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Articles

A directional preference approach for chronic pelvic pain, bladder dysfunction and concurrent musculoskeletal symptoms: a case series

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References

  • Howard F. Chronic pelvic pain. Obstet Gynecol. 2003;101:594–611.
  • Mathias S. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol. 1996;87:321–327.
  • Da Luz R, de Deus JM, Conde DM. Quality of life and associated factors in Brazilian women with chronic pelvic pain. J Pain Res. 2018;25:1367–1374.
  • Ramao AP, Gorayeb R, Romao GS, et al. High levels of anxiety and depression have a negative effect on quality of life of women with chronic pelvic pain. Int J Clin Pract. 2009;63:707–711.
  • Gyang A, Hartmann M, Lamyu G. Musculoskeletal causes of chronic pelvic pain: what a gynecologist should know. Obstet Gynecol. 2013;121:645–650.
  • Latthe P, Latthe M, Say L, et al. WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity. BMC Public Health. 2006;6:177.
  • Zondervan K, Yudkin PL, Vessey MP, et al. Prevalence and incidence of chronic pelvic pain in primary care: evidence from a national general practice database. BrJ Obstet Gynaecol. 1999;106:1149–1155.
  • Williams R. Documenting the current definition of chronic pelvic pain: implications for research. Obstet Gynecol. 2004;103:686–691.
  • Dalpiaz O, Kerschbaumer A, Mitterberger M, et al. Chronic pelvic pain in women: still a challenge. Br J Urol Int. 2008;102:1061–1065.
  • ACOG. Chronic pelvic pain. Pract Obstet Gynecol. 2004;51:589–605.
  • Yosef A, Ghaffar A, Al-Hussaini T, et al. Chronic pelvic pain: pathogenesis and validated assessment. Middle East Fertil Soc J. 2016;21:205–221.
  • Loving S, Nordling J, Jaszczakc P, et al. Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review. J Pain. 2012;3:70–81.
  • Renaer M, Vertommer H, Nija P, et al. Psychological aspects of chronic pelvic pain in women. Am J Obstet Gynecol. 1979;134:75–80.
  • Neville C, Fitzgerald C, Mallinson T, et al. Physical examination finding by physical therapists compared with physicians of musculoskeletal factors in women with chronic pelvic pain. J Women’s Health Phys Ther. 2010;34:73–80.
  • Montenegro ML, Vasconcelos EC, Candido Dos Reis FJ, et al. Physical therapy in the management of women with chronic pelvic pain. Int J Clin Pract. 2008;62:263–269.
  • Silva C, Nascimento AL, Michelazzo D, et al. High prevalence of chronic pelvic pain in women in Ribeirao Preto, Brazil and direct association with abdominal surgery. Clinics. 2011;66:1307–1312.
  • Ahangari A. Prevalence of chronic pelvic pain among women: an updated review. Pain Physician. 2014;17:E141–E147.
  • Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. J Am Med Assoc. 2008;300:1311–1316.
  • Zondervan K. The community prevalence of Chronic Pelvic Pain in women and associated illness behaviour. BrJ Gen Pract. 2001;51:541–547.
  • Chaitow L Chronic pelvic pain: pelvic floor problems, sacroiliac dysfunction and trigger point connnection. In Interdisciplinary World Congress on Low Back and Pelvic Pain; 2007; Barcelona, Spain.
  • Kaptan H, Kulaksizoglu H, Kasimcan O, et al. The association between urinary incontinence and low back pain and radiculopathy in women. Maced J Med Sci. 2016;15:665–669.
  • Tettambel MA. An osteopathic approach to treating women with Chronic Pelvic Pain. J Am Osteo Assoc. 2005;105:20–22.
  • Gunter J. Chronic Pelvic Pain: an integrated approach to diagnosis and treatment. Obstet Gynecol Survey Issues. 2003;58:615–623.
  • Lamvu G, Williams R, Zolnoun D, et al. Basic tools absent from the field of chronic pelvic pain: what we need to take better care of our patients. IPPS Vision. 2006;14:1–2.
