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Psychomotor Chronic Pelvic PainAka: Chronic Pain Syndrome from Pelvic Pain

Epidemiology
1. Similar to other Chronic Pain patients in general
Symptoms
1. Major Depression
2. Helpless and passive
3. Vegetative Symptoms
  1. Insomnia
    1. Early awakening
    2. Inability to get back to sleep
  2. Diminished appetite
  3. Psychomotor retardation
  4. Withdrawn from Physical Activity
    1. Sports, housework, social, and sexual activity
4. Emotional roles in family change
  1. Displaced from usual roles (e.g. child Discipline)
  2. Pain focused interactions
  3. Pain is a means of staying connected to family
5. Preoccupied with pain and suffering
Signs
1. Pain is out of proportion to tissue damage
Diagnostics: MMPI
1. Anxiety
2. Hypochondriasis
Prognosis
1. Little relief from conventional treatments

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.