Chronic Pelvic Pain: Difference between revisions
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== Definition/Description <br> == | == Definition/Description <br> == | ||
Chronic pelvic pain (CPP) is commonly defined as nonmalignant intermittent or continuous pain in the lower abdomen, pelvis or intrapelvic structures, lasting at least 3–6 months.<ref name="discriminating">Díaz Mohedo E, Barón López FJ, Pineda Galán C, Dawid Milner MS, Suárez Serrano C, Medrano Sánchez E., Discriminating power of CPPQ-Mohedo: a new questionnaire for chronic pelvic pain, J Eval Clin Pract. 2011 Oct 26. doi: 10.1111/j.1365-2753.2011.01778.x. (Level of evidence : 2C)</ref> If nonacute and central sensitization pain mechanisms are present, the condition is considered chronic, regardless of the time frame.<ref name="Psychological ">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 Oct;91(10):1542-50. doi: 10.2522/ptj.20100368. Epub 2011 Aug 11. (Level of evidence : 2C)</ref> Central sensitization is characterized by amplification or increased sensory perception, where stimuli that are normally not painful are now perceived as painful.<ref name="causes">Cambitzi J, Chronic pelvic pain: causes, mechanisms and effects, Nursing Standard, 25, 20, 35-38. Date of acceptance: March 26 2010 (Level of evidence : 2A)</ref> CPP is in women not exclusively associated with the menstrual cycle, sexual intercourse or pregnancy<ref name="discriminating" />, but is sufficiently severe to cause functional disability or to lead to medical care.<ref name="high">Silva GP, Nascimento AL, Michelazzo D, Alves Junior FF, Rocha MG, Silva JC, Reis FJ, Nogueira AA, Poli Neto OB., High prevalence of chronic pelvic pain in women in Ribeira˜o Preto, Brazil and direct association with abdominal surgery, Clinics (Sao Paulo). 2011;66(8):1307-12. (Level of evidence : 2B)</ref> | |||
== Clinically Relevant Anatomy <br> == | == Clinically Relevant Anatomy <br> == | ||
Revision as of 22:29, 19 December 2011
Original Editors - Nina Lefeber
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Search Strategy[edit | edit source]
PubMed (most successful keywords):
- Chronic pelvic pain
- Chronic pelvic pain women
- Physical therapy chronic pelvic pain
- Chronic pelvic pain rehabilitation
Definition/Description
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Chronic pelvic pain (CPP) is commonly defined as nonmalignant intermittent or continuous pain in the lower abdomen, pelvis or intrapelvic structures, lasting at least 3–6 months.[1] If nonacute and central sensitization pain mechanisms are present, the condition is considered chronic, regardless of the time frame.[2] Central sensitization is characterized by amplification or increased sensory perception, where stimuli that are normally not painful are now perceived as painful.[3] CPP is in women not exclusively associated with the menstrual cycle, sexual intercourse or pregnancy[1], but is sufficiently severe to cause functional disability or to lead to medical care.[4]
Clinically Relevant Anatomy
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Epidemiology /Etiology
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Characteristics/Clinical Presentation[edit | edit source]
Differential Diagnosis
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Diagnostic Procedures[edit | edit source]
Outcome Measures
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Examination
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Medical Management[edit | edit source]
Physical Therapy Management[edit | edit source]
Key Research
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Resources[edit | edit source]
Clinical Bottom Line[edit | edit source]
Recent Related Research (from Pubmed)[edit | edit source]
References
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- ↑ 1.0 1.1 Díaz Mohedo E, Barón López FJ, Pineda Galán C, Dawid Milner MS, Suárez Serrano C, Medrano Sánchez E., Discriminating power of CPPQ-Mohedo: a new questionnaire for chronic pelvic pain, J Eval Clin Pract. 2011 Oct 26. doi: 10.1111/j.1365-2753.2011.01778.x. (Level of evidence : 2C)
- ↑ 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 Oct;91(10):1542-50. doi: 10.2522/ptj.20100368. Epub 2011 Aug 11. (Level of evidence : 2C)
- ↑ Cambitzi J, Chronic pelvic pain: causes, mechanisms and effects, Nursing Standard, 25, 20, 35-38. Date of acceptance: March 26 2010 (Level of evidence : 2A)
- ↑ Silva GP, Nascimento AL, Michelazzo D, Alves Junior FF, Rocha MG, Silva JC, Reis FJ, Nogueira AA, Poli Neto OB., High prevalence of chronic pelvic pain in women in Ribeira˜o Preto, Brazil and direct association with abdominal surgery, Clinics (Sao Paulo). 2011;66(8):1307-12. (Level of evidence : 2B)
