American Journal of Obstetrics & Gynecology
Volume 198, Issue 3 , Pages 272.e1-272.e7 , March 2008

Physical therapy evaluation of patients with chronic pelvic pain: a controlled study

Presented at the 14th Annual Scientific Meeting of the International Pelvic Pain Society, San Antonio, TX, October 20-21, 2006.

  • Frank F. Tu, MD, MPH

      Affiliations

    • Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Rehabilitation Institute of Chicago, Chicago, IL
    • Department of Obstetrics and Gynecology, Evanston Northwestern Healthcare, Evanston, IL
    • ,
  • Jane Holt, PT

      Affiliations

    • Department of Physical Therapy, Evanston Northwestern Healthcare, Evanston, IL.
    • ,
  • Josephine Gonzales, PT

      Affiliations

    • Department of Physical Therapy, Evanston Northwestern Healthcare, Evanston, IL.
    • ,
  • Colleen M. Fitzgerald, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Rehabilitation Institute of Chicago, Chicago, IL

Received 16 March 2007 ,Accepted 2 September 2007.

References 

  1. Zondervan KT, Yudkin PL, Vessey MP, et al. The community prevalence of chronic pelvic pain in women and associated illness behaviour. Br J Gen Pract. 2001;51:541–547
  2. Tu FF, As-Sanie S, Steege JF. Musculoskeletal causes of chronic pelvic pain: a systematic review of diagnosis: part I. Obstet Gynecol Surv. 2005;60:379–385
  3. Diatchenko L, Nackley AG, Slade GD, Fillingim RB, Maixner W. Idiopathic pain disorders: pathways of vulnerability. Pain. 2006;123:226–230
  4. Oyama IA, Rejba A, Lukban JC, et al. Modified Thiele massage as therapeutic intervention for female patients with interstitial cystitis and high-tone pelvic floor dysfunction. Urology. 2004;64:862–865
  5. Miranda A, Peles S, Rudolph C, Shaker R, Sengupta JN. Altered visceral sensation in response to somatic pain in the rat. Gastroenterology. 2004;126:1082–1089
  6. Hetrick DC, Ciol MA, Rothman I, Turner JA, Frest M, Berger RE. Musculoskeletal dysfunction in men with chronic pelvic pain syndrome type III: a case-control study. J Urol. 2003;170:828–831
  7. Anderson RU, Wise D, Sawyer T, Chan CA. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. J Urol. 2006;176:1534–1539
  8. Parsons CL, Dell J, Stanford EJ, et al. Increased prevalence of interstitial cystitis: previously unrecognized urologic and gynecologic cases identified using a new symptom questionnaire and intravesical potassium sensitivity. Urology. 2002;60:573–578
  9. McDowell MA, Fryar CD, Hirsch R, Ogden CL. Anthropometric reference data for children and adults: US population, 1999-2002. Adv Data. 2005;361:1–5
  10. Reiter RC, Gambone JC. Nongynecologic somatic pathology in women with chronic pelvic pain and negative laparoscopy. J Reprod Med. 1991;36:253–259
  11. Tu FF, As-Sanie S, Steege JF. Prevalence of pelvic musculoskeletal disorders in a female chronic pelvic pain clinic. J Reprod Med. 2006;51:185–189
  12. Baker PK. Musculoskeletal origins of chronic pelvic pain: diagnosis and treatment. Obstet Gynecol Clin North Am. 1993;20:719–742
  13. Glazer HI, Jantos M, Hartmann EH, Swencionis C. Electromyographic comparisons of the pelvic floor in women with dysesthetic vulvodynia and asymptomatic women. J Reprod Med. 1998;43:959–962
  14. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85:S86–S92
  15. Slocumb JC. Neurological factors in chronic pelvic pain: trigger points and the abdominal pelvic pain syndrome. Am J Obstet Gynecol. 1984;149:536–543
  16. Langemark M, Olesen J. Pericranial tenderness in tension headache: a blind, controlled study. Cephalalgia. 1987;7:249–255
  17. Simons DG, Mense S. Understanding and measurement of muscle tone as related to clinical muscle pain. Pain. 1998;75:1–17
  18. Bajaj P, Madsen H, Arendt-Nielsen L. Endometriosis is associated with central sensitization: a psychophysical controlled study. J Pain. 2003;4:372–380
  19. Magee D. Orthopedic physical assessment. Philadelphia: Saunders; 2006;
  20. Albert H, Godskesen M, Westergaard J. Evaluation of clinical tests used in classification procedures in pregnancy-related pelvic joint pain. Eur Spine J. 2000;9:161–166
  21. Dreyfuss P, Michaelsen M, Pauza K, McLarty J, Bogduk N. The value of medical history and physical examination in diagnosing sacroiliac joint pain. Spine. 1996;21:2594–2602
  22. Mens JM, Vleeming A, Snijders CJ, Stam HJ, Ginai AZ. The active straight leg raising test and mobility of the pelvic joints. Eur Spine J. 1999;8:468–474
  23. Ostgaard HC, Zetherstrom G, Roos-Hansson E. The posterior pelvic pain provocation test in pregnant women. Eur Spine J. 1994;3:258–260
  24. Messelink B, Benson T, Berghmans B, et al. Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. Neurourol Urodyn. 2005;24:374–380

 Reprints not available from the authors.

 Supported by a grant from the Evanston Northwestern Women’s Healthcare Auxiliary Board (F. F. T.).

 Cite this article as: Tu FF, Holt J, Gonzales J, Fitzgerald CM. Physical therapy evaluation of patients with chronic pelvic pain: a controlled study. Am J Obstet Gynecol 2008;198:272.e1-272.e7.

PII: S0002-9378(07)01101-5

doi: 10.1016/j.ajog.2007.09.002

American Journal of Obstetrics & Gynecology
Volume 198, Issue 3 , Pages 272.e1-272.e7 , March 2008

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