  • Kames LD, Kames LD, Rapkin AJ, et al. Effectiveness of an interdisciplinary pain management program for the treatment of chronic pelvic pain. Pain. 1990;41:41–46.
  • Mann J, Shuster J, Moawad N. Attributes and barriers to care of pelvic pain in university women. Minim Invasive Gynecol. 2013;20:811–818.
  • Krieger JN, Nyberg LJ, Nickel JC. NIH consensus definition and classification of prostatitis. J Am Med Assoc. 1999;282:236–237.
  • Anderson R, Wise D, Sawyer T, et al. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. J Urol. 2005;174:155–160.
  • Dornan P, Coppieters M www.bjuinternational.com. 2012: [accessed 2012 Oct 2012]. http://www.bjuinternational.com/case-studies/a-musculoskeletal-approach-for-patients-with-pudendal-neuralgia-a-cohort-study/.
  • Yang CC, Lee JC, Kromm BG, et al. Pain sensitization in male chronic pelvic pain syndrome: why are symptoms so difficult to treat?. J Urol. 2003;170:823–826.
  • Wu D, Rosedale R. Physio Theory Pract. 2018. The use of Mechanical Diagnosis and Therapy (MDT) in patients with lower urinary tract symptoms (LUTS): case series. DOI:10.1080/09593985.2018.1443359
  • Cheong Y, Stone R. Chronic pelvic pain: aetiology and therapy. Best Pract Res Clin Obstet Gynaecol. 2006;5:695–711.
  • Kinchen KS, Burgio K, Diokno AC, et al. Factors associated with women’s decisions to seek treatment for urinary incontinence. J Women’s Health. 2003;12:687–698.
  • Rigaud J, Riant T, Delavierre D, et al. Somatic nerve block in the management of chronic pelvic and perineal pain. Prog Urol. 2010;20:1072–1083.
  • Gorniak G, King P. The peripheral neuroanatomy of the pelvic floor. J Women’s Health Phys Ther. 2016;40:3–14.
  • Mersky H, Bogduk N. Classification of chronic pain : descriptions of chronic pain syndromes and definitions of pain terms / prepared by the International Association for the Study of Pain, Task Force on Taxonomy ; editors, Harold Merskey, N. Bogduk. - 2nd ed. p. cm. Includes bibliographical references and index. 2002; ISBN 0-931092-05-1
  • Chiarioni G, Asteria C, Whitehead W. Chronic proctalgia and chronic pelvic pain syndromes: new etiologic insights and treatment options. World J Gastroenterol. 2011;17:4447–4455.
  • Cambitzi J. Chronic pelvic pain: causes, mechanisms and effects. Nurs Stand. 2011;25:35–38.
  • Wang Y, Hart DL, Mioduski JE. Characteristics of patients seeking outpatient rehabilitation for pelvic-floor dysfunction. Phys Ther. 2012;92:1160–1174.
  • Apte G, Nelson P, Brismee JM, et al. Chronic female pelvic pain- part 1: clinicalpathoanatomy and examination of the pelvic region. Pain Pract. 2012;12:88–110.
  • Abraham K. Physical therapist management of patients with chronic pelvic pain. Washington, DC: APTA SOWH Independent Study Module; 2008.
  • Bo K. Evidence-based physical therapy for the pelvic floor: bridging science and clinical practice. 2nd ed. London: Elsevier Churchhill Livingstone; 2015.
  • Jarrell JK, Vilos GA, Allaire C, et al. Consensus guidelines for the management of chronic pelvic pain. J Obstet Gynaecol Can. 2005;27:781–826.
  • Peters AAW, van Dorst E, Jellis B, et al. A randomized clinical trial to compare two different approaches in women with chronic pelvic pain. Obstet Gynecol. 1991;77:740–746.
  • Engeler D, Baranowski AP, Borovicka AP, et al. Guideline on chronic pelvic pain. Euro Assoc Urolo. 2014;1–132. https://uroweb.org/wp-content/uploads/26-Chronic-Pelvic-Pain_LR.pdf
  • Goueli R, Thomas D, Suresh A, et al. Characterization of bladder and pelvic floor dysfunction in women with chronic pelvic pain. J Women’s Health Phys Ther. 2017;3:132–136.
