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Chronic Female Pelvic Pain—Part 2: Differential Diagnosis and Management


Address correspondence and reprint requests to: Philip S. Sizer Jr., PT, PhD, OCS, FAAOMPT, Professor & Program Director Doctorate of Science Program in Physical Therapy, Director, Clinical Musculoskeletal Research Laboratory, 3601 4th Street, Lubbock, TX 79430, U.S.A. E-mail:


Abstract:  Pelvic pain is a common condition. Treatment interventions have traditionally targeted biomedical conditions with variable success. Utilizing a systematic approach to examination of the pelvic girdle and related organ systems contained within the pelvis will aid the clinician in identifying the painful structure(s) as well as the associated impairments limiting functional recovery. From this, a complete management program can be instituted. The following description of gynecologic, urologic, gastrointestinal, musculoskeletal, and neurologic conditions that can cause or are associated with chronic pelvic pain leads to conservative management proposals based on the available evidence. Finally, nonoperative interventional strategies are described, which target the pain system from a cognitive behavioral perspective, address movement dysfunctions, and address interventional pain technique possibilities.▪