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Semin Reprod Med 2018; 36(02): 107-115
DOI: 10.1055/s-0038-1676085
DOI: 10.1055/s-0038-1676085
Review Article
Musculoskeletal Considerations in Female Patients with Chronic Pelvic Pain
Funding Dr. Alappattu is funded by NIH K12 Rehabilitation Research Career Development Program (NICHD/NINDS K12 HD055929).Further Information
Publication History
Publication Date:
19 December 2018 (online)
Abstract
Persistent pelvic pain conditions are common and affect nearly 25% of the female U.S. population. In a sizable proportion of pelvic pain patients, the pain is caused by musculoskeletal dysfunction; yet, healthcare providers do not routinely evaluate patients for musculoskeletal etiologies. This article provides an overview of the pathophysiology of persistent pelvic pain, as it relates to musculoskeletal disorders. The symptomatology, anatomy, evaluation, and treatment of these disorders are summarized specifically for healthcare providers (including gynecologists) who do not have pelvic musculoskeletal expertise.
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References
- 1 Tu FF, As-Sanie S, Steege JF. Prevalence of pelvic musculoskeletal disorders in a female chronic pelvic pain clinic. J Reprod Med 2006; 51 (03) 185-189
- 2 Reiter RC, Gambone JC. Nongynecologic somatic pathology in women with chronic pelvic pain and negative laparoscopy. J Reprod Med 1991; 36 (04) 253-259
- 3 Latthe P, Latthe M, Say L, Gülmezoglu M, Khan KS. WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity. BMC Public Health 2006; 6: 177
- 4 Harlow BL, Stewart EG. A population-based assessment of chronic unexplained vulvar pain: have we underestimated the prevalence of vulvodynia?. J Am Med Womens Assoc (1972) 2003; 58 (02) 82-88
- 5 Diatchenko L, Nackley AG, Slade GD, Fillingim RB, Maixner W. Idiopathic pain disorders--pathways of vulnerability. Pain 2006; 123 (03) 226-230
- 6 Mieritz RM, Thorhauge K, Forman A, Mieritz HB, Hartvigsen J, Christensen HW. Musculoskeletal dysfunctions in patients with chronic pelvic pain: a preliminary descriptive survey. J Manipulative Physiol Ther 2016; 39 (09) 616-622
- 7 Lamvu G, Nguyen RH, Burrows LJ. , et al. The evidence-based vulvodynia assessment project. A national registry for the study of vulvodynia. J Reprod Med 2015; 60 (5-6): 223-235
- 8 Fitzgerald CM, Neville CE, Mallinson T, Badillo SA, Hynes CK, Tu FF. Pelvic floor muscle examination in female chronic pelvic pain. J Reprod Med 2011; 56 (3-4): 117-122
- 9 Sedighimehr N, Manshadi FD, Shokouhi N, Baghban AA. Pelvic musculoskeletal dysfunctions in women with and without chronic pelvic pain. J Bodyw Mov Ther 2018; 22 (01) 92-96
- 10 Howard FM. Chronic pelvic pain. Obstet Gynecol 2003; 101 (03) 594-611
- 11 Gyang A, Hartman M, Lamvu G. Musculoskeletal causes of chronic pelvic pain: what a gynecologist should know. Obstet Gynecol 2013; 121 (03) 645-650
- 12 Shin JH, Howard FM. Management of chronic pelvic pain. Curr Pain Headache Rep 2011; 15 (05) 377-385
- 13 Apte G, Nelson P, Brismée JM, Dedrick G, Justiz III R, Sizer Jr PS. Chronic female pelvic pain--part 1: clinical pathoanatomy and examination of the pelvic region. Pain Pract 2012; 12 (02) 88-110
- 14 Prather H, Dugan S, Fitzgerald C, Hunt D. Review of anatomy, evaluation, and treatment of musculoskeletal pelvic floor pain in women. PM R 2009; 1 (04) 346-358
- 15 Prather H, Camacho-Soto A. Musculoskeletal etiologies of pelvic pain. Obstet Gynecol Clin North Am 2014; 41 (03) 433-442
- 16 Bonder JH, Chi M, Rispoli L. Myofascial pelvic pain and related disorders. Phys Med Rehabil Clin N Am 2017; 28 (03) 501-515
- 17 Thomson WH, Dawes RF, Carter SS. Abdominal wall tenderness: a useful sign in chronic abdominal pain. Br J Surg 1991; 78 (02) 223-225
- 18 Goldstein AT, Pukall CF, Brown C, Bergeron S, Stein A, Kellogg-Spadt S. Vulvodynia: assessment and treatment. J Sex Med 2016; 13 (04) 572-590
- 19 Bornstein J, Goldstein AT, Stockdale CK. , et al; Consensus Vulvar Pain Terminology Committee of the International Society for the Study of Vulvovaginal Disease (ISSVD), the International Society for the Study of Womenʼs Sexual Health (ISSWSH), and the International Pelvic Pain Society (IPPS) 2015 ISSVD, ISSWSH, and IPPS Consensus terminology and classification of persistent vulvar pain and vulvodynia. J Low Genit Tract Dis 2016; 20 (02) 126-130
- 20 Alappattu MJ, Bishop MD. Psychological factors in chronic pelvic pain in women: relevance and application of the fear-avoidance model of pain. Phys Ther 2011; 91 (10) 1542-1550
- 21 Tu FF, As-Sanie S, Steege JF. Musculoskeletal causes of chronic pelvic pain: a systematic review of existing therapies: part II. Obstet Gynecol Surv 2005; 60 (07) 474-483
- 22 Loving S, Nordling J, Jaszczak P, Thomsen T. Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review. Scand J Pain 2012; 3 (02) 70-81
- 23 Almousa S, Lamprianidou E, Kitsoulis G. The effectiveness of stabilizing exercises in pelvic girdle pain during pregnancy and after delivery: A systematic review. Physiother Res Int 2018 23. (01). doi: 10.1002/pri.1699
- 24 Morin M, Carroll MS, Bergeron S. Systematic review of the effectiveness of physical therapy modalities in women with provoked vestibulodynia. Sex Med Rev 2017; 5 (03) 295-322
- 25 Fuentes-Márquez P, Cabrera-Martos I, Valenza MC. Physiotherapy interventions for patients with chronic pelvic pain: a systematic review of the literature. Physiother Theory Pract 2018; 14: 1-8 . doi: 10.1080/09593985.2018.1472687. [Epub ahead of print]
- 26 Engeler D, Baranowski AP, Borovicka J. , et al. EAU Chronic Pelvic Pain Guidelines. 2018 ; Available at: http://uroweb.org/guideline/chronic-pelvic-pain/-1_2 . Accessed November 2, 2018