  • Speer LM, Mushkbar S, Erbele T. Chronic pain. Pain Women. 2016;93:380–387.
  • Baker P. Musculoskeletal origins of chronic pelvic pain. Diagnosis and treatment. Obstet Gynecol Clin North Am. 1993;20:719–742.
  • Figueirodo VF. Associations between low back pain, urinary incontinence, and abdominal muscle recruitment as assessed via ultrasonography in the elderly. Braz J Phys Ther. 2015;19:70–76.
  • Strauhal MJ, Frahm J, Morrison P, et al. Vulvar pain: A comprehensive review. J Women’s Health Phys Ther. 2007;31:7–26.
  • Clemens J. Diagnosing interstitial cystitis in women with chronic pelvic pain. Obstet Gynecol. 2002;100:337–341.
  • Cheng C, Rosamilla A, Healey M. Diagnosis of interstitial cystitis/bladder pain syndrome in women with pelvic pain; a prospective observational study. Int Urogynecl J. 2012;23:1361–1366.
  • Peters KM, Killinger KA, Ibrahim IA. Prevalence of pelvic floor dysfunction in patients with interstitial cystitis. Urology. 2007;70:16–18.
  • Prior A. Gynaecological consultation in patients with irritable bowel syndrome. Gut. 1989;30:996–998.
  • Tripp DA, Nickel JC, Wong J, et al. Mapping of pain phenotypes in female patients with bladder pain syndrome/interstitial cystitis and controls. Eur Urol. 2012;62:1188–1194.
  • Malykhina AP. Neural mechanisms of pelvic organ cross-sensitization. Neuroscience. 2007;149:660–672.
  • Riot FM, Goudet P, Mourax JP, et al. Levator ani syndrome, functional intestinal disorders and articular abnormalities of the pelvis, the place of osteopathic treatment (in French). Presse Med. 2004;31:852–857.
  • Dufour S, Bea V, Dufour S, et al. Association between lumbopelvic pain and pelvic floor dysfunction in women: A cross sectional study. Musculo Sci Pract. 2018;34:47–53.
  • Lukban J, Whitmore K, Kelogg-Spadt S, et al. The effect of manual physical therapy in the patients diagnosed with interstitial cystitis, high-tone pelvic floor dysfunction, and sacroiliac dysfunction. Urology. 2001;57:121–122.
  • Whittaker JL, Thompson JA, Teyhen DS, et al. Rehabilitative ultrasound imaging of pelvic floor muscle function. J Sports Sports Phys Ther. 2007;37:487–498.
  • Mohseni-Bandpei MA, Rahmani N, Behtash H, et al. The effect of pelvic floor muscle exercise on women with chronic non- specific low back pain. J Bodywork Move Ther. 2011;15:75–81.
  • Maigne R. Low back pain of thoracolumbar origin. Arch Phys Med Rehabil. 1980;61:389–395.
  • Troyer MR. Differential diagnosis of endometriosis in a young adult woman with nonspecific low back pain. Phys Ther. 2007;87:801–810.
  • Sedighimehr N, Manshadi FD, Shokouhi N, et al. Pelvic musculoskeletal dysfunctions in women with and without chronic pelvic pain. J Bodywork Move Ther. 2018;22:92–96.
  • Fall M, Baranowski AP, Elneil S, et al. European Association Urology guidlines on chronic pelvic pain. Eur Urol. 2010;57:35–48.
  • Abrams P, Mea LF, Peters S, et al. The standardization of terminology of lower urinary tract function: reports from the Standardization Subcommittee of the Internation Continence Society. Urology. 2003;61:37–49.
  • Slocumb JC. Neurological factors in chronic pelvic pain: trigger point and the abdominal pelvic pain syndrome. Am J Obstet Gynecol. 1984;149:536–543.
  • Spitznagle T. Diagnosis dialogue for women’s health conditions: the process and proposed pelvic floor muscle diagnosis. J Women’s Health Phys Ther. 2017;41:154–162.
  • Tu FF, As-Sanie S, Steege J. Musculoskeletal causes of chronic pelvic pain: A systematic review of diagnosis: part I. Obstet Gynecol Survey Issue. 2005;60:379–385.
