Frequency and distribution of multiple diagnoses in chronic pelvic pain related to previous abuse or drug-seeking behavior

Gynecologic and Obstetric Investigation
Bradford W FentonJames Fanning

Abstract

The objective of this study was to describe the nature and number of pain diagnoses in a chronic pelvic pain population, and to determine the relationship between these and a patient's history of abuse, drug-seeking behavior, or initial symptom scores. 175 consecutive patients were evaluated at the Summa Chronic Pelvic Pain Center and assigned diagnoses. These diagnoses included gynecologic pain, interstitial cystitis (IC), irritable bowel syndrome (IBS), pelvic floor tension myalgia, abdominal wall myalgia, and vulvodynia. The diagnosis of drug seeking was based upon a patient's refusal of non-narcotic management. Multiple diagnoses were common, occurring in 58% of all patients, and in up to 96% of those diagnosed with non-gynecologic pain. A history of abuse was present in 55% of all patients. Drug seeking was diagnosed in 13% of all patients. Significantly elevated IC, IBS, and myalgia scores were associated with previous abuse and multiple pain diagnoses. Patients with chronic pelvic pain frequently have multiple pain diagnoses, and non-gynecologic pain in particular is common. Multiple pain diagnoses and a history of abuse have similar symptom patterns, suggesting a relationship which can be used to distinguish these patie...Continue Reading

References

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Citations

May 11, 2012·Gynecologic and Obstetric Investigation·B W FentonV Von Gruenigen
Dec 19, 2012·The Journal of Urology·María Ángeles Bullones RodríguezUNKNOWN National Institute of Diabetes and Digestive and Kidney Diseases Working Group on Urological Chronic Pelvic Pain
Feb 8, 2011·Journal of Minimally Invasive Gynecology·Bradford W FentonVivian Vongruenigen
Sep 18, 2009·The Journal of Urology·María Angeles Bullones RodríguezUNKNOWN National Institute of Diabetes and Digestive and Kidney Diseases Working Group on Urological Chronic Pelvic Pain
Jul 25, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Heidi PratherDevyani Hunt
Jun 25, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Yukio HommaUNKNOWN Interstitial cystitis guideline committee
May 31, 2011·American Journal of Obstetrics and Gynecology·John W WarrenFred M Howard
Jan 24, 2014·Pain Research and Treatment·B W FentonV Von Gruenigen
May 3, 2013·Obstetrics and Gynecology·Anthony GyangGeorgine Lamvu

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