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Borello‐France, Diane; Burgio, Kathryn L.; Goode, Patricia S.; Markland, Alayne D.; Kenton, Kimberly; Balasubramanyam, Aarthi; Stoddard, Anne M.

doi:10.2522/ptj.20080387.ar

Physical Therapy

2010

DOI: 10.2522/ptj.20080387.ar

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Diane Borello‐France¹,

Kathryn L. Burgio²,

Patricia S. Goode³

et al.

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“…Once the sacroiliac joint and pelvic ring examinations are complete, specific assessment of the pelvic floor is included as necessary. 103,104 The need to analyze specifically the pelvic floor is based on findings in the history suggesting perineal pelvic floor dysfunction, such as hesitancy with voiding or other alterations in sphincter function. Pelvic floor assessment is only conducted with consent of the patient.…”

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confidence: 99%

Chronic Female Pelvic Pain—Part 1: Clinical Pathoanatomy and Examination of the Pelvic Region

et al. 2011

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Chronic pelvic pain is defined as the presence of pain in the pelvic girdle region for over a 6-month period and can arise from the gynecologic, urologic, gastrointestinal, and musculoskeletal systems. As 15% of women experience pelvic pain at some time in their lives with yearly direct medical costs estimated at $2.8 billion, effective evaluation and management strategies of this condition are necessary. This merits a thorough discussion of a systematic approach to the evaluation of chronic pelvic pain conditions, including a careful history-taking and clinical examination. The challenge of accurately diagnosing chronic pelvic pain resides in the degree of peripheral and central sensitization of the nervous system associated with the chronicity of the symptoms, as well as the potential influence of the affective and biopsychosocial factors on symptom development as persistence. Once the musculoskeletal origin of the symptoms is identified, a clinical examination schema that is based on the location of primary onset of symptoms (lumbosacral, coccygeal, sacroiliac, pelvic floor, groin or abdominal region) can be followed to establish a basis for managing the specific pain generator(s) and manage tissue dysfunction.

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Chronic Female Pelvic Pain—Part 1: Clinical Pathoanatomy and Examination of the Pelvic Region

et al. 2011

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Author Response

Cited by 1 publication

References 12 publications

Chronic Female Pelvic Pain—Part 1: Clinical Pathoanatomy and Examination of the Pelvic Region

Chronic Female Pelvic Pain—Part 1: Clinical Pathoanatomy and Examination of the Pelvic Region

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