The pelvic girdle pain deadlock: 1. Would 'deconstruction' help?
O G Meijer1, H Hu2, W H Wu3
1Department of Human Movement Sciences, Vrije Universiteit, Amsterdam, the Netherlands; Orthopaedic Biomechanics Laboratory, Fujian Medical University, Quanzhou, Fujian, PR China.
Musculoskeletal Science & Practice
|June 21, 2020
Summary
Pelvic Girdle Pain (PGP) remains a challenge, with many patients experiencing long-term issues. This study proposes deconstructing PGP by integrating inflammation into biomechanical and psychological understandings to improve treatment outcomes.
Area of Science:
- Clinical Medicine
- Pain Management
- Inflammation Research
Background:
- Pelvic Girdle Pain (PGP) is a significant clinical issue with persistent symptoms in a notable percentage of patients even years after initial diagnosis.
- Current treatment approaches for PGP show limited long-term efficacy, highlighting a need for improved understanding and management strategies.
Purpose of the Study:
- To deconstruct Pelvic Girdle Pain (PGP) by disentangling the complex processes involved.
- To propose a novel framework for understanding PGP by integrating the role of inflammation alongside biomechanical and psychological factors.
Main Methods:
- Conceptual analysis and synthesis of existing knowledge on PGP.
- Proposing a multi-faceted approach to PGP understanding, incorporating biomechanics, psychology, and inflammation.
Main Results:
- The proposed deconstruction of PGP involves understanding its nature and causes through a more integrated lens.
- Inflammation is identified as a key factor bidirectionally related to biomechanical and psychological aspects of PGP.
Conclusions:
- Challenging existing beliefs and adopting a flexible, multi-disciplinary approach is crucial for clinicians treating PGP.
- Integrating an understanding of inflammation into the current biomechanical and psychological models of PGP offers a promising avenue for improving patient outcomes.
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