Chapter 4 – Psychological Assessment of a Female Patient with Chronic Pelvic Pain
Abstract Patients with pelvic pain are often told that their pain is “all in their head.” In many years of seeing patients for pelvic pain I have never seen one…
Chapter 20 – Physical Therapy Interventions for Musculoskeletal Impairments in Pelvic Pain
Abstract Pelvic floor muscle spasm is one of the most common reason for pelvic pain, and it often coexists with other pelvic pain conditions. Oral muscle relaxants do not seem…
Chapter 21 – If Everything Else Fails
Abstract Pelvic pain is one of the most difficult human conditions to diagnose and treat. The pelvis is composed of a complicated network of somatic and visceral nerves; connective tissues;…
Chapter 19 – Treatment of Sexual Dysfunction Arising from Chronic Pelvic Pain
Abstract Sexual dysfunction is present in almost every patient with chronic pelvic pain and often is a most significant problem that patients experience. This is in addition to a significant…
Chapter 18 – Pain Arising from Pelvic Mesh Implants
Abstract Polypropylene mesh implants have been widely used for treatment of urinary incontinence and pelvic organ prolapse. Although they have been shown to be effective in the treatment of these…
Chapter 17 – Chronic Pain After Gynecological Surgery
Abstract Postoperative pain is a common problem in gynecology and other surgical specialties. The risk of postsurgical pain is higher in patients undergoing surgery for pain conditions or who have…
Chapter 16 – Other Peripheral Pelvic Neuralgias
Abstract Pelvic nerve disorders are often an unrecognized cause of pelvic pain. Multiple nerves innervate the pelvis and perineum and they may get injured in surgery, childbirth, or accidents. Knowledge…
Chapter 15 – Pudendal Neuralgia
Abstract In our practice pudendal neuralgia is defined as pain in the area of innervation of pudendal nerve. Pudendal nerve entrapment is compression of the nerve by scar tissue, ligaments,…
Chapter 12 – Vulvodynia
Abstract Vulvodynia is vulvar pain caused by a variety different conditions outlined in this chapter. It is often related to skin conditions, which is very different from all the other…
Chapter 14 – Pelvic Pain Arising from Ovarian Remnant Syndrome
Abstract Ovarian remnant syndrome occurs in patients who have had attempted oophorectomy and part of the ovary was left behind. It often happens in patients who are undergoing total abdominal…
