Urogenital Pain : A Clinicians Guide to Diagnosis and Interventional Treatments.

Intro -- Preface -- Contents -- Contributors -- Chapter 1: Pelvic Floor Anatomy and Neurovasculature Related to Urogenital Pain -- Introduction -- Components of Pain -- Nociceptive Versus Neuropathic Pain -- Nociceptive Pain -- Neuropathic Pain -- Pathogenesis and Transmission of the Pain Signal -- Anatomy -- Pelvis -- Pelvic Floor -- Sacrum -- Nerve Plexuses of the Pelvis -- Hypogastric Plexus -- Location and Innervation of Nerve Plexuses (Coccygeal Plexus, Sacral Plexus, and Ganglion Impar) -- The Obturator Nerve -- Sacral Plexus -- Coccygeal Plexus -- Ganglion Impar -- Terminal Branches of Nerves to the Pelvic Floor (Female Anatomy Demonstrated) -- References -- Chapter 2: Ilioinguinal and Genitofemoral Neuralgia -- Introduction -- Anatomy -- Etiology -- Diagnosis -- Treatment -- Ilioinguinal Neuralgia -- Introduction -- Anatomy -- Etiology -- Diagnosis -- Treatment -- Summary -- References -- Chapter 3: Myofascial Pelvic Pain -- Chronic Pelvic Pain -- Myofascial Pain Syndrome -- Integrated TrP Hypothesis -- Cinderella Hypothesis -- Expansion of the Integrated TrP Hypothesis -- Central Sensitization -- Etiology of Myofascial Pelvic Pain -- Anatomy of the Pelvic Floor -- Levator Ani Muscles -- Sphincter Ani Muscles -- Coccygeus Muscle -- Obturator Internus Muscle -- Bulbospongiosus and Ischiocavernosus Muscles -- Anatomic to Clinical Correlation -- Diagnosis -- History -- Physical Examination -- Treatments -- Physical Therapy Modalities -- Other Modalities -- Medications -- Interventional Therapy -- Conclusion -- References -- Chapter 4: Sacroiliac Joint Complex Pain -- Introduction -- Structure, Function, Age Changes, and Innervation -- Epidemiology -- Etiology -- History and Physical Exam -- Diagnostic Imaging -- Diagnostic Injection -- Treatment -- Conservative Treatment -- Interventional Treatment -- Prolotherapy (Aka Proliferative Therapy).

EA Steroid Injections -- IA Steroid Injections (Fig. 4.3) -- Other IA Injections -- Radiofrequency Ablation (RFA) (Fig. 4.4) -- Cryoanalgesia -- Neuromodulation -- Surgical Intervention -- Conclusion -- References -- Chapter 5: Piriformis Syndrome and Pudendal Neuralgia -- Piriformis Anatomy -- Diagnosis -- Treatment -- Injection -- Anterior Approach -- Side Effects and Complications -- Pudendal Neuralgia -- Diagnosis -- Treatment -- Transvaginal Approach -- Transperineal Approach -- Other Treatment Modalities -- References -- Chapter 6: Lumbar and Sacral Radiculitis -- Introduction -- Anatomy -- Vertebral Column -- Joints -- Innervation -- Spinal Cord -- Lumbar and Sacral Radiculopathies and Urogenital Pain -- Disc Herniation -- Spinal Stenosis -- Facet Joint Disease -- Mechanical Compression -- Coccygodynia -- Other Radiculopathies -- Treatment -- Lumbar Epidural Steroid Injections -- Lumbar Medial Branch Blocks and Radiofrequency Ablation -- Surgery -- Conclusion -- References -- Chapter 7: Scrotal Pain -- Introduction -- Physical Examination -- Anatomy and Embryology -- Acute Scrotal Pain -- Testicular Torsion -- Torsion of Appendix Testis -- Epididymitis and Epididymo-Orchitis -- Acute Orchitis -- Scrotal Trauma -- Fournier Gangrene -- Other Causes -- Chronic Scrotal Pain -- Postvasectomy Pain Syndrome -- Chronic Epididymitis -- Treatment of Chronic Scrotal Content Pain -- Conclusion -- References -- Chapter 8: Chronic Pelvic Pain of Urogynecologic Origin -- Introduction -- Causes -- Postoperative Mesh/Reconstructive Surgery Sequelae -- Other (Vulvodynia, Endometriosis, Myofascial Pain) -- Vulvodynia -- Endometriosis -- Definition -- Epidemiology -- Presentation -- Diagnosis -- Etiology -- Management of Interstitial Cystitis and Bladder Pain Syndrome -- Life-Style Modifications -- Pharmacotherapy -- Other Interventional Therapies.

