The Curbsiders Internal Medicine Podcast #323 Pelvic Pain, Constipation, Long COVID (TFTC)
Feb 23, 2022
AI Snips
Chapters
Transcript
Episode notes
Pelvic Pain Is Multi-Systemic
- The pelvis contains a web-like overlapping nerve network connecting multiple organ systems.
- Viscerosensitization explains why gynecologic pain often causes GI or urinary symptoms.
Use History To Categorize Pelvic Pain
- Take a detailed history to distinguish myofascial, visceral, neuropathic, and pelvic floor pain.
- Use timing, relation to cycle or standing, and descriptors like burning or radiating to guide diagnosis.
Perform Trauma-Informed Exams
- Practice trauma-informed pelvic exams and get consent before proceeding.
- Use gentle alternatives like cotton swab testing for hyperalgesia instead of immediately using a speculum.