08-14-2009, 08:20 PM
Yes, it's a difficult case, but unfortunately very common.
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Physical and sexual abuses are associated with
various chronic pain disorders.
Studies havefound that up to 50% of women with chronic
pelvic pain have a history of past or current
abuse. (Jamieson and Steege, 1997, pp. 1408“1412)
Primary or secondary myofascial pelvic
pain is an underrecognized and undertreated
aspect of pelvic pain. Common findings
include exacerbation of symptoms with
movement, lifting, and/or vaginal penetration,
along with localization to the abdominal
wall and/or vaginal sidewalls. NSAIDs and
physical therapy can be helpful for these
patients. (King et al., 1991, pp. 87“98; Weiss, 2001,
pp. 2226“2231)
C.
C.
C.
Physical and sexual abuses are associated with
various chronic pain disorders.
Studies havefound that up to 50% of women with chronic
pelvic pain have a history of past or current
abuse. (Jamieson and Steege, 1997, pp. 1408“1412)
Primary or secondary myofascial pelvic
pain is an underrecognized and undertreated
aspect of pelvic pain. Common findings
include exacerbation of symptoms with
movement, lifting, and/or vaginal penetration,
along with localization to the abdominal
wall and/or vaginal sidewalls. NSAIDs and
physical therapy can be helpful for these
patients. (King et al., 1991, pp. 87“98; Weiss, 2001,
pp. 2226“2231)