Meddings Kelly, Klein Carolin, Elliott Stacy
Diane Lee & Associates, Surrey, BC, Canada.
West Coast Centre for Sex Therapy, Vancouver, BC, Canada.
Sex Med. 2022 Apr;10(2):100499. doi: 10.1016/j.esxm.2022.100499. Epub 2022 Mar 5.
There is very little literature on referred pain syndromes with orgasm. Referred foot pain with orgasm is rare and evidence based diagnosis and management is not defined. Dysorgasmia is a pain condition that can severely affect sexual health and quality of life.
To add to the understanding and scant literature on referred orgasmic pain with pelvic floor and myofascial etiology.
A 34-year-old cis-female presented to a Physiotherapist, Sexual Medicine Physician, and Sex Therapist with a rare case of new insidious onset right foot pain with orgasm.
Femoral nerve entrapment was diagnosed at the level of the inguinal ligament, referring pain to the right terminal sensory branch of the saphenous nerve along the medial aspect of the foot. Physiotherapy management resolved the patient's pain, while medical assessment was important to rule out numerous potential pathologies and to facilitate multidisciplinary management. Psychological therapy via sex therapy was integral in the highly successful and improved sexual outcome for this patient and her husband.
This case report details the successful multi-disciplinary assessment and management of a rare dysorgasmia and the importance of addressing sexual sequelae to add to the small amount of literature on difficult referred pain syndromes during sexual arousal and orgasm. Meddings K , Klein C, Elliott S, Successful Multidisciplinary Management of Foot Pain With Orgasm: A Case Report. Sex Med 2022;10:100499.
关于性高潮牵涉痛综合征的文献非常少。性高潮时牵涉至足部的疼痛很罕见，且缺乏基于证据的诊断和管理方法。性高潮障碍是一种会严重影响性健康和生活质量的疼痛病症。
增进对盆底和肌筋膜病因导致的性高潮牵涉痛的理解，并补充这方面稀少的文献资料。
一名34岁的顺性别女性向物理治疗师、性医学医生和性治疗师求诊，她出现了罕见的、隐匿性新发的性高潮时右脚疼痛的情况。
诊断为腹股沟韧带水平的股神经卡压，疼痛牵涉至隐神经沿足部内侧的右终末感觉支。物理治疗解决了患者的疼痛问题，而医学评估对于排除众多潜在病症以及促进多学科管理很重要。通过性治疗进行的心理治疗对于该患者及其丈夫取得高度成功且改善的性结局至关重要。
本病例报告详细介绍了对一种罕见的性高潮障碍的成功多学科评估和管理，以及解决性后遗症的重要性，以补充关于性唤起和性高潮期间难治性牵涉痛综合征的少量文献。梅丁斯K、克莱因C、埃利奥特S，性高潮时足部疼痛的成功多学科管理：一例报告。《性医学》2022年；10：100499。
