Musculoskeletal Causes of Chronic Pelvic Pain: A Systematic Review of Diagnosis: Part I*
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This systematic review identified six diagnostic studies for pelvic musculoskeletal problems causing chronic pelvic pain, noting a lack of gold standard tests and low methodologic quality.
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Abstract
UNLABELLED: Chronic pelvic pain in women has multifactorial etiology, but pelvic musculoskeletal dysfunction is not routinely evaluated as a cause by gynecologists. Whether diagnostic tests can reliably identify women with such conditions is unclear. The objective of this study was to determine the level of support in the literature for diagnostic tests of pelvic musculoskeletal problems. We used a set of key words pertaining to pain and the pelvic musculoskeletal structures to initially review the PUBMED database. Study inclusion was restricted to English-language publications that reported a patient-related chronic pelvic pain diagnostic test. Relevant bibliographies were also searched, and outside consultation with a pain researcher was sought to identify additional needed studies. For each selected article, 2 investigators separately summarized relevant data on study characteristics, patient profiles, and test efficacy. Discrepancies were resolved by discussion. Six diagnostic studies were identified that met entry criteria. No gold standard diagnostic tests exist for pelvic musculoskeletal problems, and the methodologic quality of available studies is low. Studies defining such clinically useful tests are needed to further refine a rational approach to chronic pelvic pain management. TARGET AUDIENCE: Obstetricians & Gynecologists, Family Physicians. LEARNING OBJECTIVES: After completion of this article, the reader should be able to describe the paucity of evidence-based literature and valid consensus of diagnostic criteria and modalities in defining the musculoskeletal causes of chronic pelvic pain in women, to recall that there is no gold standard diagnostic test for pelvic musculoskeletal problems, and to recall that the statistical evaluation of the methods described were wanting.
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Cited by (25)
- Chronic Pelvic Pain 2020
- A confiabilidade da ultrassonografia tridimensional na avaliação de parâmetros morfológicos e biométricos do assoalho pélvico de mulheres com dor pélvica crônica e dispareunia 2019
- Experiences of Physical Therapists Working With Women With Chronic Pelvic Pain: A Phenomenological Qualitative Study 2019
- Chronic Pelvic Pain 2018
- Cancer-Related Pelvic Pain 2018
- Advances in the Treatment of Chronic Pelvic Pain: A Multidisciplinary Approach to Treatment. 2017
- Musculoskeletal Dysfunctions in Patients With Chronic Pelvic Pain: A Preliminary Descriptive Survey 2016
- Selected Disorders of the Female Reproductive System 2016
- Selected Disorders of the Female Reproductive System 2015
- Musculoskeletal Causes of Chronic Pelvic Pain 2013
- Recent Trends in Chronic Pelvic Pain Diagnosis 2012
- Chronic pelvic pain of musculoskeletal cause in women 2012
- Chronic Female Pelvic Pain—Part 1: Clinical Pathoanatomy and Examination of the Pelvic Region 2011
- Chronic Female Pelvic Pain—Part 2: Differential Diagnosis and Management 2011
- Pelvic Pain Associated with a Gynecologic Etiology 2010
- Mediadores inflamatórios na dor pélvica crônica identificação de possíveis marcadores séricos da doença 2010
- Importance of Pelvic Muscle Tenderness Evaluation in Women with Chronic Pelvic Pain 2009
- Chronic pelvic pain in women: role of the nervous system 2009
- Physical therapy evaluation of patients with chronic pelvic pain: a controlled study 2008
- Chronic pelvic pain in women: still a challenge 2008
- Acute and Chronic Pelvic Pain in Women 2007
- Comparative Measurement of Pelvic Floor Pain Sensitivity in Chronic Pelvic Pain 2007
- Physical therapy in the management of women with chronic pelvic pain 2007
- Posture, movement patterns, and body awareness in women with chronic pelvic pain 2006
- Pelvic pain in women and men: recent findings 2005
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