Chronic Female Pelvic Pain—Part 2: Differential Diagnosis and Management

Patricia Nelson, Gail Apte, Rafael Justiz, Jean‐Michel Brismée, Gregory S. Dedrick, Philip Sizer
In: Pain Practice · 2011 · vol. 12(2) , pp. 111–141 · doi:10.1111/j.1533-2500.2011.00492.x · PMID:21801301 · W1602261019
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This review details the differential diagnosis and evidence-based conservative and interventional management strategies for chronic female pelvic pain, addressing gynecologic, urologic, gastrointestinal, musculoskeletal, and neurologic causes.

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Abstract

Pelvic pain is a common condition. Treatment interventions have traditionally targeted biomedical conditions with variable success. Utilizing a systematic approach to examination of the pelvic girdle and related organ systems contained within the pelvis will aid the clinician in identifying the painful structure(s) as well as the associated impairments limiting functional recovery. From this, a complete management program can be instituted. The following description of gynecologic, urologic, gastrointestinal, musculoskeletal, and neurologic conditions that can cause or are associated with chronic pelvic pain leads to conservative management proposals based on the available evidence. Finally, nonoperative interventional strategies are described, which target the pain system from a cognitive behavioral perspective, address movement dysfunctions, and address interventional pain technique possibilities.

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chronic_pelvic_pain

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