pelvic pain syndromes pathophysiology

... those with mixed pain) and with peripheral neuropathic pain (excluding patients with mixed and central pain) All patients (n = 158) Mixed pain excluded (n = 116) Mixed and central pain excluded ... peripheral neuropathic pain (excluding patients with mixed pain and central neuropathic pain) and non-neuropathic pain therefore be used with caution in patients with reduced pain intensity However, ... neuropathic pain or mixed pain syndromes, (i.e the combination of neuropathic and non neuropathic pain in the same patient) Thus, the present data suggest that the neuropathic component of the "mixed pain" ...

Ngày tải lên: 18/06/2014, 22:20

... patients with ovarian endometriomas and pelvic pain Hum Reprod 2001, 16:2672-2675 Manero MG, Alcazar JL: Interleukin-8 serum levels not correlate with pelvic pain in patients with ovarian endometriomas ... as antiprostaglandins and requiring bed rest) and/or dyspareunia and/or chronic pelvic pain (n = 26) The degree of pain was established using a visual analogue scale, VAS scale [14] All patients ... patients or patients presenting mild or moderate dysmenorrhea, but without dispareunia or chronic pelvic pain (n = 25) Group B included patients presenting severe dysmenorrhea (with no response to...

Ngày tải lên: 20/06/2014, 07:20

... mm (absence of pain) and 100 mm (unbearable pain) have been demonstrated for different pain indications [33] and values for the MCID have been established for different types of pain; for example, ... -36 -20 -8 67 *The VAS scores pain on a scale from mm (absence of pain) to 100 mm (unbearable pain) A negative mean change in VAS score indicates a reduction in pain Gerlinger et al Health and ... results for pain measured by VAS in other settings, e.g., pain self-assessment by patients with rheumatoid arthritis [31] or physician-assigned pain scores across different types of pain [32] They...

Ngày tải lên: 20/06/2014, 15:20

... those with mixed pain) and with peripheral neuropathic pain (excluding patients with mixed and central pain) All patients (n = 158) Mixed pain excluded (n = 116) Mixed and central pain excluded ... peripheral neuropathic pain (excluding patients with mixed pain and central neuropathic pain) and non-neuropathic pain therefore be used with caution in patients with reduced pain intensity However, ... neuropathic pain or mixed pain syndromes, (i.e the combination of neuropathic and non neuropathic pain in the same patient) Thus, the present data suggest that the neuropathic component of the "mixed pain" ...

Ngày tải lên: 20/06/2014, 16:20

... tract, or musculoskeletal origin Depending on its cause, pelvic pain may require urgent surgical attention Menstrual Disorders Definition and Prevalence Amenorrhea ... However, other factors such as growth, secondary sexual characteristics, the presence of cyclic pelvic pain, and the secular trend to an earlier age of menarche, particularly in African-American ... less than the third percentile; age 12 or 13 in the presence of breast development and cyclic pelvic pain; or within years of breast development if menarche has not occurred Secondary Amenorrhea...

Ngày tải lên: 06/07/2014, 20:20

Ngày tải lên: 06/07/2014, 20:20

... variety of chromosomal abnormalities including Turner syndrome, autoimmune polyglandular failure syndromes, radioand chemotherapy, and galactosemia In the majority of cases, however, a cause is...

Ngày tải lên: 06/07/2014, 20:20

... and pain originating in the abdominal wall Pelvic pain may reflect pelvic disease per se but may also reflect extrapelvic disorders that refer pain to the pelvis In up to 60% of cases, pelvic pain ... Causes of Pelvic Pain Acute Chronic Cyclic pelvic Premenstrual pain symptoms Mittelschmerz Dysmenorrhea Endometriosis Noncyclic pelvic pain Pelvic inflammatory disease Ruptured or hemorrhagic Pelvic ... gonadotropins can be used by experienced practitioners Pelvic Pain The mechanisms causing pelvic pain are similar to those causing abdominal pain (Chap 14) and include inflammation of the parietal...

Ngày tải lên: 06/07/2014, 20:20

... blood flow, and increased peripheral nerve hypersensitivity, resulting in pain Secondary dysmenorrhea is caused by underlying pelvic pathology Endometriosis results from the presence of endometrial ... generally precedes menstruation by several days Endometriosis may also be associated with painful intercourse, painful bowel movements, and tender nodules in the uterosacral ligament Fibrosis and ... Philadelphia, Elsevier, 2004, pp 195–211 Latthe P et al: Factors predisposing women to chronic pelvic pain: Systematic review BMJ 332(7544):749, 2006 [PMID: 16484239] Pittock ST et al: Mayer-Rokitansky-Kuster-Hauser...

Ngày tải lên: 06/07/2014, 20:20

... Mittelschmerz is pelvic pain associated with ovulation Pelvic Pain HIGH-YIELD FACTS Laparoscopy is the final, conclusive step in diagnosing pelvic pain, but it should only be done ... McGraw-Hill, 1998: 508 175 Pelvic Pain Salpingitis/PID Rising white blood cell count UA HIGH-YIELD FACTS TABLE 17-1 Differential Diagnosis of Acute GYN Pelvic Pain Pelvic Pain HIGH-YIELD FACTS NOTES ... inconclusive) Rule out psychosomatic pain Diagnostic laparoscopy Ⅲ Ⅲ Ⅲ Ⅲ A C U T E P E LV I C PA I N Differential of Acute Pelvic Pain Differential of acute pelvic pain: “A ROPE” Ⅲ Appendicitis Ⅲ...

