Chronic pelvic pain and dysfunction : practical physical medicine / / Leon Chaitow, Ruth Lovegrove Jones ; foreword by Magnus Fall

• Autore: Chaitow Leon
• Pubblicazione: [S.l.], : Elsevier, : Churchill Livingstone, c2012
• Edizione: 1st ed.
• Descrizione fisica: xi, 448 p. : ill
• Disciplina: 617.55
• Soggetto topico: Pelvis - Diseases; Pelvic pain
• Altri autori: Lovegrove JonesRuth FallMagnus
• Note generali: Bibliographic Level Mode of Issuance: Monograph
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Front Cover -- Chronic Pelvic Pain and Dysfunction: Practical Physical Medicine -- Copyright -- Contents -- Contributors -- Foreword -- Acknowledgements -- Chapter 1: An introduction to chronic pelvic pain and associated symptoms -- Introduction -- Definitions of chronic pelvic pain syndromes -- Chronic pain -- Pelvic girdle pain and CPP: To separate or combine? -- Connecting PGP with CPP -- Aetiological features of CPP -- Beyond single causes -- Treatment aimed at pathology is only part of the answer -- References -- Chapter 2.1: An introduction to the anatomy of pelvic pain -- References -- Chapter 2.2: Anatomy and biomechanics of the pelvis -- The anatomy of the sacroiliac joint -- Why did nature create a seemingly flat SIJ? -- What specific adaptations are available to prevent shear in the SIJs? -- Why is the SIJ not perpendicularly orientated to the forces of gravitation? -- Ligaments and their role in self-bracing the pelvis -- Sacrotuberous ligaments -- Long dorsal sacroiliac ligaments -- Anatomical aspects -- Biomechanical aspects -- The role of the thoracolumbar fascia in stabilizing the lumbopelvic area -- Anatomical aspects -- Superficial lamina -- Biomechanical aspects -- Traction to the superficial lamina -- Traction to the deep lamina -- Muscles and self-bracing -- Self-bracing during forward bending -- Self-bracing in unconstrained positions -- Failed self-bracing -- Optimal and non-optimal pelvic girdle stability -- Acknowledgement -- References -- Chapter 2.3: Anatomy of the pelvic floor -- Pelvic floor muscles -- The deep PFM: Levator ani muscle -- The superficial PFM and perineal body -- Endopelvic fascia -- Pelvic viscera -- Bladder and urethra -- Prostate -- Vagina and uterus -- Penis, scrotum and testes -- Rectum and anal canal -- Innervation of the pelvic organs and PFM -- References -- Chapter 3: Chronic pain mechanisms. ; Defining chronic pelvic pain -- Chronic pelvic pain syndrome: The cause -- Chronic pelvic pain syndrome: The mechanisms -- Mechanisms for chronic pelvic pain -- Ongoing peripheral visceral pain mechanisms as a cause of chronic pelvic pain -- Spinal mechanisms of visceral pain and sensitization: Central sensitization (Roza et al. 1998, Giamberardino 2005) -- Visceral hyperalgesia -- Supraspinal modulation of pain perception -- Higher-centre modulation of spinal nociceptive pathways -- Neuromodulation and psychology -- Autonomic nervous system -- Endocrine system -- Genetics and chronic pain -- Clinical paradigms and chronic pelvic pain -- References -- Chapter 4: Psychophysiology and pelvic pain -- Introduction -- Psychophysiology in historical perspective -- Modern psychophysiological research -- Prostate and pelvic pain -- Alexithymia and pelvic pain -- Pain catastrophizing and fear-avoidance -- Hypervigilance and fear of movement -- Avoidance of sexual activity -- Defensiveness, emotional denial and repression -- Placebo-nocebo chemistry as psychophysiology -- Effects of physical and sexual abuse -- Somatization -- Acknowledgement -- References -- Chapter 5: Gender and chronic pelvic pain -- Introduction -- Gender and pain: The role of sex hormones -- Sex hormones and pain -- Visceral pelvic pain -- Visceral pain -- Pelvic pain from sex-specific internal organs -- Pain from the female reproductive organs -- Primary dysmenorrhoea -- Endometriosis -- Pelvic inflammatory disease -- Pain from the male reproductive organs (See also Chapters 12 & -- 15) -- Prostatitis/prostatodynia -- Chronic orchialgia -- Pelvic pain from non-sex-specific visceral organs -- Irritable bowel syndrome -- Interstitial cystitis/painful bladder syndrome -- Mixed pelvic pain -- Chronic pelvic pain of mixed origin -- Chronic pelvic pain from viscerovisceral hyperalgesia. ; Are women more susceptible than men to chronic pain? -- Conclusion -- References -- Chapter 6: Musculoskeletal causes and the contribution of sport to the evolution of chronic lumbopelvic pain -- Introduction -- Assessment of the movement system -- Common postural types (see Kendall et al. 2005, Sahrmann 2002) -- Lumbopelvic cylinder and chronic pelvic pain -- Assessment and rehabilitation of muscles of the lumbopelvic cylinder -- Voluntary activation of TrA independently from other trunk muscles (Richardson et al. 1999) -- Assessment and rehabilitation of muscles of the lumbopelvic cylinder -- Voluntary activation of pelvic floor muscles (Laycock -- Voluntary activation of deep segmental lumbar multifidus (Richardson et al. 1999) -- Voluntary activation of the posterior fasciculii of psoas (Gibbons et al. 2002) -- Integration of voluntary activation of the lumbopelvic cylinder into function -- The neural system and chronic pelvic pain -- Sporting activities and chronic