4: Management of CPP Flashcards
Pharmacological choices for CPP.
Start with an oral analgesic, such as tylenol or NSAIDs. Then move to both nonselective and COX-2 inhibitors. Then move to mild opioids, such as codeine and hydrocodone. Then move to stronger opioids, such as morphine and fentanyl. Hormonal treatment is another option.
Which treatment is useful for localized or regional chronic pelvic pain?
TENS therapy
Nutritional supplementation with what 2 products might help pain associated with dysmenorrhea.
Vitamin B1 or magnesium
This can restore and maintain tissue and joint flexibility, improve posture and body mechanics, restore strength and coordination, reduce nervous system irritability, and restore function.
Physical therapy activities
T/F Exercise and physical therapy have been shown to be helpful in mitigating CPP but require a specialized physiotherapist for initial evaluation to determine an appropriate plan.
True
What type of physical therapy is an effective treatment for myofascial pelvic pain?
Pelvic floor PT
Which treatment is useful in pelvic pain from endometriosis and pelvic congestion syndrome?
Progestin therapy
Which surgical treatment is useful in CPP associated with dysmenorrhea after other methods have failed?
Presacral neurectomy
Which treatment is useful for pain that is neuropathic in origin?
Tricyclic antidepressants (TCAs) Amitriptyline (Elavil) and nortriptyline (Pamelor)
Which treatment is useful in reducing pelvic pain from endometriosis and dyspareunia?
GnRH agonist goserelin
Which treatment is useful for primary dysmenorrhea and endometriosis?
COCs
T/F Aerobic exercises is more likely to show positive results than nonaerobic exercises.
False. Both aerobic exercises and nonaerobic exercises, such as weight lifting, have shown positive results.
Studies indicate that these two alternative treatments have promise in relieving chronic pelvic pain.
Acupuncture and acupressure