Ngày tải lên: 05/08/2014, 16:20

... CHRONIC PELVIC PAIN 2.1 Background 2.1.1 Introduction to urogenital pain syndromes 2.2 Definitions of chronic pelvic pain and terminology (Table 4) 2.3 Classification of chronic pelvic pain syndromes ... emphasis has been on the urological pain syndromes Chronic Pelvic Urological Bladder pain syndrome (See Table on Suprapubic ONSET Aching URINARY ANXIETY pelvic pain ESSIC classification) Inguinal ... R, eds Textbook of Pain 3rd edn Edinburgh: Churchill Livingstone, 1994 1.5 Pain evaluation and measurement 1.5.1 Pain evaluation The symptom of pain must be fully evaluated As pain is subjective,...

Ngày tải lên: 06/08/2014, 17:21

... consecutive patients complaining of pelvic pain aged between 25 and 48 years-old in the study We defined pelvic pain as dysmenorrhoea and/or intermenstrual pelvic pain and/or dyspareunia of moderate ... correlation between pelvic pain intensity and quality of life in the four dimensions After this initial analysis, we classified patients according to the cause of pelvic pain Patients were designated ... demonstrated that the intensity of pelvic pain is inversely correlated with alteration in the quality of life of patients with CPP (higher scores of pelvic pain were associated to decrease in...

Ngày tải lên: 12/08/2014, 01:22

... Sensitization is of particular importance for pain and tenderness in deep tissues Viscera are normally relatively insensitive to noxious mechanical ... conditions the relatively insensitive deep structures can become the source of severe and debilitating pain and tenderness Low pH, prostaglandins, leukotrienes, and other inflammatory mediators such ... bradykinin (BK) Prostaglandins increase the sensitivity of the terminal to bradykinin and other pain- producing substances B Secondary activation Impulses generated in the stimulated terminal propagate...

Ngày tải lên: 06/07/2014, 08:20

... can enhance as well as suppress pain Both paininhibiting and pain- facilitating neurons in the medulla project to and control spinal pain- transmission neurons Since pain- transmission neurons can ... by prolonged pain and/or fear There is evidence that pain- relieving endogenous opioids are released following surgical procedures and in patients given a placebo for pain relief Pain- modulating ... factors can contribute to chronic pain Neuropathic Pain Lesions of the peripheral or central nervous pathways for pain typically result in a loss or impairment of pain sensation Paradoxically, damage...

Ngày tải lên: 06/07/2014, 08:20

... severe pain Table 12-1 lists the most commonly used opioid analgesics.Opioids produce analgesia by actions in the central nervous system They activate pain- inhibitory neurons and directly inhibit pain- transmission ... postoperative pain, but there is no reason why it should not be used for any hospitalized patient with persistent severe pain PCA is also used for short-term home care of patients with intractable pain, ... management of acute severe pain Ketorolac is sufficiently potent and rapid in onset to supplant opioids for many patients with acute severe headache and musculoskeletal pain. There are two major...

Ngày tải lên: 06/07/2014, 08:20

... pain such as occurs with malignant tumors Table 12-2 lists some of the painful conditions that respond to tricyclics TCAs are of particular value in the management of neuropathic pain such ... primarily for patients with neuropathic pain Phenytoin (Dilantin) and carbamazepine (Tegretol) were first shown to relieve the pain of trigeminal neuralgia This pain has a characteristic brief, shooting, ... Tricyclic Central post-stroke pain a Controlled trials demonstrate analgesia b Controlled studies indicate benefit but not analgesia The TCAs that have been shown to relieve pain have significant side...

Ngày tải lên: 06/07/2014, 08:20

... prescribe opioids for chronic nonmalignant pain? Pain 129:233, 2007 [PMID: 17449177] Keltner JR et al: Isolating the modulatory effect of expectation on pain transmission: A functional magnetic ... different classes can be used in combination to optimize pain control.It is worth emphasizing that many patients, especially those with chronic pain, seek medical attention primarily because they ... medications required for pain relief A primary responsibility of all physicians is to minimize the physical and emotional discomfort of their patients Familiarity with pain mechanisms and analgesic...

Ngày tải lên: 06/07/2014, 08:20

... obtained, it is the obligation of the physician to provide rapid and effective pain relief The Pain Sensory System Pain is an unpleasant sensation localized to a part of the body It is often described ... maximally only to intense (painful) stimuli and produce the subjective experience of pain when they are electrically stimulated; this defines them as primary afferent nociceptors (pain receptors) The ... sickening) Furthermore, any pain of moderate or higher intensity is accompanied by anxiety and the urge to escape or terminate the feeling These properties illustrate the duality of pain: it is both sensation...

Ngày tải lên: 06/07/2014, 08:20

... should be sought in patients with posttraumatic pain and inflammation and no other obvious explanation Acute Pain: Treatment The ideal treatment for any pain is to remove the cause; thus, diagnosis ... 370) Although the pathophysiology of this condition is poorly understood, the pain and the signs of inflammation are rapidly relieved by blocking ... planning Sometimes treating the underlying condition does not immediately relieve pain Furthermore, some conditions are so painful that rapid and effective analgesia is essential (e.g., the postoperative...

Ngày tải lên: 06/07/2014, 08:20

... Hamilton S: Pelvic digit Br J Radiol 1985, 58:1010-1011 Greenspan A, Norman A: The pelvic digit Bull Hosp Jt Dis Orthop Inst 1984, 44:72-75 Hoeffel C, Hoeffel JC, Got I: Bilateral pelvic digits ... picture was highly suggestive of a pelvic digit Due to the patient's complaints including functional impairment in his right hip joint, surgical removal of the pelvic digit was performed (Figure ... attachment in the pelvis, for example, at the coccyx, the pelvic walls, and the inferior abdominal wall Therefore, it appears more likely that pelvic digits originate from an embryonic mesoderm with...

Ngày tải lên: 11/08/2014, 17:21