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The role of nonpharmacologic therapies in management of chronic pelvic pain: what to do when surgery fails.
Till, Sara R; Wahl, Heather N; As-Sanie, Sawsan.
Afiliação
  • Till SR; Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.
Curr Opin Obstet Gynecol ; 29(4): 231-239, 2017 Aug.
Article em En | MEDLINE | ID: mdl-28604402
ABSTRACT
PURPOSE OF REVIEW To provide an update on nonsurgical and nonpharmacologic strategies for the management of chronic pelvic pain (CPP). RECENT

FINDINGS:

Effective treatment of patients with CPP requires a multifaceted approach, with thoughtful consideration of surgical, pharmacologic, and nonpharmacologic strategies. Evidence for physical therapy and trigger point injections for treatment of myofascial components of CPP is increasing. Neuromodulation techniques, such as percutaneous tibial nerve stimulation and transcutaneous electrical stimulation, have limited but favorable preliminary data in patients with CPP. Behavioral strategies, such as exercise, cognitive behavioral therapy, and mindfulness, have demonstrated significant improvements in pain, function and quality of life in patients with a variety of chronic pain conditions and are promising avenues for future research in CPP.

SUMMARY:

Nonpharmacologic therapies are important adjuncts to surgical and pharmacologic treatment for CPP and should be considered integral to a comprehensive treatment approach.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Pélvica / Dor Crônica Limite: Adult / Female / Humans Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Pélvica / Dor Crônica Limite: Adult / Female / Humans Idioma: En Ano de publicação: 2017 Tipo de documento: Article