CPP Flashcards
CPP
CPP
Non cyclical pain that persist for 6 months localized to pelvic, lower abdomen, anterior abdominal wall, lumbosacral region, back and hip
PFM pain syndrome
chronic periodic pain caused by trigger points in the muscles
Sympathetic
T12-L2
Along superior hypogastric plexus
Parasympathetic
S2-S4
Carried by splanchnic nerve
RISK factors for CPP
long periods
endometriosis
pelvic inflammation
adhesion
history of miscarriage
sexual abuse
anxiety
infertility
etiology of CPP
Endometriosis
Irritable bowel syndrome
Fibromyalgia
Hernia
Interstitial cystitis
Neuromusculoskeletal problems that may cause cpp
posture
myofascial pain syndrome
pelvic floor dysfunction
joint dysfunction
trigger points
UPOINT
Urinary
Psychosocial
Organ specific
Infection
Neurologic/systemic
Tenderness
Iatrogenic factors
after surgery= painful inhibition
= scar tissue
= joint dysfuction
General complaints with CPP
vaginal pain
rectal pain
pain above/below pubis
discomfort in sitting
urgency
Characteristics of CPP
Severe and continuous
Sharp/cramp type pain
Heaviness and pressure inside pelvis
other symptoms with CPP
Nocturnal
Incontinence
Dysmenorrhea
Dyspareunia
Loss of sexual desire
Depression
Anxiety
Constipation
Assessments
Anamnesis
Physical
Pain COLDERR
Speculum assessment
Digital vaginal examination
Slump test
Abdominal examination+ Carnett test
Psychological
Labs
imaging
endoscopy
digital vaginal evaluation
inguinal ligament
PFM
Urethra
Bladder
Cervix
treatments of cpp
Psychological=cognitive-behavioral therapy
Physiotherapy
Pharmacological
Invasive
