Referred pain patterns provoked on intra-pelvic structures among women with and without chronic pelvic pain: a descriptive study

PloS One
Thomas TorstenssonP Kristiansson

Abstract

To describe referred pain patterns provoked from intra-pelvic structures in women with chronic pelvic pain (CPP) persisting after childbirth with the purpose to improve diagnostics and give implications for treatment. In this descriptive and comparative study 36 parous women with CPP were recruited from a physiotherapy department waiting list and by advertisements in newspapers. A control group of 29 parous women without CPP was consecutively assessed for eligibility from a midwifery surgery. Inclusion criterion for CPP was: moderate pain in the sacral region persisting at least six months after childbirth confirmed by pelvic pain provocation tests. Exclusion criteria in groups with and without CPP were: persistent back or pelvic pain with onset prior to pregnancy, previous back surgery and positive neurological signs. Pain was provoked by palpation of 13 predetermined intra-pelvic anatomical landmarks. The referred pain distribution was expressed in pain drawings and described in pain maps and calculated referred pain areas. Pain provoked by palpation of the posterior intra-pelvic landmarks was mostly referred to the sacral region and pain provoked by palpation of the ischial and pubic bones was mostly referred to the groin an...Continue Reading

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Citations

May 4, 2020·Pain Practice : the Official Journal of World Institute of Pain·Helen P FrenchFrank Doyle
Aug 4, 2021·Scandinavian Journal of Pain·Maria Galve VillaShellie A Boudreau
Aug 3, 2021·The Clinical Journal of Pain·Steffan W M ChristensenThorvaldur S Palsson
May 29, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Claire CardaillacStéphane Ploteau

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