Among the patients with chronic pelvic pain and urinary problems, people with severe pain throughout the pelvic floor are more likely to have pain controlled by the central nervous system. As a result, they may benefit from systemic treatments that help address their overall pain, according to a recent multisite study.
The researchers found that patients with chronic pelvic pain syndrome urinary tract infections with milder levels of the pelvic floor may be better candidates for treatments that target myofascial pain. their pelvic floor, such as physical therapy.
“One of the challenges when it comes to treating pelvic pain is that patients often have a lot of ongoing problems,” Priyanka Gupta, MD, a urological surgeon at the University of Michigan Health, a clinical associate professor of urology at the University of Michigan School of Medicine, and first author of the paper. “As clinicians, we are trying to figure out which therapy is better for a patient, and for pain, finding a therapy that helps can be a challenge and a mistake. . One aim of this study was to determine if we could better classify patients at the start of their care so that we could better target treatment. “
This paper is one of a number of analysis results from the Multidisciplinary Approach to Chronic Pelvic Pain Research Network, an NIH-supported initiative that has spanned nearly 15 years and includes researchers in a wide range of fields from six institutions. (J. Quentin Clemens, MDvice president of research in urology at Michigan Medicine, is president of the MAPP network.)
Gupta noted that the MAPP network plans to publish a clinical summary of their various study findings in the near future.
Source: University of Michigan Health System
