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Chronic Female Pelvic Pain—Part 2: Differential Diagnosis and Management
Author(s) -
Nelson Patricia,
Apte Gail,
Justiz Rafael,
Brismeé JeanMichel,
Dedrick Gregory,
Sizer Philip S.
Publication year - 2012
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/j.1533-2500.2011.00492.x
Subject(s) - medicine , pelvic pain , pelvis , physical therapy , limiting , psychological intervention , differential diagnosis , physical medicine and rehabilitation , surgery , pathology , mechanical engineering , engineering , psychiatry
Pelvic pain is a common condition. Treatment interventions have traditionally targeted biomedical conditions with variable success. Utilizing a systematic approach to examination of the pelvic girdle and related organ systems contained within the pelvis will aid the clinician in identifying the painful structure(s) as well as the associated impairments limiting functional recovery. From this, a complete management program can be instituted. The following description of gynecologic, urologic, gastrointestinal, musculoskeletal, and neurologic conditions that can cause or are associated with chronic pelvic pain leads to conservative management proposals based on the available evidence. Finally, nonoperative interventional strategies are described, which target the pain system from a cognitive behavioral perspective, address movement dysfunctions, and address interventional pain technique possibilities.▪