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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Online ISSN 1973-9095
Di Benedetto P., Giorgini T.
Rehabilitation Center, Trieste, Italy
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.