  • Tu FF, Holt J, Gonzales J, et al. Physical therapy evaluation of patients with chronic pelvic pain: a controlled study. Am J Obstet Gynecol. 2008;198:272–277.
  • Abdel-Aziz S, Ghaleb A. Combined sacral nerve roots stimulation and low thoracic spinal cord stimulation for the treatment of chronic pelvic pain. Pain Stud Treat. 2014;2:86–90.
  • Nitsch W. Chronic pelvic pain in women: etiology and intervention: A reveiw of the literature and its implications for physical therapists. J Sec Women’s Health. 2001;25:7–12.
  • Vleeming A, Hanes O, Ostgaard H, et al. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17:794–819.
  • Wente K, Spitznagle T. Movement-related urinary urgency. A theoretical framework and retrospective, cross-sectional study. J Women’s Health Phys Ther. 2017;41:83–90.
  • Fitzgerald M. Randomized multicenter feasibility trial of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes. Source J Urol. 2013;189:175–185.
  • Kellgren JH. On the distribution of pain arising from deep somatic structures with charts of segmental pain areas. Chn Sci. 1939;4:36–40.
  • Travell J, Simons D. Myofascial pain and dysfunction. Baltimore, MD: Williams & Walker; 1983.
  • Anderson R. Management of chronic prostatitis—chronic pain syndrome. Urol Clin Nth Am. 2002;29:235–239.
  • Eliasson K, Elfving B, Nordgren B, et al. Urinary incontinence in women with low back pain. Man Ther. 2008;13:206–212.
  • Davis K. Pelvic floor dysfunction: causes and assessment. Pract Nurs. 2010;21:340–346.
  • Smith MD, Russell A, Hodges PW. Disorders of breathing and continence have a stronger association with back pain than obesity and physical activity. Aus J Physio. 2006;52:11–16.
  • Smith MD, Russell A, Hodges PW. The relationship between incontinence, breathing disorders, gastrointestinal symptoms, and back pain in women: a longitudinal cohort study. Clin J Pain. 2014;30:162–167.
  • Hilton S, Vandyken C. The puzzle of pelvic pain: A rehabilitation framework for balancing tissue dysfunction and central sensitization, I: pain physiology and evaluation for the physical therapist. J Women’s Health Phys Ther. 2011;35:103–112.
  • Finkelstein M. Medical conditions, medications, and urinary incontinence. Analysis of a population- based survey. Can Fam Physician. 2002;48:96–101.
  • Smith M. Do incontinence, breathing difficulties, and gastrointestinal symptoms increase the risk of future back pain? J Pain. 2009;10:876–886.
  • Kim JS, Kim SY, Oh DW, et al. Correlation between the severity of female urinary incontinence and concordant morbidities: a multi-center cross-sectional clinical studies. Int Neurourol J. 2010;14:220–226.
  • Walker EA, Wallace K. Management of chronic pelvic pain: musculoskeletal and physiological considerations. In: Lemke DP, editor. Primary Care of Women. Norwalk: Appleton & Lange; 1995. p. 433–438.
  • Kim H, Yoshida H, Hu X, et al. Association between self-reported urinary incontinence and musculoskeletal conditions in community-dwelling elderly women: a cross-sectional study. Neurourol Urodyn. 2015;34:322–326.
  • Oikawa Y, Ohtori S, Koshi T, et al. Lumbar disc degeneration induced persistent groin pain. Spine (Phila Pa 1976). 2012;37:114–148.
  • Gavira PA, Walker CC, Rodriguez RN, et al. Prevalence and risk factors of urinary incontinence in women who visit the doctor with low back pain: a multicenter study. Aten Primaria. 2014;46:100–108.
  • Eisenstein SM, Engelbrecht DJ, El Masry WS. Low back pain and urinary incontinence. A hypothetical relationship. Spine (Phila Pa 1976). 1994;10:1148–1152.
  • Cassidy T, Fortin A, Kaczmer S, et al. Relationship Between Back Pain and Urinary Incontinence in the Canadian Population. Phys Ther. 2017;97:449–454.
