Chronic female pelvic pain--part 2: differential diagnosis and management

Patricia Nelson, Gail Apte, Rafael Justiz, Jean-Michel Brismeé, Jean‐Michel Brismée, Gregory S. Dedrick, Gregory Dedrick, Philip Sizer, Philip S Sizer
Pain practice : the official journal of World Institute of Pain · 2011 · vol. 12(2) , pp. 111–141 · doi:10.1111/j.1533-2500.2011.00492.x · PMID:21801301 · W1602261019
Review OA: closed CC0 ⤵ 12 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 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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Condition tags

chronic_pelvic_pain

MeSH descriptors

Chronic Pain Chronic Pain Pain Management Pain Management Pelvic Pain Pelvic Pain Chronic Pain Diagnosis, Differential Female Humans Pelvic Pain Physical Examination Physical Therapy Modalities

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References (100)

Cited by (12)

Source provenance

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License: CC0 · commercial use OK