Malathy Srinivasan1, Joseph E Torres2, Donald McGeary3, Ameet S Nagpal4. 1. Department of Physical Medicine and Rehabilitation, Sidney Kimmel Medical College at Thomas Jefferson University. 2. UT Health San Antonio, Department of Anesthesiology. 3. Associate Professor and Vice Chair for Research, Rehabilitation Medicine; Associate Professor, Psychiatry, UT Health San Antonio. 4. UT Health San Antonio, Department of Anesthesiology, Associate Professor, Department of Anesthesiology, Medical Director, UT Health San Antonio Pain Consultants, Associate Program Director, UT Health San Antonio Pain Medicine Fellowship.
Abstract
PURPOSE OF REVIEW: I.To provide an overview of the current complementary and alternative (CAM) treatment options for women with chronic pelvic pain (CPP). RECENT FINDINGS: II.Recent studies on chronic pain at cellular, molecular and network level and their interaction with the immune system has unfolded several mechanisms for pain making it promising to explore the alternative paradigm to manage the incredibly complex chronic pelvic pain condition where multifactorial etiology often limits successful outcomes. SUMMARY: III.The multifactorial nature and complexity in establishing the underlying diagnosis in CPP limits predictable response to traditional medical and interventional options. Complementary and alternative options have been studied to improve outcomes. Incorporation of exercise-based CAM, pelvic floor physical therapy, acupuncture and cognitive behavioral therapy are suggested to show promising results but well powered randomized studies are needed to draw conclusions on their efficacy. Evidence for non-opioid alternatives such as oral cannabinoids are preliminary and may emerge to be safe and effective.
PURPOSE OF REVIEW: I.To provide an overview of the current complementary and alternative (CAM) treatment options for women with chronic pelvic pain (CPP). RECENT FINDINGS: II.Recent studies on chronic pain at cellular, molecular and network level and their interaction with the immune system has unfolded several mechanisms for pain making it promising to explore the alternative paradigm to manage the incredibly complex chronic pelvic pain condition where multifactorial etiology often limits successful outcomes. SUMMARY: III.The multifactorial nature and complexity in establishing the underlying diagnosis in CPP limits predictable response to traditional medical and interventional options. Complementary and alternative options have been studied to improve outcomes. Incorporation of exercise-based CAM, pelvic floor physical therapy, acupuncture and cognitive behavioral therapy are suggested to show promising results but well powered randomized studies are needed to draw conclusions on their efficacy. Evidence for non-opioid alternatives such as oral cannabinoids are preliminary and may emerge to be safe and effective.
Entities:
Keywords:
CAM; Female pelvic pain; acupuncture in pelvic pain; alternative therapy; cannabinoids in pelvic pain; cognitive behavioral therapy; complimentary therapy; pelvic floor physical therapy
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