Dr. Carolyn Chudy location discusses chronic pelvic pain syndrome and how it can be treated.
At Pelvic Rehabilitation Medicine, our pelvic pain specialists provide a functional, rehab approach to pelvic pain. When you visit one of our offices, you spend an hour with your doctor reviewing in detail your medical history and symptoms. Then, we perform an internal exam (no speculum) to evaluate your nerves and muscles. Together, we'll discuss an individual treatment plan that gets to the root cause of your pain and helps you to feel better. The best part: you can begin treatment the same day!
At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.
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Chronic pelvic pain syndrome is any kind of pelvic pain that has been present for six months or longer.
In some patients, pain can become chronic when the signal from the periphery is sent to the brain and becomes centralized. When pain becomes centralized, it's very difficult to treat and requires a multi-modal approach. Chronic pelvic pain is often felt in a variety of areas including the perineum, the rectum, the vagina externally and internally, the uterus, the testicles or penis, and sometimes the abdominal wall or the lower back. Symptoms of chronic pelvic pain can be anything from urinary urgency or frequency, burning with urination, or bladder pain. It can be related to the colon and you can have pain with bowel movements or after bowel movements. You can have diarrhea or constipation related, pain with intercourse both during or after, abdominal pain, bloating or low back pain and discomfort. Some common causes of chronic pelvic pain syndrome in men that we see here are prostatitis, interstitial cystitis, and sports hernias. Common causes of chronic pelvic pain syndrome in women include endometriosis irritable bowel syndrome and vulvodynia.
Risk factors for chronic pelvic pain syndrome can include scoliosis, hypermobility, tmj, migraine headaches, a family history of interstitial cystitis or endometriosis, trauma to the pelvic floor or sexual trauma. Often patients that come to Pelvic Rehabilitation Medicine have been to many different therapists and doctors in the past and have been struggling with pain for many years. The average number of years we see patients suffering is anywhere from two to five. We often see patients with pain for much longer periods than that as well.
Often these patients have felt marginalized and made to feel that their pain is not real. We know that this is not true. This pain is very physical and can have emotional impact on people's lives and that's what we're here to help. In the majority of our patients, we are able to get them better and we use a multi-disciplinary approach to do that. I think that's what makes us unique in that we communicate with the other providers. We use physical therapy tools and expertise and we combine medications and injections if needed to really treat the whole of the pelvic floor.