pelvic pain -- The effect of aerobic exercise on chronic pelvic pain -- Specific groin injuries -- Ligament and muscle strain -- Acetabular tears and impingements of the hip -- Osteitis pubis -- Athletic pubalgia or sports hernias -- Stress fractures -- Nerve compression -- Cycling and genitourinary symptoms in men and women -- Symptoms -- Potential mechanisms -- Therapeutic options regarding adjustable bicycle factors -- Saddle design -- Posture and type of bike -- Saddle width -- Saddle padding -- Conclusions -- Running -- Football -- Ice hockey -- Sports involving repetitive flexion of the hip -- Case study 6.1 -- Case study 6.2 -- References -- Chapter 7: The role of clinical reasoning in the differential diagnosis and management of chronic pelvic pain -- Introduction -- Evidence-based practice: Where did it come from? Where is it going?. ; Understanding pain: What do we need to know? -- What causes pain? Searching for the pain driver -- Classifying pain -- Timelines and mechanism of injury -- Classification by pain mechanisms -- Classification and clinical prediction rules: Are we searching for the holy grail? -- It's about more than pain - Integrated systems for optimal health -- The Integrated Systems Model for disability and pain: A framework for understanding the whole person and their problem -- Underlying constructs of the model -- Components of the model: The Clinical Puzzle - A tool for clinical reasoning and developing clinical expertise -- The person in the middle of the puzzle -- Strategies for function and performance -- Articular, myofascial, neural, visceral systems -- Case study 7.1 -- Kristi's story -- Strategies for function and performance -- Standing posture -- One leg standing -- Active straight leg raise -- Curl-up task -- Clinical reasoning at this point -- Articular system analysis -- Neural system analysis -- Myofascial system analysis -- Clinical impression derived from hypothesis development, reflection and interpretive reasoning -- Two days postpartum -- Strategies for function and performance, myofascial and neural system analysis -- Standing posture -- One leg standing, active straight leg raise and curl-up tasks -- Clinical reasoning and early postpartum management -- Six weeks postpartum -- Strategies for function and performance -- Standing posture -- One leg standing and active straight leg raise tasks -- Articular and neural system analysis -- Curl-up task and myofascial system analysis -- Clinical reasoning and management -- Twelve weeks postpartum -- Fourteen weeks postpartum -- Strategies for function and performance -- One leg standing and active straight leg raise -- Curl-up task and myofascial system analysis -- Neural system analysis. ; Clinical reasoning and management -- Case conclusion -- Summary -- References -- Chapter 8.1: Multispeciality and multidisciplinary practice... -- Multispeciality and multidisciplinary practice (Baranowski et al. 2008) -- The medical teams -- The multispeciality clinic -- The multidisciplinary team and clinic -- The role of the pain medicine consultant -- The role of the psychologist -- The role of the clinical nurse specialist or nurse consultant (Cambitzi & -- Baranowski 2009) -- The role of the physiotherapist -- The pain management programme -- Summary -- References -- Chapter 8.2: Interdisciplinary management of chronic pelvic pain... -- Introduction -- Team management -- Organic pathology intervention -- Cognitive behavioural therapy -- Manual physical therapy intervention -- Altered neurodynamics -- Lifestyle modifications and home exercise programmes -- Pharmacological therapy -- Simple analgesics -- Neuropathic analgesics -- Anticonvulsants -- N-methyl-D-aspartate antagonists -- Opioids -- Trigger point injection therapy -- Nerve blocks -- Botulinum toxin therapy -- Pulsed radiofrequency -- Neuromodulation -- Sacral neuromodulation -- Posterior tibial nerve stimulation -- Chronic/continuous pudendal nerve stimulation -- Multimodal treatment algorithm -- Reasons for poor treatment tolerance -- Modifying manual treatment -- Non-responding symptoms -- References -- Chapter 8.3: Chronic pelvic pain and nutrition -- Introduction -- Inflammation -- Dietary anti-inflammatory strategies -- Antioxidants and anti-inflammatory nutrients -- Anti-inflammatory effects of omega-3 and -6 oils -- Vitamin D and pelvic floor disorders in women -- CPP/endometriosis and diet -- Dysmenorrhoea: Studies and meta-analyses -- Painful bladder syndrome -- Vulvar vestibulitis syndrome and interstitial cystitis -- Irritable bowel syndrome and diet -- Peppermint oil. ; Turmeric (curcumin).
• Sommario/riassunto: Edited by Leon Chaitow and Ruth Lovegrove, this clearly written and fully illustrated multi-contributor volume offers practical, comprehensive coverage of the subject area.Covering all aspects of current diagnosis and management, this new book is suitable for physiotherapists, osteopathic physicians and osteopaths, medical pain specialists.
• Titolo autorizzato: Chronic pelvic pain and dysfunction
• ISBN: 0-7020-5043-1
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910148608203321
• Lo trovi qui: Univ. Federico II
• Serie: The Leon Chaitow Library of Bodywork and Movement Therapies Series