BOOK
Pelvic Pain, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book
(2017)
Additional Information
Book Details
Abstract
This issue focuses on Pelvic Pain. Article topics include: Pelvic Pain-an overview; Anatomy and Physiology of the Pelvic Floor; Office Examination of Neuromuscular Pelvic Pain; Diagnostic Studies for Neuromuscular Pelvic Pain; Pelvic Floor Myofascial Pain and Associated Disorders; Bony and Ligamentous Causes of Pelvic Pain; Coccydynia;Neurogenic Pelvic Pain; Urologic and Gynecologic Sources of Pelvic Pain; Physical Therapy for the Treatment of Pelvic Pain; and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Pelvic Pain\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Foreword | vii | ||
| Preface: Pelvic Pain | vii | ||
| Pelvic Pain: An Overview | vii | ||
| Anatomy and Physiology of the Pelvic Floor\r | vii | ||
| Office Evaluation of Pelvic Pain | vii | ||
| Diagnostic Evaluation of Chronic Pelvic Pain | viii | ||
| Myofascial Pelvic Pain and Related Disorders | viii | ||
| Musculoskeletal Approach to Pelvic Pain | viii | ||
| Coccydynia: Tailbone Pain | viii | ||
| Neurogenic Pelvic Pain | ix | ||
| Urologic and Gynecologic Sources of Pelvic Pain | ix | ||
| Physical Therapy Treatment of Pelvic Pain | ix | ||
| Iatrogenic Pelvic Pain: Surgical and Mesh Complications | ix | ||
| Interventional Management for Pelvic Pain | x | ||
| PHYSICAL MEDICINEANDREHABILITATION\rCLINICS OF NORTH AMERICA\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| November 2017 | xi | ||
| February 2018 | xi | ||
| May 2018 | xi | ||
| RECENT ISSUES | xi | ||
| May 2017 | xi | ||
| February 2017 | xi | ||
| November 2016 | xi | ||
| Foreword | xiii | ||
| Pelvic Pain | xv | ||
| Pelvic Pain | 449 | ||
| Key points | 449 | ||
| EPIDEMIOLOGY | 450 | ||
| DISABILITY | 450 | ||
| Risk Factors for Chronic Pelvic Pain | 450 | ||
| Acute-on-Chronic and Red Flags | 451 | ||
| Differential Diagnoses | 451 | ||
| EVALUATION | 451 | ||
| ASSOCIATED CONDITIONS THAT ACCOMPANY PELVIC PAIN | 452 | ||
| SUMMARY | 453 | ||
| REFERENCES | 453 | ||
| Anatomy and Physiology of the Pelvic Floor | 455 | ||
| Key points | 455 | ||
| INTRODUCTION | 455 | ||
| ANATOMY OF THE PELVIC FLOOR | 455 | ||
| PHYSIOLOGY OF THE PELVIC FLOOR | 458 | ||
| SUMMARY | 460 | ||
| REFERENCES | 460 | ||
| Office Evaluation of Pelvic Pain | 461 | ||
| Key points | 461 | ||
| INTRODUCTION | 461 | ||
| THE CLINICAL HISTORY | 462 | ||
| THE CLINICAL PHYSICAL EXAMINATION | 466 | ||
| ABDOMINAL EXAMINATION | 467 | ||
| Inspection | 467 | ||
| Auscultation | 467 | ||
| Palpation | 467 | ||
| Special Tests | 467 | ||
| NEUROLOGIC EXAMINATION | 467 | ||
| MUSCULOSKELETAL EXAMINATION | 468 | ||
| Diagnostic Evaluation of Chronic Pelvic Pain | 477 | ||
