Recognizing and treating pelvic pain and pelvic floor dysfunction.
The reported prevalence rates of pain within the pelvis range from 3.8% to 24% in women aged 15 to 73 years. Despite the significant number of women affected, pelvic floor pain and dysfunction are commonly overlooked in women seeking medical care. Physiatrists are uniquely qualified to manage these patients because of their knowledge of the musculoskeletal and nervous systems and their awareness of the relationships among pain, physiology, and function. When evaluating women who have pelvic pain, practitioners must ask questions about history of urinary or fecal incontinence, dyspareunia, or pelvic pain with certain activities or associated with menses, surgery, or trauma. If left unidentified, pelvic floor dysfunction can deter individuals from normal bowel and bladder function, intimacy, and even engagement in work and social functions. This article introduces pelvic floor anatomy, neurophysiology, and function and provides an overview of pelvic pain and pelvic floor dysfunctions and their recognition and treatment.
Section, Physical Medicine and Rehabilitation, Washington University Orthopedics, One Barnes Jewish Hospital Plaza, Suite 11300, Saint Louis, MO 63110, USA. pratherh@wudosis.wustl.edu
Heidi
H
Prather
Theresa Monaco
TM
Spitznagle
Sheila A
SA
Dugan
D005242:Fecal Incontinence / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D017773:Pelvic Floor / Q000033:anatomy & histology / Q000293:injuries / Q000294:innervation / Q000503:physiopathology*; D017699:Pelvic Pain / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D014549:Urinary Incontinence / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D014596:Uterine Prolapse / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D014845:Vulvar Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy