The Pelvis and Beyond
| Autor: | Jeffrey W. Janata, C.A. Tony Buffington, Robert C. Elston, Tatiana Sanses, Pippa Simpson, Noel Patrick McCabe, Thomas C. Chelimsky, Gisela Chelimsky, Liyun Zhang, Denniz Zolnoun |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Fibromyalgia Adolescent Cross-sectional study 030232 urology & nephrology Physical examination Pelvic Pain Article Young Adult 03 medical and health sciences 0302 clinical medicine Musculoskeletal Pain medicine Humans Young adult Physical Examination Pelvis Aged Pain Measurement 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Pelvic pain Chronic pain Interstitial cystitis Middle Aged medicine.disease body regions Cross-Sectional Studies Phenotype Anesthesiology and Pain Medicine medicine.anatomical_structure Physical therapy Feasibility Studies Female Neurology (clinical) Chronic Pain medicine.symptom business |
| Zdroj: | The Clinical Journal of Pain. 32:659-665 |
| ISSN: | 0749-8047 |
| DOI: | 10.1097/ajp.0000000000000307 |
| Popis: | To determine the feasibility of a detailed pain sensitivity assessment using body-wide musculoskeletal tender points (TPs) in women with different types of chronic pelvic pain (CPP) and compare phenotypic differences.Seventy women with CPP and 35 pain-free women underwent musculoskeletal evaluation of TPs in the pelvic floor, abdomen, groin, inner thigh, and all 18 fibromyalgia TPs. Patients scored elicited pain on a numeric rating scale. TP pain scores were used for intergroup comparison and intragroup correlation.Women with CPP were grouped as having either bladder pain syndrome (BPS, n=24) or myofascial pelvic pain (MPP, n=11) singularly or both concomitantly (BPS+MPP, n=35). TP pain scores for all evaluations were higher in women with CPP compared with healthy women (P0.001). Women with BPS+MPP had elevated TP pain for each evaluation compared with women with BPS alone. Pelvic floor and fibromyalgia TP scores correlated strongly in the MPP group, moderately in the BPS+MPP group, and weakly in the BPS alone group. Although some moderate and strong correlations between different body locations were present in all 3 groups, only the BPS+MPP group showed moderate to strong correlations between all body TPs.Detailed musculoskeletal evaluation of women with CPP is feasible and well tolerated. Careful phenotyping differentiated BPS, MPP, and BPS+MPP groups. Attending to the differences between these groups clinically may lead to more effective treatment strategies and improved outcomes for patients with CPP. |
| Databáze: | OpenAIRE |
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