| Key points | 477 | ||
| INTRODUCTION | 477 | ||
| PELVIC ORGANS | 478 | ||
| Endometriosis | 478 | ||
| Adenomyosis | 480 | ||
| Uterine Fibroids | 481 | ||
| Pelvic Congestion Syndrome | 481 | ||
| Chronic Infection | 483 | ||
| Other Intrapelvic Causes of Pain | 483 | ||
| PELVIC FLOOR DYSFUNCTION | 485 | ||
| PELVIC FLOOR SYNTHETIC MATERIAL | 486 | ||
| NEUROGENIC PAIN | 488 | ||
| Imaging of Neurogenic Pain: Magnetic Resonance Neurography | 489 | ||
| Nonimaging Evaluation of Pelvic Pain | 493 | ||
| Nerve conduction studies | 493 | ||
| Sacral reflexes | 494 | ||
| Needle electromyography | 495 | ||
| Utility of electrodiagnostic tests for pelvic pain | 495 | ||
| SUMMARY | 496 | ||
| ACKNOWLEDGMENTS | 496 | ||
| REFERENCES | 496 | ||
| Myofascial Pelvic Pain and Related Disorders | 501 | ||
| Key points | 501 | ||
| DEFINITION AND EPIDEMIOLOGY | 501 | ||
| ANATOMY | 502 | ||
| HISTORY | 502 | ||
| PHYSICAL EXAMINATION | 503 | ||
| DIAGNOSIS AND DIAGNOSTIC TESTING | 503 | ||
| TREATMENT | 504 | ||
| Physical Therapy | 505 | ||
| Conservative Treatment | 506 | ||
| Medications | 506 | ||
| Injections | 506 | ||
| Local anesthetic myofascial trigger points injection | 507 | ||
| Botulinum toxin-A | 507 | ||
| Dry needling | 508 | ||
| Neuromodulation Therapy | 508 | ||
| ASSOCIATED DISORDERS | 508 | ||
| Gynecologic | 508 | ||
| Urologic | 510 | ||
| Gastrointestinal | 510 | ||
| Musculoskeletal Disorders | 511 | ||
| Psychosocial Disorders | 511 | ||
| SUMMARY/DISCUSSION | 512 | ||
| REFERENCES | 512 | ||
| Musculoskeletal Approach to Pelvic Pain | 517 | ||
| Key points | 517 | ||
| INTRODUCTION | 517 | ||
| SACROILIAC JOINT PAIN | 518 | ||
| Anatomy | 518 | ||
| Clinical Presentation | 518 | ||
| Diagnostic Evaluation | 519 | ||
| Physical examination | 519 | ||
| Diagnostic testing | 520 | ||
| Treatment | 520 | ||
| PUBIC SYMPHYSIS PAIN | 520 | ||
| Anatomy | 521 | ||
| Clinical Presentation | 521 | ||
| Diagnostic Evaluation | 522 | ||
| Physical examination | 522 | ||
| Diagnostic testing | 522 | ||
| Treatment | 522 | ||
| Pubic symphysis pain | 522 | ||
| Core muscle injury | 523 | ||
| PELVIC INSUFFICIENCY FRACTURES/BONE STRESS INJURIES | 523 | ||
| Clinical Presentation | 523 | ||
| Diagnostic Evaluation | 523 | ||
| Physical examination | 523 | ||
| Diagnostic testing | 523 | ||
| Treatment | 524 | ||
| HIP DISORDERS | 524 | ||
| Clinical Presentation | 525 | ||
| Diagnostic Evaluation | 526 | ||
| Physical examination | 526 | ||
| Diagnostic testing | 526 | ||
| Treatment | 526 | ||
| PIRIFORMIS SYNDROME | 528 | ||
| Anatomy | 528 | ||
| Clinical Presentation | 528 | ||
| Diagnostic Evaluation | 528 | ||
| Physical examination | 528 | ||
| Diagnostic testing | 529 | ||
| Treatment | 529 | ||
| HIP FLEXOR TENDINOPATHY | 529 | ||
