'A closer look at pelvic pain'
course blog by Sundeep Nagri MSc Physio MCSP
'What happens on Men's Health physiotherapy courses'
blog by Gerard Green
'Male & Female Pelvic Pain'
Dr Ruth Jones PhD MCSP
'Expert Panel Discussion from Women's Health Summit 2015'
Dr Ruth Jones, Dr Kay Crotty, Julia Herbert, Mr Bill Rea
There are numerous validat4ed outcome tools used as measures of rehabilitation changes in 'normal' dysfunction (eg stroke). However, when dealing with chronic pelvic pain (CPP) and it's nuances, it becomes difficult to find an appropriate tool(s) that effectively addresses all the issues involved. when treating CCP, practitioners must consider the many overlapping co-morbid disorders that occur and which, when left untreated, may contribute to the dysfunction and interfere with full recovery. As a result, it is typical to use more than one outcome measurement (OM) tool to address more than one problem.
Below are some suggested OM tools, however it is important to remember that these OM tools were in the most part developed for research purposes and normative data are unavailable to assist in the interpretation of scores in individual cases. Nonetheless, for those practitioners dealing with pelvic pain who may not have considered urinary or sexual dysfunction co-morbidity, they may provide a useful resource of enquiry as well as a tool to monitor the effects of treatment over time.
Chronic Prostatitis Symptom Index (NIH-CPSI)
Fluid Volume Charts - Voiding Diary
Tampa Scale for Kinesiophabia (Miller, Kori & Todd 1991)
The Stanford Pelvic Pain Sympton Score (PPSS)
for men (Stanford)
Chronic Pelvic Pain and Dysfunction: Practical Physical Medicine, 1e by Leon Chaitow ND DO (UK) & Dr Ruth Jones PhD MCSP
"At all times the book emphasizes the importance of an integrated approach when treating patients with chronic pelvic pain, whether it's looking at structures outside of the pelvis itself or the more psychosocial elements to the condition. I found the chapter on breathing and chronic pelvic pain particularly insightful, as it highlighted the relationship between the respiratory diaphragm and the pelvic floor and proposed that disorders of breathing need to be addressed in the patient with chronic pelvic pain." Reviewed by Anne Graham on behalf of Physiotherapy Practice and Research, October 2015
Teach Us To Sit Still by Tim Parks
An inspiring and entertaining true story of a sceptic's journey into the world of meditation and alternative health.
A Headache in the Pelvis by David Wise & Rodney Anderson
This groundbreaking book describes the Wise-Anderson Protocol for muscle-related pelvic pain in men and women, a new and revolutionary treatment developed at Stanford University. The Wise-Anderson Protocol involves the treatment of muscle-related pelvic pain and dysfunction, variously diagnosed as prostatitis, chronic pelvic pain syndrome, pelvic floor dysfunction, pelvic floor myalgia, interstitial cystitis, urethral syndrome, levator ani syndrome, among other related diagnoses affecting some twenty million men and women in the United States. Specifically, The 6th edition of A Headache in the Pelvis adds new research recently published in the Journal of Urology done by the Wise-Anderson team describing the relationship of painful trigger points that refer and re-create specific symptoms of pelvic pain, new research done at Stanford on the relationship between early morning anxiety and those with pelvic pain, and firsthand stories from people who have undergone the Wise-Anderson Protocol, along with other new sections.
Explain Pain by Lorimer Moseley & David Butler
Since Explain Pain is having its tenth birthday, David and Lorimer have decided to release a second edition. We didn't want to mess too much with the original edition - after all it has sold more than 50,000 copies worldwide. Explain Pain Second Edition looks and smells the same. What is different in the last 10 years is the increasing support for therapeutic neuroscience education from clinical trials-much of which using Explain Pain, educational science, neuroscience, plain logic, and the failure of drug therapy to manage much chronic pain. Over multiple coffees, custard tarts and pinots, Lorimer and David have subtly changed the language and updated the scientific content. Overall the second edition can be delivered with much more authority than the first. A ground-breaking concept in its content and presentation, Explain Pain aims to demystify the process of understanding and managing pain. It brings the body to life in a way that makes an interesting read for therapists and pain sufferers alike. All pain is real, and for many people it is a debilitating part of everyday life. It is now known that understanding more about why things hurt can actually help someone understand their pain and go about their daily life. Recent advances in fields such as neurophysiology, brain imaging, immunology, psychology and cellular biology have provided an explanatory platform from which to explore pain. In everyday language accompanied by quirky illustrations, Explain Pain discusses how pain responses are produced by the brain: how responses to injury from the autonomic motor and immune systems in your body contribute to pain, and why pain can persist after tissues have had plenty of time to heal. Explain Pain aims to give clinicians and people in pain the power to challenge pain and to consider new models for viewing what happens during pain. Once they have learnt about the processes involved they can follow a scientific route to recovery.
Dr Ruth Jones PhD MCSP
If you would like to read Ruth's thesis for her PhD on Dynamic Evaluation of Female Pelvic Floor Muscle Function Using 2D Ultrasound and Image Processing Methods, please click on the link below.
Mechanisms of Pelvic Floor Muscle Function and the Effect on the Urethra during a Cough - 2011
If you would like to read Mechanisms of Pelvic Floor Muscle Function and the Effect on the Urethra during a Cough, by Dr Ruth Lovegrove Jones, Qiyu Peng, Maria Stokes, Victor F Humphrey, Christopher Payne and
Christos E Constantinou, please click on the link below.
The Contribution of the Pelvic Floor Muscles to Pelvic Pain
If you would like to read Ruth's article on the Contribution of the Pelvic Floor Muscles to Pelvic Pain, please click on the link below.
Ultrasound Evaluation of Dynamic Responses of Female Pelvic Floor Muscles
If you would like to read Ultrasound Evaluation of Dynamic Responses of Female Pelvic Floor Muscles, please click on the link below.
The Musculoskeletal contribution to the evolution of chronic lumbopelvic pain: 1 The lumbar spine and pelvis
If you would like to read The Musculoskeletal contribution to the evolution of chronic lumbopelvic pain: 1 The lumbar spine and pelvis, please click on the link below.
Margie Polden Memorial Lecture: From research lab back to clinical practice
If you would like to read Margie Polden Memorial Lecture: From research lab back to clinical practice, please click on the link below.