Complex Female Pelvic Pain: A Case Series From a Multidisciplinary Clinic in Urogynecology and Physiatry

Female Pelvic Medicine & Reconstructive Surgery
Jennifer Nicole LillemonAmanda L Clark

Abstract

The internal pelvic floor muscles that support the pelvic viscera lie within the external pelvic structures, which support posture and locomotion. The presence of pain in the hip, groin, leg, abdomen, and/or back in patients with pelvic pain suggests that external pelvic sites may act as pain generators that contribute to chronic pelvic pain (CPP). The aim of this study was to report musculoskeletal diagnoses resulting from including a physiatry evaluation as part of a Multidisciplinary Pelvic Pain Clinic for women with complex chronic pain. This retrospective case series was conducted by chart review of all women attending the clinic from February 2016 through March 2018. Variable definitions were created for each demographic and clinical characteristic and used to guide a structured review of the chart. Descriptive statistical analysis was performed. Ninety-six percent of the 68 women (mean age, 51 years) had CPP of 6 months' duration or longer. Levator ani tenderness was present in 81% and obturator internus tenderness in 81%. Seventy-one percent of women had failed pelvic physical therapy. Musculoskeletal diagnoses included osteoarthritis, tendinopathies, enthesopathies, osteitis pubis, ischiofemoral impingement, Paget dise...Continue Reading

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Citations

Feb 23, 2020·Obstetrics and Gynecology
Jul 19, 2020·International Urogynecology Journal·Glaucia Miranda Varella PereiraLuiz Gustavo Oliveira Brito
Oct 21, 2020·Seminars in Reproductive Medicine·Catherine AllairePaul J Yong
Jul 22, 2021·Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica·Antonella CentemeroFranco Gaboardi
May 20, 2021·Female Pelvic Medicine & Reconstructive Surgery·Lauren C WestbayColleen M Fitzgerald

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