Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

One hundred twelve females below the age of twenty years underwent laparoscopy at the Medical University of South Carolina over a ten-year period. Pelvic pain followed by primary amenorrhea was the major indication for the procedure. Eighty-nine percent of those with acute pain had identifiable pelvic pathology, whereas 27% of girls presenting with chronic pain had a normal laparoscopic examination. Pelvic inflammatory disease was the most common diagnosis. Ovarian cysts, pregnancy complications, and endometriosis were also found. Endometriosis was not found among black teenage clinic patients. The procedure appears to be a safe and useful diagnostic tool in this age group.
 ...
PMID:Laparoscopy in children and adolescents. 623 18

The psychological and clinical characteristics of 29 women who underwent laparoscopy for chronic pelvic pain (CPP) have been studied. Patients (n = 11) with CPP without obvious organic pathology showed a significantly higher mean score at the Zung Self-Rating Depression Scale and more somatic symptoms which usually accompany depression than patients (n = 18) with CPP in whom pathology was found; they also showed higher frequencies for depressive disorders in personal anamnesis and for 'depression spectrum disorders' in family history. No differences between the two groups emerged for anxiety, somatization and inadequacy as measured by the Kellner-Sheffield Symptom Rating Test. Through a comparison with a group of women affected with another type of idiopathic chronic pain, and on the basis of the above reported results, the authors suggest that CPP without obvious organic pathology might be an expression of a depressive disorder.
 ...
PMID:Chronic pelvic pain and depression. 647 75

The McGill Pain Questionnaire (MPQ) is widely used in pain research and treatment. The internal structure of the questionnaire has been subjected to empirical investigation, with sensory and reactive factors documented. In the present study, questionnaire responses of 95 women experiencing acute (post episiotomy) pain are analyzed. Episiotomy pain patients utilized sensory subgroups more frequently than comparison groups of women experiencing dysmenorrhea (n = 166) or chronic pelvic pain without obvious pathology (N = 31). Chronic pain patients used affective and reaction subgroups with greater frequency. The episiotomy/MPQ scores were subjected to factor analysis and 6 factors were derived, reflecting specific sensory qualities and combined emotional/sensory dimensions. The factor structure to emerge was less distinctive than previously reported on chronic pain patients. It is suggested that acute pain involves less differentiation of sensory, affective and evaluative language dimensions. Rating scales were also administered. Ratings of labor and episiotomy pain were uncorrelated indicating the importance of distinguishing between these in studying pain in the puerperium.
 ...
PMID:A comparison of the McGill Pain Questionnaire in chronic and acute pain. 688 22

The authors evaluated 100 women scheduled for diagnostic laparoscopy (50 for chronic pain, 50 for tubal ligation or infertility evaluation) using structured psychiatric, family history, and sexual trauma interviews. Laparoscopy reports were blindly rated by a gynecologist. Compared with the nonpain group, the women with chronic pelvic pain had significantly higher current and lifetime rates of psychiatric disorders, as well as childhood and adult sexual victimization. They reported significantly higher mean numbers of somatization symptoms, but no significant differences in objective laparoscopic findings. Psychiatric disorders and sexual victimization are common in women with chronic pelvic pain and should be considered in the evaluation and treatment of these patients.
 ...
PMID:Psychiatric diagnoses and sexual victimization in women with chronic pelvic pain. 899 21

Cognitive biases are increasingly implicated as vulnerability factors in emotional and physical disorders. This issue is examined here in chronic pain sufferers using a recall memory paradigm. A sample of chronic pelvic pain patients undergoing hysterectomy and oophorectomy were assessed prior to the intervention, 8 weeks post-surgery, and again 6 months post-surgery. On each occasion patients were aurally presented four mixed lists of sensory, affective, neutral and gardening words, matched for frequency and length. No difference in the recall of neutral and gardening words was found, suggesting that selective memory for pain-related information cannot be attributed to superior recall of words belonging to a common semantic category. A clear pattern of more pain-related words being remembered before surgery, but better recall of non-pain-related words 6 months post-surgery when pain intensity ratings are significantly reduced, was evidenced. These results suggest that selective memory for pain-related words is more likely to be a secondary consequence of the long term experience of pain than a stable, enduring cognitive vulnerability factor.
 ...
PMID:Remediation of pain-related memory bias as a result of recovery from chronic pain. 759 75

