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Physical Therapy in Management of Women with Chronic Pelvic Pain pp. 187-198 $100.00
Authors:  (Mary Lourdes Lima de Souza Montenegro, Department of Gynecology and Obstetrics, School of Medicine of Ribeirao Preto, University of São Paulo, Brazil)
Chronic pelvic pain (CPP) is defined as non-menstrual or noncyclic pelvic pain with duration of at least 6 months, sufficiently intense to interfere with habitual activities and requiring clinical or surgical treatment. There are great difficulties in establishing the
primary cause of CPP and consequently in proposing adequate treatment, because there is a complex interaction between the gastrointestinal, urinary, gynecologic, musculoskeletal, neurologic and endocrine systems, also influenced by psychological and social factors. The estimated prevalence of CPP is about 3.8% among women aged 15–73 years, ranging from 14 to 24% among women of reproductive age, with a direct impact on their marital, social and professional life. About 60% of women with the disease never receive a specific diagnosis and 20% are never submitted to any investigation to elucidate the cause of the pain. Although the more common diagnoses in women with CPP are endometriosis, adhesions, irritable bowel syndrome and interstitial cystitis. The involvement of the musculoskeletal system in the genesis and perpetuation of CPP has
been increasingly demonstrated particularly the abdominal myofascial pain syndrome and tenderness of pelvic floor muscles, showing a crescent necessity of multidisciplinary care involving gynecologists, physiotherapists, psychologists, etc. to manage women with CPP. So, in this chapter we will discuss about the physical therapy in management of women with chronic pelvic pain. 

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Physical Therapy in Management of Women with Chronic Pelvic Pain pp. 187-198