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