Eastern Washington University, Spokane, Washington, USA.
Pain Pract. 2012 Feb;12(2):111-41. doi: 10.1111/j.1533-2500.2011.00492.x. Epub 2011 Jul 31.
Pelvic pain is a common condition. Treatment interventions have traditionally targeted biomedical conditions with variable success. Utilizing a systematic approach to examination of the pelvic girdle and related organ systems contained within the pelvis will aid the clinician in identifying the painful structure(s) as well as the associated impairments limiting functional recovery. From this, a complete management program can be instituted. The following description of gynecologic, urologic, gastrointestinal, musculoskeletal, and neurologic conditions that can cause or are associated with chronic pelvic pain leads to conservative management proposals based on the available evidence. Finally, nonoperative interventional strategies are described, which target the pain system from a cognitive behavioral perspective, address movement dysfunctions, and address interventional pain technique possibilities.
盆腔痛是一种常见病症。传统的治疗干预措施针对生物医学病症，但效果不一。通过系统的方法检查骨盆内的骨盆带和相关器官系统，将帮助临床医生识别疼痛结构以及限制功能恢复的相关功能障碍。在此基础上，可以制定完整的管理方案。以下描述了可能导致或与慢性盆腔痛相关的妇科、泌尿科、胃肠道、肌肉骨骼和神经系统疾病，这些疾病基于现有证据提出了保守管理建议。最后，描述了非手术介入策略，从认知行为的角度针对疼痛系统，解决运动功能障碍，并探讨介入疼痛技术的可能性。
