Friday, August 12, 2016

August Pelvic PT Distance Journal Club

This month we review two articles on mediation and catasropizing in pelvic pain. 

August recording

Best Mediation apps of 2016

Understanding Pain in less than 5 minutes - great video for patients

The Role of Social Constraints and Catastrophizing in Pelvic and Urogenital Pain. Tomakowsky, et al. Int Urogynecol J. 2016 Jun 10.

Michelle Spicka, DPT
August 3, 2016
Pelvic Physical Therapy Distance Journal Club

Description: This study tested the hypothesis that social constraints (the perception that those close to a patient can inhibit, discourage or dissuade a person from disclosing one’s feelings or talking about one’s problems) would be associated with distress, pain and problems with functioning, beyond the influence of the widely recognized risk factor of pain catastrophizing.

Pain catastrophizing is the tendency to magnify pain, feel helpless and ruminate on one’s pain and it has been established as a reliable correlate of chronic pain in a variety of patient populations per previous research.  In women with IC and bladder pain syndrome, pain catastrophizing has been linked to greater depression, poorer general mental health, poorer quality of life and more severe pain.

No previous studies have examined how social constraints are associated with pain and adjustment in patients with pelvic and urogenital pain. 

Mindfulness-based stress reduction as a novel treatment for interstitial cystitis/bladder pain syndrome: a randomized controlled trial. (Kanter et al. Int Urogynecol J. 2016 Apr 26).

Michelle Spicka, DPT
August 3, 2016
Pelvic Physical Therapy Distance Journal Club

Description: Research shows that up to 11% of women are affected by IC/BPS and the disorder may be significantly underdiagnosed; up to 43% of patients with IC/BPS require multimodal therapy.  The underlying pathophysiology of IC/BPS is poorly understood.  In IC/BPS, increased stress is positively correlated with increased pain and up to 80% of IC/BPS patients noted in a previous survey that stress reduction decreased their symptoms. 

Mindfulness-based stress reduction (MBSR) is a complementary alternative medicine-based therapist and is a standardized program including components of meditations and yoga.  MBSR has been successfully employed to treatment chronic pain syndromes and has been used in disorders such as multiple chemical sensitivity, chronic fatigue syndrome, fibromyalgia, various pelvic floor disorders and IBS as well as urinary urgency.