Chronic Pelvic Pain: A “Pain Generator” Oriented Approach to Therapy
Chronic pelvic pain is common, and its management is often perceived as frustrating. Pain is frequently associated with urological, gynecological, neurological, gastroenterological, or musculoskeletal pathology. This lecture is dedicated to identifying the varied pain generators that may be present in the chronic pelvic pain patient through a directed history and physical examination. Therapy for specific pathologies that will be discussed include dietary changes, medical therapy, intravesical instillations, trigger point injections, ablative surgical procedures, and more.
Faculty: Robert Moldwin, MD
This 1-hour CME activity is designed for all clinicians who treat chronic pain.
Upon completion of this activity, participants should be better able to:
- Discuss the epidemiology of chronic pelvic pain, its various causes, and co-morbid conditions.
- Differentiate forms of pelvic pain on the basis of a detailed history and physical examination.
- Diagnose multiple pain generators in a patient and implement a treatment plan.
- Review the breadth of therapies available to treat urological pelvic pain syndromes including dietary changes, medical therapy, intravesical treatments, chemodeinnervation, trigger point injections/nerve blocks, neuromodulation, and urinary diversion.
Robert Moldwin, MD, is professor of urology at the Hofstra North Shore-LIJ School of Medicine. He is also physician in charge of urologic infectious/inflammatory diseases and director of the pelvic pain center at The Arthur Smith Institute for Urology of the North Shore-LIJ Health System. Dr. Moldwin has a national and international reputation as a leader in the field of pelvic pain with special interests in varied pain syndromes including interstitial cystitis/painful bladder syndrome and chronic prostatitis/chronic pelvic pain syndrome. Dr. Moldwin’s other clinical and research interests range from urinary incontinence to infectious diseases of the urinary tract. He has published extensively in peer-reviewed medical journals and is the author of the well received The Interstitial Cystitis Survival Guide: Your Guide to the Latest Treatment Options and Coping Strategies. Dr. Moldwin currently serves on multiple medical advisory boards including the Interstitial Cystitis Association, and is a member of its board of directors. He is affiliated with numerous medical societies and is past president of the Society for Infections and Inflammation in Urology.
Staff and Content Validation Reviewer Disclosures
The staff involved with this activity and any content validation reviewers of this activity have reported no relevant financial relationships with commercial interests.
Planning Committee/Faculty Disclosure
Dr. Moldwin reports that he is on the medical advisory boards of Taris Biomedical and Urigen Pharmaceuticals.
Debra Nelson-Hogan, Director of Education for the Academy of Integrative Pain Management, reports that she has nothing to disclose.
Cathleen Coneghen, Assistant Director of Education for the Academy of Integrative Pain Management, reports that she has nothing to disclose.
The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a health care provider relative to diagnostic and treatment options of a specific patient’s medical condition.
For questions regarding CME for this activity, you may reach the department of education at the Academy of Integrative Pain Management at firstname.lastname@example.org.
For successful completion of this activity, please complete a pre-test; utilize the audio recordings synched with the presentation slides to review the content, providing answers to your questions as necessary; and complete a post-test and evaluation following the activity. You will then be prompted to print your certificate. This activity should take approximately 60 minutes to complete.
This program is accredited for physicians, nurses, and psychologists. All other clinicians can submit the certificate of attendance upon completion of the program to their licensing boards for consideration of credit.
The American Academy of Pain Management is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Academy of Pain Management designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The American Academy of Pain Management is approved by the California Board of Registered Nursing, Provider Number CEP 15881 for 1 contact hour.
The American Academy of Pain Management is approved by the American Psychological Association to sponsor continuing education for psychologists. The American Academy of Pain Management maintains responsibility for this program and its content.
The Academy designates this activity for a maximum of 1 CE credit.
- 1.00 AMA PRA Category 1 Credit(s)™
- 1.00 APA
- 1.00 Document of Attendance
- 1.00 Nursing Credit