Chronic Pelvic Pain in Females | Pelvic Rehabilitation Medicine



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Dr. Neha James of our Manhattan, New York location talks about chronic pelvic pain syndrome in females, what causes it, and how it can be treated at Pelvic Rehabilitation Medicine.

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Chronic Pelvic Pain Syndrome is an umbrella term that refers to a variety of pain complaints involving the pelvic region. The causes of Chronic Pelvic Pain Syndrome in women are really related to the anatomy in the region. So, you can have pain complaints related to the GI tract, such as pain with defecation, or difficulty straining to get a bowel movement, pain with urination, dribbling, or difficulty completing your stream, and also pain with the gynecologic system. So, especially in patients who have underlying gynecologic diseases, such as endometriosis, PCOS, or uterine fibroids. There are also lifestyle factors that can be involved, such as a sedentary lifestyle, or certain activities that create a lot of tension and holding within the pelvic floor.

We also treat Chronic Pelvic Pain Syndrome in the postpartum population after both C-sections and vaginal deliveries. It's always important to rule out structural issues, such as fibroids or cysts, and of course, we want to rule out the really scary things like malignancy or cancer, but a lot of the time we find that the pain is actually coming from the pelvic floor itself. At Pelvic Rehabilitation Medicine, our treatment protocol includes physical therapy, medication management, either with oral medications, or sometimes with suppositories, as well as behavioral management. So, especially incorporating mindfulness to provide a source of stress relief, and then when indicated, we do procedures as well, such as trigger points, or nerve block procedures.

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Category
Management
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