| Anatomy | 529 | ||
| Clinical Presentation | 529 | ||
| Diagnostic Evaluation | 530 | ||
| Physical examination | 530 | ||
| Diagnostic testing | 530 | ||
| Treatment | 530 | ||
| GREATER TROCHANTERIC PAIN SYNDROME | 530 | ||
| Anatomy | 530 | ||
| Clinical Presentation | 531 | ||
| Diagnostic Evaluation | 531 | ||
| Physical examination | 531 | ||
| Diagnostic testing | 531 | ||
| Treatment | 531 | ||
| ISCHIOFEMORAL IMPINGEMENT SYNDROME | 532 | ||
| Anatomy | 532 | ||
| Clinical Presentation | 532 | ||
| Diagnostic Evaluation | 532 | ||
| Physical examination | 532 | ||
| Diagnostic testing | 532 | ||
| Treatment | 532 | ||
| PELVIC FLOOR DYSFUNCTION | 533 | ||
| SUMMARY | 533 | ||
| REFERENCES | 533 | ||
| Coccydynia | 539 | ||
| Key points | 539 | ||
| INTRODUCTION | 539 | ||
| EPIDEMIOLOGY | 539 | ||
| ANATOMY | 540 | ||
| CAUSES OF TAILBONE PAIN | 541 | ||
| Coccyx Fractures | 541 | ||
| Coccyx Dislocations | 541 | ||
| Coccygeal Dynamic Instability | 541 | ||
| Distal Coccyx Bone Spurs | 541 | ||
| Abnormal Backward Position of Coccygeal Bones | 542 | ||
| Abnormally Excessive Forward Flexion of the Coccygeal Bones | 542 | ||
| Coccygeal Arthritis | 542 | ||
| Sympathetic Nervous System Pain | 542 | ||
| Pelvic Floor Dysfunction | 542 | ||
| Cancer | 542 | ||
| Osteomyelitis | 542 | ||
| SYMPTOMS OF COCCYDYNIA | 542 | ||
| Pain with Sitting | 542 | ||
| Pain During Sit-to-Stand | 543 | ||
| Other Lumbosacral Pain Syndromes, Occurring Concomitantly with Coccydynia | 543 | ||
| PHYSICAL EXAMINATION FOR COCCYDYNIA | 543 | ||
| Patient Pointing | 543 | ||
| Visual Inspection | 543 | ||
| Coccyx Palpation | 543 | ||
| Adjacent Palpation | 543 | ||
| PHYSICAL EXAMINATION FOR CONCOMITANT LUMBOSACRAL CONDITIONS | 544 | ||
| MEDICAL TESTS FOR COCCYDYNIA | 544 | ||
| Radiographs | 544 | ||
| Sitting-Versus-Standing Radiographs | 544 | ||
| MRI | 544 | ||
| Computerized Tomography Scans | 544 | ||
| Nuclear Medicine Bone Scans | 544 | ||
| TREATMENT OF COCCYDYNIA | 545 | ||
| Coccyx Cushions | 545 | ||
| Modalities and Topical Medications | 545 | ||
| Oral Medications | 545 | ||
| Interventional Pain Management Injections | 546 | ||
| Coccygeal Manipulation | 546 | ||
| Physical Therapy | 546 | ||
| Coccygectomy | 547 | ||
| SUMMARY | 547 | ||
| REFERENCES | 547 | ||
| Neurogenic Pelvic Pain | 551 | ||
| Key points | 551 | ||
| INTRODUCTION | 551 | ||
| ANATOMY OF PELVIC NERVES | 552 | ||
| ILIOHYPOGASTRIC, ILIOINGUINAL, AND GENITOFEMORAL NEURALGIA | 553 | ||
| Introduction | 553 | ||
| Epidemiology and Etiology | 553 | ||
| Patient Evaluation | 554 | ||
| Treatment Options | 555 | ||
| PUDENDAL NEURALGIA | 555 | ||
| Introduction | 555 | ||
| Epidemiology and Etiology | 556 | ||
| Patient Evaluation | 556 | ||
