management specific to this case, including examination, differential diagnosis, and progression of interventions. Clin. Anat. 26:77–88, 2013. © 2012 Wiley Periodicals, Inc.