New Frontiers in Chronic Pelvic Pain, Myofascial Pain Syndrome and Central Sensitization: Advances in the Pain Sciences Inform Management Strategies-New Frontiers in Chronic Pelvic Pain, Myofascial Pain Syndrome and Central Sensitization: Advances in the Pain Sciences Inform Management Strategies

New Frontiers in Chronic Pelvic Pain, Myofascial Pain Syndrome and Central Sensitization: Advances in the Pain Sciences Inform Management Strategies

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The presentation titled "New Frontiers in Chronic Pelvic Pain, Myofascial Pain Syndrome, and Central Sensitization: Advances in the Pain Sciences and Form Management" covers various topics related to chronic pelvic pain. The first speaker discusses traditional insights regarding central sensitization and myofascial dysfunction in chronic pelvic pain from endometriosis. The speaker explains how active myofascial trigger points contribute to nociceptive bombardment and the release of substances that lead to pain and sensitization. They also highlight the poor correlation between disease severity and pain intensity in endometriosis cases and the limited effectiveness of hormonal therapies and surgery in alleviating chronic pelvic pain. The speaker suggests that a mechanism-based evaluation is needed to better understand endometriosis-associated pain. <br /><br />The second speaker focuses on the diagnosis and medical management of chronic pelvic pain from a clinical PM&R perspective. They emphasize the importance of a comprehensive pelvic floor physical examination and discuss the prevalence of pelvic floor myofascial pain in women with chronic pelvic pain. They also summarize the limited evidence for various treatments, including physical therapy, medications, and injections. The speaker highlights the need for further research to better understand and treat pelvic floor myofascial pain. <br /><br />Overall, the presentations provide insights into the complex nature of chronic pelvic pain, including the role of myofascial dysfunction and central sensitization. They stress the importance of a multidisciplinary approach and call for more research to improve diagnostic and treatment strategies for this condition.

Keywords

Chronic pelvic pain

Myofascial pain syndrome

Central sensitization

Pain sciences

Form management

Endometriosis

Active myofascial trigger points

Hormonal therapies

Surgery

Pelvic floor myofascial pain