| Treatment Options | 558 | ||
| CLUNEALGIA | 559 | ||
| Introduction | 559 | ||
| Epidemiology and Etiology | 559 | ||
| Patient Evaluation | 559 | ||
| Treatment | 560 | ||
| TARLOV CYSTS | 560 | ||
| Introduction | 560 | ||
| Epidemiology and Etiology | 560 | ||
| Patient Evaluation | 561 | ||
| Treatment | 561 | ||
| CAUDA EQUINA SYNDROME | 562 | ||
| Introduction | 562 | ||
| Epidemiology and Etiology | 562 | ||
| Patient Evaluation | 562 | ||
| Treatment | 563 | ||
| SUMMARY | 563 | ||
| REFERENCES | 563 | ||
| Urologic and Gynecologic Sources of Pelvic Pain | 571 | ||
| Key points | 571 | ||
| VULVAR AND VAGINAL PAIN | 572 | ||
| UTERINE AND CERVICAL SOURCES OF PAIN | 576 | ||
| OVARIAN AND ADNEXAL PAIN | 579 | ||
| BLADDER PAIN | 580 | ||
| URETHRAL PAIN | 582 | ||
| URETER/KIDNEY/PROSTATE PAIN | 583 | ||
| REFERENCES | 585 | ||
| Physical Therapy Treatment of Pelvic Pain | 589 | ||
| Key points | 589 | ||
| INTRODUCTION | 589 | ||
| ROLE OF PHYSICAL THERAPY IN THE ASSESSMENT OF PELVIC GIRDLE FUNCTION IN THE PRESENCE OF PAIN | 591 | ||
| PHYSICAL THERAPY TREATMENT OF PELVIC PAIN | 593 | ||
| Postural Correction and Muscle Flexibility Restoration | 595 | ||
| BIOFEEDBACK TRAINING | 596 | ||
| MANUAL THERAPY, MYOFASCIAL RELEASE, AND TRIGGER POINT MASSAGE | 597 | ||
| THERAPEUTIC EXERCISE | 597 | ||
| DESENSITIZATION | 597 | ||
| PHYSICAL THERAPY TECHNIQUES FOR SEXUAL DYSFUNCTION | 598 | ||
| LIFESTYLE AND BEHAVIOR MODIFICATIONS | 598 | ||
| EVIDENCE FOR PELVIC FLOOR PHYSICAL THERAPY | 599 | ||
| SUMMARY | 599 | ||
| REFERENCES | 599 | ||
| Iatrogenic Pelvic Pain | 603 | ||
| Key points | 603 | ||
| INTRODUCTION | 603 | ||
| VAGINAL AND URETHRAL NEURO-ANATOMY | 604 | ||
| Obturator Nerve | 605 | ||
| Pudendal Nerve | 605 | ||
| ETIOLOGY OF PAIN RELATED TO MESH PLACEMENT | 606 | ||
| EVALUATIONS/APPROACH TO DIAGNOSIS | 608 | ||
| MANAGEMENT AND OUTCOMES | 611 | ||
| Surgical Technique of Transvaginal Mesh Excision | 611 | ||
| Surgical Technique of Mid-urethral Sling Excision | 612 | ||
| MANAGEMENT AND OUTCOMES | 613 | ||
| CONSERVATIVE MANAGEMENT OF CHRONIC PELVIC PAIN | 615 | ||
| COMPLICATIONS | 616 | ||
| SUMMARY | 616 | ||
| REFERENCES | 616 | ||
| Interventional Management for Pelvic Pain | 621 | ||
| Key points | 621 | ||
| INTRODUCTION | 621 | ||
| SUPERIOR HYPOGASTRIC PLEXUS BLOCK | 621 | ||
| INFERIOR HYPOGASTRIC PLEXUS BLOCK | 623 | ||
| GANGLION IMPAR BLOCK | 624 | ||
| TRANSVERSUS ABDOMINIS PLANE BLOCK | 627 | ||
| ILIOINGUINAL, ILIOHYPOGASTRIC, AND GENITOFEMORAL NERVE BLOCK | 628 | ||
| PUDENDAL BLOCK | 632 | ||
| SELECTIVE NERVE ROOT BLOCK | 634 | ||
| TRIGGER POINT INJECTION | 635 | ||
| SACROILIAC JOINT INJECTION | 638 | ||
| NEUROMODULATION | 640 | ||
| SUMMARY | 643 | ||
| REFERENCES | 643 | ||
| Index | 647 |