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I have gotten often asked what is the best treatment for chronic pelvic pain syndrome or chronic pelvic pain? I would say that is like a trick SAT question where there is more than one answer!
The pelvis – which includes the area in between the belly button and the upper thighs — has a lot of parts to consider. We have our organs like our bowel, or bladder, as well as uterus and prostate respectively for women and men, but then there is also a full network of muscles which support our organs, as well as our core and our bowel/bladder function, and a very complex network of nerves.
When we are treating chronic pelvic pain, we want to keep all of this in mind!
First and foremost, I would say you need to have your collaborative medical team. This can include your primary care, physician, gynecologist, urologist to help check for any underlying medical issues. Other important members of the team should also include a pelvic health specialized therapist, and if possible, a physiatrist, like me, who specializes in chronic pelvic pain.
The role of this team is not only to help figuring out if there is a specific cause(s) for the pain, but also assess how this pain affects your function. This can include things like working, sleeping, exercise, bowel and bladder function, pain, or difficulty with intercourse, as well as how all of this impacts our mood and social life. Often, more than one facet of our life is affected when we are dealing with chronic pelvic pain.
To help treat this, we need to address a few different things simultaneously for the most impactful, efficient, and long-lasting relief.
At PRM, we always remind patients: pain is never normal. If your pain has been normalized or you are not being heard by your provider, you should know that you have options. Give us a call and let us help!