Pelvic Pain and Floor Dysfunction

Danielle Sarno and Farah Hameed

in The Spine Handbook

Published on behalf of Oxford University Press

Published in print May 2018 | ISBN: 9780199350940
Published online June 2018 | e-ISBN: 9780199390793 | DOI:
Pelvic Pain and Floor Dysfunction

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  • Pain Medicine
  • Rehabilitation Medicine
  • Spinal Surgery


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Chronic pelvic pain is defined as persistent pain perceived in structures related to the anatomic pelvis (lower abdomen below the umbilicus) of either women or men for greater than 6 months. The etiology may be related to gynecologic, urologic, gastrointestinal, musculoskeletal, and neurologic causes. Pelvic pain and floor dysfunction often are associated with a musculoskeletal disorder related to the pelvic girdle, spine, or hip. Myofascial pelvic pain may be related to other diagnoses, such as depression, irritable bowel syndrome, endometriosis, constipation, painful bladder syndrome, and chronic urinary tract infections. A thorough history and clinical examination, including an internal pelvic floor musculoskeletal examination, can help identify the underlying etiology. A multidisciplinary approach to management is essential. Pelvic floor physical therapy plays an integral role. Other treatments, such as medications, complementary therapies, and injections, may be used in conjunction with physical therapy to facilitate a comprehensive rehabilitation program and manage symptoms.

Chapter.  8486 words. 

Subjects: Pain Medicine ; Rehabilitation Medicine ; Spinal Surgery

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