No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain

Jarrell, John; Vilos, George A.; Allaire, Catherine; Burgess, Susan; Fortin, Claude; Gerwin, Robert D.; Lapensée, Louise; Lea, Robert H.; Leyland, Nicholas; Martyn, Paul; Shenassa, Hassan; Taenzer, Paul

doi:10.1016/j.jogc.2018.08.015

Cited by 75 publications

(162 citation statements)

References 135 publications

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“…While there are several available consensus guidelines and expert opinions provide algorithms for specific pain disorders affecting the pelvis [1,75], in general recommended therapy remains multidisciplinary. Similar to other pain disorders, the addition of physical therapy, psychotherapy, optimization of lifestyle factors and complimentary medicine practices may improve pain outcomes when compared with medical management alone.…”

Section: Resultsmentioning

confidence: 99%

New Developments in the Pharmacotherapy of Neuropathic Chronic Pelvic Pain

Carey

As‐Sanie

2016

Future Science OA

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Advancements in further understanding the pathophysiology of chronic pelvic pain syndromes continue to direct therapy. The mechanisms of chronic pelvic pain are often multifactorial and therefore require a multidisciplinary approach. The final treatment plan is often an accumulation of organ-specific treatment and chronic pain medications directed to the CNS and PNS. This article is a review of commonly used medications for chronic pelvic neuropathic pain disorders as well as an introduction to recent innovative developments in pain medicine.

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Section: Resultsmentioning

confidence: 99%

New Developments in the Pharmacotherapy of Neuropathic Chronic Pelvic Pain

Carey

As‐Sanie

2016

Future Science OA

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“…Tender point: tenderness to palpation at soft tissue body sites Trigger point (TrP): a tender, taut band of muscle that can be painful spontaneously or when stimulated . The taut band is electrically silent.…”

Section: Individual Patient Assessmentmentioning

confidence: 99%

“…Trigger point (TrP): a tender, taut band of muscle that can be painful spontaneously or when stimulated. 85 The taut band is electrically silent. Local or referred pain may be reproduced.…”

Section: Stiffnessmentioning

confidence: 99%

A standard for terminology in chronic pelvic pain syndromes: A report from the chronic pelvic pain working group of the international continence society

Doggweiler

Whitmore

Meijlink

et al. 2016

Neurourology and Urodynamics

152

151

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“…Opioids are considered effective in the treatment of neuropathic pain that is not responsive to initial therapies, but not in the treatment of inflammatory, mechanical or compressive pain. Certain strong opioids, however, do not necessarily improve functional or psychological status and should be administered under adequate supervision 214–216…”

Section: Management Recommendationsmentioning

confidence: 99%

Evidence and consensus recommendations for the pharmacological management of pain in India

Dureja¹,

Iyer

Das

et al. 2017

JPR

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Despite enormous progress in the field of pain management over the recent years, pain continues to be a highly prevalent medical condition worldwide. In the developing countries, pain is often an undertreated and neglected aspect of treatment. Awareness issues and several misconceptions associated with the use of analgesics, fear of adverse events – particularly with opioids and surgical methods of analgesia – are major factors contributing to suboptimal treatment of pain. Untreated pain, as a consequence, is associated with disability, loss of income, unemployment and considerable mortality; besides contributing majorly to the economic burden on the society and the health care system in general. Available guidelines suggest that a strategic treatment approach may be helpful for physicians in managing pain in real-world settings. The aim of this manuscript is to propose treatment recommendations for the management of different types of pain, based on the available evidence. Evidence search was performed by using MEDLINE (by PubMed) and Cochrane databases. The types of articles included in this review were based on randomized control studies, case–control or cohort studies, prospective and retrospective studies, systematic reviews, meta-analyses, clinical practice guidelines and evidence-based consensus recommendations. Articles were reviewed by a multidisciplinary expert panel and recommendations were developed. A stepwise treatment algorithm-based approach based on a careful diagnosis and evaluation of the underlying disease, associated comorbidities and type/duration of pain is proposed to assist general practitioners, physicians and pain specialists in clinical decision making.

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No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain

Cited by 75 publications

References 135 publications

New Developments in the Pharmacotherapy of Neuropathic Chronic Pelvic Pain

New Developments in the Pharmacotherapy of Neuropathic Chronic Pelvic Pain

A standard for terminology in chronic pelvic pain syndromes: A report from the chronic pelvic pain working group of the international continence society

Evidence and consensus recommendations for the pharmacological management of pain in India

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