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Chronic Pelvic Pain: Untangling Nociceptive, Neuropathic and Nociplastic Pelvic Pain with the Initial History Intake
Chronic pelvic pain (CPP) is a condition that affects nearly 26% of the world's population, making up to 20% of referrals in gynecology. Furthermore, CPP is as prevalent as other conditions, such as asthma, chronic back pain and migraines. It often presents as co-occurring debilitating conditions that lead to pain, which are a set of coexisting conditions more prevalent in women compared to men and include, but are not limited to vulvodynia, endometriosis, painful bladder syndrome/interstitial cystitis, irritable bowel syndrome (IBS), temporomandibular disorders, myalgic encephalomyelitis/chronic fatigue syndrome, fibromyalgia, chronic tension-type and migraine headache and chronic low back pain, also known as Chronic Overlapping Pain Conditions. Many of these conditions leading to CPP affect visceral structures, however other frequent and important types of pain found are somatic and neurologic in origin. Moreover, we can find components of nociplastic pain in CPP patients. When evaluating for the first time a patient suffering from CPP, is imperative to perform a detailed and structured history intake in order to promptly identify and initiate treatment to all the different potential conditions leading to pain. By the end of this presentation, the learner should be able to 1) describe the different types of pain (nociceptive, neuropathic and nociplastic) from the unique perspective of the abdomino/pelvic region, 2) analyze components of a complete history intake for a CPP patient and 3) identify tools available to collect and organize the information provided by CPP patients.

Jun 1, 2022 08:00 PM in Eastern Time (US and Canada)

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Jorge F. Carrillo, MD
@University of Central Florida College of Medicine - Orlando VA Healthcare System, Orlando, FL