  • Bush H, Pagorek S, Kuperstein J, et al. The association of chronic back pain and stress urinary incontinence: A cross-sectional study. J Womens Health Phys Ther. 2013;37:11–18.
  • Arab A, Berbahani R, Lorestani L, et al. Assessment of pelvic floor muscle function in women with and without low back pain using transabdominal ultrasound. Man Ther. 2010;15:235–239.
  • Gillespie L, Bray R, Levin N, et al. Lumbar nerve root compression and interstitial cystitis–response to decompressive surgery. Br J Urol. 1991;68:361–364.
  • Perkins R, Schofferman J, Rey J. Coccygectomy for severe refractory sacrococcygeal joint pain. J Spinal Dis Tech. 2003;16:100–103.
  • Holley RL, Ritcher HE, Wang L. Neurological disease presenting as chronic pelvic pain. South Med J. 1999;92:1105–1107.
  • de Schepper E, Damen J, Bos P, et al. Disk degeneration of the upper lumbar disks is associated with hip pain. Eur Spine J. 2013;22:721–726.
  • Xiong Y, Lachmann E, Marini S, et al. Thoracic disk herniation presenting as abdominal and pelvic pain: a case report. Arch Phys Med Rehab. 2001;82:1142–1144.
  • Slieker-ten HM, Pool-Goudzwaard AL, Eijkeman MJ, et al. Prevalence of double incontinence, risks and influence on quality of life in general female population. Neurourol Urodyn. 2010;29:545–550.
  • Tuttle LJ, DeLozier ER, Harter KA, et al. The role of the obturator internus muscle in pelvic floor function. J Women’s Health Phys Ther. 2016;40:15–20.
  • Hodges PW, Sapford R, Pengel LH. Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn. 2007;26:362–371.
  • McKenzie R, May S. The lumbar spine mechanical diagnosis & therapy. Waikanae: Spinal Publications, New Zealand Ltd; 2003.
  • Long A, Donelson R, Fung T. Does it matter which exercise? A randomized control trial of exercise for low back pain. Spine. 2004 Dec 1;29(23):2593–2602.
  • Razmjou H, Kramer JF, Yamada R. Intertester reliability of the McKenzie evaluation in assessing patients with mechanical low back pain. J Orth Sports Phys Ther. 2000;30:368–389.
  • Kilpikoski S, Airaksinen O, Kanaanpaa M, et al. Interexaminer reliability of low back pain assessment using the McKenzie method. Spine (Phila Pa 1976). 2002;27:E207–E214.
  • Clare H, Adam R, Maher CG. Reliability of McKenzie classification of patients with cervical or lumbar pain. J Manip Physiol Ther. 2005;28:112–127.
  • Breslin EH. The pattern of respiratory muscle recruitment during pursed-lips breathing. Chest. 1992;101:75–78.
  • Sharma V. Diaphragmatic breathing training: further investigation needed. Phys Ther. 2005;85:366–373.
  • Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFID-20 and PFIQ7). Am J Obstet Gynecol. 2005;193:103–113.
  • Prendergast S, Weiss J. Screening for musculoskeletal causes of pelvic pain. Clin Obstet Gynecol. 2003;46:773–782.
  • Clare H, Adams R, Marher C. Construct validity of lumbar extension measures in McKenzie’s derangement syndrome. Man Ther. 2007;12:328–334.
  • Duffy S. Chronic pelvic pain: defining the scope of the problem. Int J Gynaecol Obstet. 2001;74:53–57.
  • Kolski M, O’Connor A, Van der Laan K, et al. Validation of a pain mechanism classification system (PMCS) in physical therapy practice. J Man Manip Ther. 2016;24:192–199.
  • Kamper S, Maher C, Hancock M, et al. Treatment- based subgroups of low back pain: A guide to appraisal of research studies and a summary of current evidence. Best Pract Res Clin Rheum. 2010;24:181–191.
  • Guerineau M, Labat JJ, Sibert L, et al. Treatment of the musculoskeletal component of chronic pelvic and perineal pain. Prog Urol. 2010;20:1103–1110.

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