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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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Europa Medicophysica 2000 June;35(2):91-101

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Chronic pelvic pain and role of the surface electromyographic (EMG) biofeedback in the diagnosis and treatment

Di Benedetto P., Giorgini T.

Rehabilitation Center, Trieste, Italy


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Chronic pel­vic ­pain (CPP) is ­defined as the pres­ence of pain­ful symp­toms local­ized in the pel­vic ­area ­which is ­found for at ­least six ­months. It ­refers to at ­least 15-20% of wom­en of repro­duc­tive age. The vis­cer­al pel­vic ­pain is char­ac­ter­ized by rath­er dif­fused local­iza­tion ­with ­respect to ­that of the skel­e­tal ­type ­pain. Anxiety or oth­er psy­cho­log­i­cal ­states of the ­patient ­could con­trib­ute to mod­ulate the expe­ri­ence of the ­pain. Frequently it is not pos­sible to iden­ti­fy a ­cause for ­this pel­vic ­pain; in ­many cas­es the caus­es of the pel­vic ­pain are com­pli­cat­ed by psy­cho­sex­u­al prob­lems, ­which ren­der the treat­ment ­very dif­fi­cult. The caus­es of CPP ­could be gyne­co­log­ical, uro­log­i­cal, intes­ti­nal, mus­cu­los­kel­e­tal, and psy­cho­log­i­cal. The ­most com­mon spe­cif­ic con­di­tions are rep­re­sent­ed by dys­pa­reu­nia, vul­var ves­tib­u­litis, ure­thral syn­drome, inter­sti­tial cys­titis, pros­tat­o­dy­nia, chron­ic orchi­al­gia, ten­sion myal­gia of the pel­vic ­floor, irri­ta­ble bow­el syn­drome, low ­back ­pain, and ­scar ­pain. The sur­face EMG bio­feed­back is a pre­cious instru­ment of diag­no­sis and ther­a­py of CPP in a con­text of mul­ti­dis­ci­pli­nary ­approach: it is ­able to ­bring the prob­lem to ­patient’s con­scious­ness and to ­involve him active­ly in the ther­a­peu­tic pro­cess.

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