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Chronic Primary Pelvic Pain Syndromes in Women: A Comprehensive Review.
Cureus
December 2024
Physical Medicine and Rehabilitation and Chronic Pain, Unidade Local de Saúde de Santo António, University of Porto, Porto, PRT.
Chronic pelvic pain (CPP) in women is a multifactorial and complex condition. It often remains undiagnosed or inadequately treated. Despite its high prevalence, CPP continues to be a taboo subject, leading to delays in seeking medical care.
View Article and Find Full Text PDFImpact of Treatment of Pudendal Neuralgia on Pain: A Systematic Review and Meta-Analysis.
Int Urogynecol J
November 2024
Department of Obstetrics and Gynecology and Urology, New York Medical College, Valhalla, NY, USA.
Introduction And Hypothesis: Pudendal neuralgia is chronic pelvic pain associated with the pudendal nerve. Unfortunately, the best treatment approach is unknown. Our objective was to systematically assess interventions for pudendal neuralgia for improvement in pain.
View Article and Find Full Text PDFPelvic Floor Physical Therapy is Self-Reported as a Minimally Effective, and Sometimes Harmful, Treatment for Pudendal Neuralgia: A Cross-Sectional Study.
Int J Sex Health
August 2024
Department of Health Services Research, Management & Policy, College of Public Health & Health Professions, University of Florida, Gainesville, Florida, USA.
Objectives: Pudendal neuralgia (PN) is a sexual pain disorder characterized as pain of the genital and/or perineal regions, and despite the lack of clinical evidence supporting its use, pelvic floor physical therapy (PFPT) is a recommended treatment for PN.
Methods: An online anonymous cross-sectional survey was administered to participants through convenience sampling conducted on May 19 to September 19, 2023 to understand the self-reported efficacy of PFPT as a treatment for PN. Participants' measures included sociodemographics, Patient Global Impression of Change (PGIC), and satisfaction scores.
Diagnostic Pain: A Case of Pudendal Neuralgia.
Cureus
August 2024
Division of Hospital Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, USA.
Pudendal neuralgia remains a challenging diagnosis given the absence of sensitive biomarkers or imaging findings. The following case describes a patient with rectal pain complicated by prolonged hospitalization who was eventually diagnosed with pudendal neuralgia per the Nantes criteria. It furthermore underscores several confounders that prevented timely diagnosis, including misattribution of her symptoms to prior resolved conditions, anchoring bias in the absence of confirmatory evidence, and misattribution of her pain to opiate-induced allodynia.
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