Question

49 yo F is evaluated for a 3 year history of pelvic pain. An extensive eval has not found a clearly defined or anatomic cause, and therapy has been targeted to general pain mgt lately. She has been a willing participant in biofeedback.Most appropriate management?

Answer 1

In the absence of a clearly defined anatomic cause for the 49-year-old patient's chronic pelvic pain, the most appropriate management is a multidisciplinary approach including pain management, psychological support, and biofeedback therapy. Regular reevaluation of her condition is crucial for ongoing symptom management and quality of life improvement.

Step-by-step explanation:

The 49-year-old female patient with a history of pelvic pain that has no clearly defined anatomic cause poses a challenge in management. Given the lack of specific symptoms indicative of appendicitis, urinary tract infection (UTI), or pelvic inflammatory disease (PID), and considering that abdominal pain is not typically associated with a prior treatment for a compressed spinal cord, the most appropriate management in such chronic pain scenarios often involves a multidisciplinary approach. This approach may include ongoing pain management, psychological support, physiotherapy, and alternative therapies like the biofeedback she has been participating in. It's important to consider not just the physical aspects of pain, but also the neurogenic and psychogenic factors that can contribute to chronic pain syndromes. Continual reevaluation and tailoring of treatment are essential to help the patient manage symptoms and improve quality of life.