Skip Navigation LinksHome > January/April 2012 - Volume 36 - Issue 1 > The Puzzle of Pelvic Pain: A Rehabilitation Framework for B...
Journal of Women's Health Physical Therapy:
doi: 10.1097/JWH.0b013e31824e0ab4
Clinical Commentary

The Puzzle of Pelvic Pain: A Rehabilitation Framework for Balancing Tissue Dysfunction and Central Sensitization II: A Review of Treatment Considerations

Vandyken, Carolyn BHSc, PT; MDT, Cred CCMA(Acup); Hilton, Sandra MS, PT

Collapse Box

Abstract

Physical therapists have been instrumental in guiding the medical system away from “end-organ” focus in the assessment and treatment of persistent pelvic pain. However, for the most part physical therapists remain in a bio-medical model of treatment focusing on tissue dysfunction as a framework for the assessment and treatment of persistent pelvic pain. This article proposes a framework that integrates current understanding of local tissue dysfunction with the wider context of sensitized protective mechanisms within the spinal cord and brain. Current concepts in pain science, particularly as it relates to the Neuromatrix and central sensitization, lead away from bio-medicalism towards a bio-psycho-social model of evaluation and treatment of persistent pelvic pain.

Copyright © 2012 Section on Women's Health, American Physical Therapy Association

You currently do not have access to this article.

You may need to:

Note: If your society membership provides for full-access to this article, you may need to login on your society’s web site first.

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.