Cancer Advanced Clinical Focus Session: Pain Management for Pelvic Floor Rehabilitation-Session Recording

Video Transcription

Video Summary

This session focused on the comprehensive management of pelvic pain, particularly in patients with a history of cancer treatment. The speakers highlighted the need for a multidisciplinary approach involving various specialists, including pain management, pelvic floor physical therapists, and sex therapists. The discussions included common post-cancer therapy complications such as vaginal stenosis, dryness, myofascial pain, and neuropathic pain. Management strategies involved both conservative measures, like the use of vaginal dilators, and medications, as well as more invasive procedures, like nerve blocks and injections.<br /><br />The session underscored the importance of collaboration among healthcare providers to address the complex biopsychosocial aspects of pelvic pain. Referring to specialists early can significantly impact patient outcomes. There were insights about topical and oral medications, with specific doses and applications shared, aiming to enhance therapeutic effectiveness while minimizing discomfort.<br /><br />Dr. Reddy detailed interventional procedures for pain relief, emphasizing their use in well-selected patients and the potential risks involved. The discussions also touched on the challenges of insurance approvals for procedures like Botox injections.<br /><br />For providers without extensive resources, the panel suggested establishing initial connections with pelvic floor therapists and pain specialists, highlighting available directories and the importance of teamwork in patient care. Telemedicine was noted as a valuable tool for reaching patients in rural areas.<br /><br />Overall, the session emphasized patient-centered care, advocating for holistic management that addresses physical symptoms, psychosocial impacts, and enhances quality of life through coordinated care pathways.

Keywords

pelvic pain management

cancer treatment

multidisciplinary approach

vaginal stenosis

myofascial pain

nerve blocks

biopsychosocial aspects

interventional procedures

pelvic floor therapists

telemedicine

patient-centered care