Chronic pelvic pain in women: role of the nervous system

There is increasing recognition that mechanisms in the nervous system common to other persistent pain conditions and inflammation of neurogenic origin play a major role in chronic pelvic pain. For either somatic or visceral pain, an understanding of the processes of peripheral and central sensitizat...

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Bibliographic Details
Published inExpert Review of Obstetrics & Gynecology Vol. 4; no. 2; pp. 149 - 163
Main Authors Gillett, Wayne R, Jones, David
Format Journal Article Book Review
LanguageEnglish
Published London Informa Healthcare 01.03.2009
Taylor & Francis
Subjects
biopsychosocial
central sensitization
chronic pelvic pain
convergence
endometriosis
hysterectomy
multidisciplinary
neurogenic
neuropathic
peripheral sensitization
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Summary:There is increasing recognition that mechanisms in the nervous system common to other persistent pain conditions and inflammation of neurogenic origin play a major role in chronic pelvic pain. For either somatic or visceral pain, an understanding of the processes of peripheral and central sensitization mechanisms, common to both acute and persistent pain, should help explain difficult pain conditions and open new therapeutic options. This review aims to correlate knowledge regarding persistent pain causation and pain conditions in gynecology. Although there is emerging evidence about the pathophysiology and management of persistent pain, there is still a dearth of evidence-based practice for chronic pelvic pain in women.
ISSN:1747-4108
1747-4116
DOI:10.1586/17474108.4.2.149