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Overcoming Pain - Chronic pelvic pain - An overview

10/30/2024
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Chronic Pelvic Pain and Lifestyle Factors

This Notebook LM summary provides an overview of chronic pelvic pain based on a couple of key resources and a presentation that I gave on Chronic pelvic pain to health care professionals. I highlight the importance of a holistic approach that considers lifestyle factors, psychological well-being, and trauma-informed care. Remember, seeking professional medical advice and support is crucial for effective diagnosis and management of CPP.

Chronic pelvic pain (CPP) is a common condition that affects millions of women worldwide. It is defined as intermittent or constant pain in the pelvic area for at least six months, unrelated to menstruation, intercourse, or pregnancy. CPP is a symptom, not a diagnosis, and can be caused by various factors, including endometriosis, fibroids, irritable bowel syndrome (IBS), and psychological factors.

Challenges and Complexity of CPP

Diagnosing and treating CPP can be challenging. A significant proportion of women with CPP have more than one diagnosis, and pain often increases with multisystem symptoms. Additionally, a substantial number of diagnostic laparoscopies yield negative results, and adhesions, while common findings, are not always the root cause of pain. In many instances, the underlying cause of CPP remains unclear so what is paramount is a validation of the patient symptoms and a  multidisciplinary holistic approach. This involves a combination of medical treatments, therapies, and lifestyle modifications. Pain management programmes can be beneficial, providing guidance, coaching, and support from a pelvic pain specialist. 

Trauma-Informed Care

A significant proportion of women with CPP have experienced adverse childhood experiences (ACEs), which can have long-term health consequences, including chronic pain. Trauma-informed care is an important aspect of CPP management. This approach involves understanding the impact of trauma on patients, validating their experiences, and providing sensitive and supportive care.

Resources for Further Information

  • Endometriosis UK: www.endometriosis-uk.org
  • Pelvic Pain Support Network: www.pelvicpain.org.uk
  • Department of Health Expert Patient Initiative: www.expertpatients.co.uk/
  • www.livewellwithpain.co.uk
  • Curable App – on all platforms
  • The Pelvic Pain Network - A collaborative of Physiotherapists with an active research interest in pe

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The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'

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