A 32-year-old woman was bedridden for a year because of chronic pain and headaches. She had insomnia, depression, suicidal thoughts and a severe chemical allergy. She had been on steroid therapy for two years and became Cushingoid with striae in the arm pits, groins and abdomen. However, she had no hypertension, nor the buffalo fat and hirsutism. She was very edematous, with a weight gain from 112 to 180 lbs. The fluid retention did not conform to the syndrome of inappropriate antidiuretic hormone. Studies revealed abnormal scalp EEG discharges and high-voltage seizure discharges in the posterior thalamus. Electrothalamic stimulation suppressed the thalamic discharges and relieved the patient's pelvic pain and headaches. After one month of several thalamic stimulations per day, she was able to get out of bed and ambulate. In addition, the patient no longer was edematous and was tolerating perfumes and floor detergents. Steroids were progressively reduced without complications of withdrawal. She went from a completely steroid dependent state to independent during the first 1-1/2 yrs of thalamic stimulation. With continued thalamic stimulation she has done well for 8-1/2 yrs, weighs 112 lbs, keeps house and drives a car. It's speculated the illness is a chronic pain multiple syndrome predominantly due to mesothalamic discharges and body infirmities. The mesothalamic discharge implicated neural networks, which represent biologic systems, i.e. pain, sleep, fluid retention, etc. Therapeutic stimulation attenuates the discharges and the neural networks return to their normal set points of homeostasis.
 ...
PMID:Mesothalamic discharge in a chronic pain, allergy and fluid retention syndrome (case report). 766 2

Primary dysmenorrhea, secondary dysmenorrhea, and cyclic pelvic pain syndromes represent a special subset of CPP. Although more common and no less debilitating, these conditions are better understood, more easily diagnosed, and more successfully treated than chronic pain states. It should be the expectation of both the physician and the patient that successful resolution of these complaints is possible.
 ...
PMID:Cyclic pelvic pain and dysmenorrhea. 811 89

Anyone who has managed chronic pain patients well understands the need for patience and unconditional positive support for the patient. It is most imperative that the physician and the entire health care team continue to be optimistic in spite of repeated failures of different treatment regimens. It is important to keep the patient informed continually of the problems encountered and the different treatment regimens used (Fig. 8). To keep the patient motivated to seek eventual solutions to the problems is one of the key elements in chronic pelvic pain therapy for the pain specialist. Do not underestimate the power of patient involvement in her own disease process. Some of the most common errors made by physicians are the underestimation of the patient's interest and intelligence in understanding the medical aspects of the pain disorder, lack of communication with the patient in regard to new findings and the effect they have on the course of the patient's treatment, and the lack of outward expressions of sincerity and concern about an individual patient's condition.
 ...
PMID:Management of chronic pelvic pain. 811 94

This self-directed learning module highlights assessment and therapeutic options in the management of cancer pain, pelvic pain, and the pain problems of the elderly and children. It is part of the chapter on pain rehabilitation in the Self-Directed Medical Knowledge Program for practitioners and trainees in physical medicine and rehabilitation. This article delineates causes of cancer pain, discusses strategies for approaching each specialized population, and provides specific clinical examples to illustrate management issues, with emphasis on prevention. New advances include understanding the pain experience in children and elderly adults; investigation of psychosocial aspects of pelvic pain; and use of patient-controlled analgesia, opioids, and multimodality techniques for acute, perioperative, and chronic pain in these age groups.
 ...
PMID:Pain rehabilitation. 3. Cancer pain, pelvic pain, and age-related considerations. 818 60

The authors present a case of sacral meningeal cyst (s.m.c.) being the cause of chronic pain related to perineal, sacral and pelvic regions. The aim of the report is to emphasize the role played by s.m.c. in the aetiology of pain arising in these regions. As it can result from a wide variety of pathologies, like gynaecological, urological and anorectal the differential diagnosis is very difficult. Until recent years s.m.c. was rarely encountered in clinical practice and identified as a cause of chronic pain in perineal, sacral or pelvic areas. Now in the era of MRI and with increasing access to sophisticated imaging diagnostic methods s.m.c. will probably be recognized in more cases of perineal, sacral or pelvic pain.
 ...
PMID:[Sacral meningeal cyst as a cause of chronic pain related to perineal, sacral and pelvic regions]. 823 44


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>