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Updated: Feb 27, 2026

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
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Pelvic Pain: An Overview.

Phuong U Le1, Colleen M Fitzgerald2

  • 1Department of Physical Medicine and Rehabilitation, West Los Angeles Veterans Affairs Medical Center, University of California at Los Angeles, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA.

Physical Medicine and Rehabilitation Clinics of North America
|July 6, 2017
PubMed
Summary
This summary is machine-generated.

Chronic pelvic pain (CPP) often stems from musculoskeletal and neuromuscular issues. Physiatrists are key in managing CPP due to their holistic, system-focused approach to improving patient quality of life.

Keywords:
Chronic pelvic painDowntraining pelvic floorPelvic pain of myofascial origin

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Area of Science:

  • Pain Medicine
  • Rehabilitation Medicine
  • Musculoskeletal Disorders

Background:

  • Chronic pelvic pain (CPP) is a complex condition with multifactorial origins.
  • A significant portion of CPP cases are linked to musculoskeletal and neuromuscular system dysfunction.
  • Numerous medical specialists are involved in managing CPP patients.

Purpose of the Study:

  • To highlight the critical role of physiatrists in the multidisciplinary management of chronic pelvic pain.
  • To emphasize the importance of addressing musculoskeletal and neuromuscular components in CPP treatment.
  • To underscore the value of a holistic approach in improving the quality of life for CPP patients.

Main Methods:

  • Review of existing literature on chronic pelvic pain etiology and management.
  • Analysis of the scope of practice and training of various medical specialists involved in CPP care.
  • Focus on the specific contributions of physiatry in addressing the physical and functional aspects of CPP.

Main Results:

  • Musculoskeletal and neuromuscular factors are substantial contributors to chronic pelvic pain.
  • Physiatrists possess specialized training in diagnosing and managing these physical impairments.
  • A holistic approach, integrating physical medicine and rehabilitation, is crucial for effective CPP management.

Conclusions:

  • Physiatrists are uniquely positioned to lead the management of CPP, particularly when musculoskeletal and neuromuscular factors are involved.
  • Integrating physiatric principles into CPP care can significantly enhance patient outcomes and quality of life.
  • A collaborative, physiatrist-guided approach offers a comprehensive strategy for tackling the complexities of chronic pelvic pain.