Anatomical landmarks of the intra-pelvic side-wall as sources of pain in women with and without pregnancy-related chronic pelvic pain after childbirth: a descriptive study

Chronic pelvic pain (CPP) affects 15-24% of women and can have a devastating impact on quality of life. Laparoscopy is often used in the investigation, although in one third of the examinations there is no visible pathology and the women may be dismissed without further investigation. Also, the cont...

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Bibliographic Details
Published in:BMC women's health 2018-03, Vol.18 (1), p.54-54, Article 54
Main Authors: Torstensson, Thomas, Butler, Stephen, Lindgren, Anne, Peterson, Magnus, Nilsson-Wikmar, Lena, Eriksson, Margaretha, Kristiansson, Per
Format: Article
Language:English
Subjects:
Adult
Age Factors
Anatomic Landmarks
Anatomical landmarks
Case-Control Studies
Chronic Pain - etiology
Chronic pelvic pain
Female
Humans
Intra-pelvic side-wall
Medicin och hälsovetenskap
Middle Aged
Pain Measurement
Parturition
Pelvic Pain - etiology
Pelvis
Physical Examination
Pregnancy
Pregnancy Complications - etiology
Pregnancy-related
Surveys and Questionnaires
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Summary:Chronic pelvic pain (CPP) affects 15-24% of women and can have a devastating impact on quality of life. Laparoscopy is often used in the investigation, although in one third of the examinations there is no visible pathology and the women may be dismissed without further investigation. Also, the contribution of skeletal, muscular, periosteal and ligamentous tissues to CPP remains to be further elucidated. The objective of the present study was to compare pain intensity provoked from anatomical landmarks of the intra-pelvic side-wall in women with pregnancy-related CPP after childbirth and women without such pain. This is a descriptive study of 36 non-randomly selected parous women with CPP after childbirth and 29 likewise selected parous women after childbirth without CPP. Pain was determined by questionnaire and clinical examination. The primary outcome measure was reported pain intensity provoked on 13 anatomical landmarks of the intra-pelvic side-wall. All women reported their perceived pain intensity for each anatomical landmark on Likert scales and an individual sum score was calculated. Women with chronic pelvic pain were older than women without CPP. At several intra-pelvic landmarks high intensity pain was provoked in women with CPP compared with less intense pain provoked at fewer landmarks in women without low back or pelvic pain (p 
ISSN:1472-6874
1472-6874
DOI:10.1186/s12905-018-0542-z