Diagnosis and treatment of chronic pelvic pain syndrome

Abstract

The management of patients with chronic pelvic pain (CPP) is a serious problem, the solution of which is in the complex interdisciplinary approach. The article describes the neurological aspects of the disease, including musculoskeletal and neurogenic causes of pain. Treatment of patients should be aimed at both the anatomical cause of pain and the correction of emotional disorders. Education and patient involvement in the treatment program are important. In the presence of a nociceptive source of pain in the form of myofascial or joint pain, treatment is carried out in accordance with general recommendations for the treatment of musculoskeletal pain and includes non-steroidal anti-inflammatory drugs and myorelaxants administration. We present our own clinical observation, which reflects a comprehensive approach to the treatment of a patient with CPP.

Keywords

• chronic pelvic pain syndrome
• pelvic pain
• myofascial pain syndrome
• tunnel neuropathies of the pelvic region
• aceclofenac
• tolperisone
• gabapentin