Chapter

Chronic Pelvic Pain

Bettina Herbert

in Integrative Women's Health

Published on behalf of Oxford University Press

Published in print February 2010 | ISBN: 9780195378818
Published online November 2013 | e-ISBN: 9780199348800 | DOI: http://dx.doi.org/10.1093/med/9780195378818.003.0019

Series: WEIL INTEGRATIVE MEDICINE LIBRARY

Chronic Pelvic Pain

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Chapter 19 discusses Chronic Pelvic Pain, and looks at the difficult journeys of three women that illustrate, in part, the oft -overlooked role of nonphysiologic changes in body mechanics impacting somatic structures (muscle, fascia, ligament, tendon). Such imbalances can, over time, be the cause of considerable pain and discomfort; the effects can multiply as the body accumulates layers of compensation. The result may be hard to identify and treat unless malalignment or somatic dysfunction is included in the differential diagnosis. Another often under-deduced contributor to chronic pain is past or present abuse: physical, sexual, and emotional, including neglect. This is by far the most delicate part of a patient’s history to explore and yet, it may be as important to address as the physiologic changes. In fact, abuse can impact physiology and anatomy through the effects of a chronically overactive, hypervigilant sympathetic nervous system.

Chapter.  5907 words. 

Subjects: Obstetrics and Gynaecology ; Allied Health Professions ; Complementary and Alternative Medicine

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