The number of studies on chronic and recurrent pain bears no relation to the frequency of these complaints in gynecologic practice, nor to the clinical and scientific problems that still need solving in this area. Several factors stand in the way of progress in this field, such as the strongly subjective nature of the complaints, the frequent lack of correlation between them and objective findings, and the complexity of the psychosomatic interac tions involved. Although progress in our knowledge has been much slower than we would have wished, and although we are well aware of these many gaps, it was considered useful to gather in a book what we think we have learned during 3 decades of active interest in pain patients and pain problems in gynecologic practice and 12 years of supervision of a pain clinic in the Department of Obstetrics and Gynecology of Leuven University. As there are many differences between acute pain - clinical as well as experi mental - on the one hand and chronic pain symptoms on the other, it was felt preferable to limit the scope of this book essentially to chronic and recurrent pain in gynecologic practice. When presented with a complaint of lower abdominal and/or low back pain, the gynecologist should constantly be on the lookout for nongynecologic causes, of which the most frequent will be either gastroenterologic or orthopedic and sometimes urologic. I have been fortunate in obtaining the collaboration of Dr.

A practical manual on the treatment of pelvic pain, focusing on the many gynecological and non-gynecological causes of the condition.

Written with the busy practice in mind, this book delivers clinically focused, evidence-based gynecology guidance in a quick-reference format. It explores etiology, screening, tests, diagnosis, and treatment for a full range of gynecologic health issues. The coverage includes the full range of gynecologic malignancies, reproductive endocrinology and infertility, infectious diseases, urogynecologic problems, gynecologic concerns in children and adolescents, and surgical interventions including minimally invasive surgical procedures. Information is easy to find and absorb owing to the extensive use of full-color diagrams, algorithms, and illustrations. The new edition has been expanded to include aspects of gynecology important in international and resource-poor settings.

Pregnancy weakens the ligaments that keep the pelvic bones together. If those weakened ligaments become overloaded or injured, it results in pelvic instability -- pain around the joints that can be brief or last for years after the birth. In 1996, Cecile Röst, who suffered from this condition herself, devised a treatment program that is simple, home based, and proven to work. Her book, with over 100 illustrations and detailed testimonials, is divided into two parts. The first part shows simple exercises for symmetry and stabilization, and the proper way to lie, sit, and get out of a car in order to prevent pelvic instability during pregnancy. Patients can practice these exercises and positions with or without a care provider's help. Part two, aimed at care providers, shows the results of a survey carried out among 200 women suffering from pelvic complaints. Here the author also presents a theoretical treatise of pelvic pain, the protocol of the first consult, and the contents of the therapy, including a sports program.

Based on the gold-standard nondrug, nonsurgical Wise-Anderson Protocol for treating chronic pelvic pain, A Headache in the Pelvis is the definitive resource for anyone suffering from pelvic pain. Pelvic pain afflicts millions of men and women and goes by many names, including pelvic floor dysfunction and prostatitis. David Wise, Ph.D., searched for relief for his pelvic pain for more than 20 years. After researching medical journals and performing outside-the-box self-experimentation, he found a way to resolve his symptoms. He then joined forces with Stanford urologist Dr. Rodney Anderson in the mid-1990s, and together they treated patients and did research on what is now called the Wise-Anderson Protocol. Often incorrectly diagnosed, debilitating, and disruptive, pelvic pain is correlated with psychological distress. Using a holistic treatment integrating physical therapy and meditative relaxation, this book guides you through understanding your pain, why conventional treatments haven't worked, and describes the details of the physical and behavioral protocol that can help to heal the painful pelvic floor. At last, this life-changing protocol offers hope and help to lead a pain-free life.

This clinical guide offers much-needed assistance in pinpointing the c ause of acute, chronic, and recurring pelvic pain and recommends the m ost effective medical or surgical treatment for the pain and the under lying disorder. The chapters present detailed, methodical guidelines f or the workup of the patient with chronic pelvic pain and for the diag nosis and treatment of the many disorders that cause pelvic discomfort . The section on diagnosis and treatments follows an organ-based appro ach, providing the most efficient, cost-effective way to "rule out" va rious causes of pelvic pain. Appendices include pain maps, pain diarie s, pain scales, and depression scales.

Pelvic pain is more ubiquitous than most people think and yet many suffer in silence because they don't know there is help or they are too embarrassed to seek it. This book looks at the variety of problems that can lead to pelvic pain, and how to address the issues when they arise.