Radical Treatments -- Integrative Medicine -- Dietary and Lifestyle Changes -- Nutraceuticals -- Mindfulness-Based Therapy -- Reflexology -- Traditional Chinese Medicine (TCM) -- Acupuncture/Acupressure -- Herbal Treatment -- Conclusion -- References -- Chapter 9: Rehabilitation of the Pelvis and Pelvic Floor -- Introduction -- History Taking and Physical Examination -- Causes of CPP -- Conservative Treatment -- Interventional Therapies -- References -- Chapter 10: Cancer Pain in the Urogenital Region -- Introduction -- Ask About Pain at Each Visit and Believe the Patient -- Perform a Comprehensive Pain Assessment and Measure Pain Intensity -- Perform a Complete Physical and Neurological Examination -- Develop a Comprehensive Pain Management Plan -- Cancer Pain Syndromes of the Genitourinary Region -- Pharmacologic Management of Cancer-Related Pain -- World Health Organization (WHO) Analgesic Ladder -- Step 1: Mild Pain in the Urogenital Region in the Cancer Patient -- Step 3: Severe Pain in the Urogenital Region in the Patient with Cancer -- Opioids and Pain Management in the Patient with Cancer -- Treatment of Neuropathic Urogenital Pain in the Patient with Cancer -- Other Pharmacologic Management of Urogenital Pain in the Patient with Cancer -- Role of Radiation Therapy in Management of Cancer-Related Pain -- Interventional Pain Management in Urogenital Cancer Pain -- Regional and Peripheral Nerve Blocks -- Hypogastric Blocks -- Pudendal Blocks -- Ganglion of Walther (Impar) Blocks -- Neuraxial blocks -- Considerations for Interventional Pain Management -- Conclusion -- References -- Further Reading -- Chapter 11: Spinal Cord Stimulation for Chronic Pelvic Pain -- History -- Procedure -- Makes and Models of SCS Devices -- Indications -- Safety -- Spinal Cord Stimulation for Pelvic Pain -- Conclusion -- References.

Chapter 12: Intrathecal Drug Delivery Systems -- Objectives -- History of Intrathecal Analgesia and the Development of Implantable Intrathecal Drug Delivery -- The Basics of Intrathecal Drug Delivery System -- Anatomy of Spinal Canal and Characteristics of the CSF -- Drug Distribution Within the CSF -- The Intrathecal Pump -- Patient Selection, Indications, and Psychological Screening -- Cancer Pain -- Evidence and Recommendations for Patients with Cancer -- Chronic Intractable Nonmalignant Pain -- Evidence and Recommendations for Chronic Nonmalignant Pain Patients -- Psychological Screening -- Indications -- Contraindications -- Intrathecal Trial -- Intrathecal Trial Drugs -- Intrathecal Trial Monitoring -- Trial Complications -- Opioid Management -- Pump Implantation -- Complications -- Intrathecal Pump Devices -- Intrathecal Drug Therapy -- Monitoring During Intrathecal Drug Therapy -- Uses for Chronic Urogenital/Pelvic Pain -- References -- Chapter 13: Psychiatric Aspects in Chronic Pain and Utility of Yoga and Mindfulness-Based Cognitive Behavioral Therapy for Pain (Y-MBCT Pain) as a Translational Model -- Introduction -- Psychiatric Aspects of Pain and Need for Integrated Models of Care -- Pain Biography (Pain Memory) Constructs the  Chronic Pain Experience -- Nociception, the Pain Experience, and Gate Control Theory of Pain Transmission -- Role of the CNS and Brain in Chronic Pain, Sensitization, and Neuroplasticity -- CBT in the Treatment of Chronic Pain -- Yoga and Mindfulness-Based Interventions in the Treatment of Chronic Pain -- Limitations with Traditional CBT and Mindfulness-Based Interventions -- Meditation and Medication Have Different Mechanisms for Pain Relief and Thus Can Be Combined and Integrated -- Y-MBCT-Pain Model, Its Uses of Yoga and the Pragmatism of Brief CBT.

The Cornerstones in the Y-MBCT-Pain Module: Five-Factor Inventory of Pain, Buddha's Middle Way and Staged Meditation Protocols -- The Five-Factor Inventory for Pain (Pain Symptom Inventory) -- How Y-MBCT-Pain Sessions Are Actually Conducted? -- How Y-MBCT Pain Is Different from Psychological Therapies for Pain? -- Conclusion and Future Considerations -- References -- Chapter 14: Complementary and Alternative Medicine -- Complementary and Alternative Medicine Definitions and Classification -- History and Modern Perspective on Selected CAM Approaches -- History of CAM in the USA -- Acupuncture Analgesia -- Neurochemical Basis of Acupuncture and Electroacupuncture -- Auricular Acupuncture -- Acupuncture for Urogenital Pain -- Evidence for Acupuncture in Pain Management Practice -- Transcutaneous Electrical Nerve Stimulation -- History of TENS -- TENS Mechanism of Action -- Evidence for TENS Use for Analgesia -- TENS for Postoperative Pain -- TENS for Labor Pain -- TENS for Dysmenorrhea -- TENS for Acute Pain (&lt -- 12 weeks) -- TENS for Chronic Pain -- TENS for Chronic Low Back Pain -- TENS for Cancer-Related Pain -- TENS for Urogenital Pain -- Contraindications of TENS -- Yoga -- Brief History of Yoga -- Role of Yoga in Pain Management -- Herbal-Based Treatments -- Introduction -- Boswellia serrata -- Arnica -- Capsaicin -- Herbal Treatments and Chinese Herbal Medicine for Female Urogenital Pain -- Herbal Treatments for Male Urogenital Pain -- Future of Herbal-Based Treatments -- Reiki Therapy -- Definition and Brief History -- The Role of Reiki for Pain Management -- Future of Reiki for Pain Management -- Future of CAM in the USA -- References -- Index.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.