A New Perspective on the Management of Chronic Pelvic Pain
Marek Jantos, Ph.D.
Chronic pelvic pain posses a unique challenge to health care providers. This workshop will focus on a spectrum of disorders effecting the urinary and reproductive systems. These have been shown to be linked to non-relaxing muscles and pelvic organ dysfunction. Based on extensive research profiling chronic pelvic pain sufferers, and evidence derived from the integrated pain mapping and electromyographic assessment protocols, an algorithm will be introduced which highlights the importance of muscle normalisation and myofascial mobilisation to manage these difficult and complex pain syndromes. An evidence based, innovative approach will be presented, which reflects an important paradigm shift away from the traditional diseased-organ concepts to a comprehensive, mechanisms oriented approach, focussing on peripheral soft tissue sensitisation and pain, augmented by central nervous system variables. The myofascial model that will be introduced identifies the physical, emotional, medical and iatrogenic triggers that lead to reflex induced non-relaxing pelvic muscles, changes in fascial plasticity, motor-neuronal excitation, autonomic dysregulation and pain related pathophysiology. The difficult to manage pelvic pain syndromes, marked by organ distress and dysfunction (especially of the bladder, bowel and reproductive organs), have been shown to be most responsive to conservative therapy. Participants will be introduced to the use of the validated pain mapping tool to identify and localise the source of pain, and to electromyographic assessments that objectively evaluate dysfunctional muscle states. When combined with education and stress management strategies, these assessments and interventions provide optimum outcomes for pelvic pain syndromes.
- Understand the Nature and Prevalence of Urogenital Pain Syndromes
- Achieve Proficiency in use of Pain Mapping and Surface Electromyography
- Develop Evidence Based Management Plans
- Gain Therapy Skills and Identify the Role of Education and Counselling
About Marek Jantos, Ph.D.
Marek Jantos PhD, is a practitioner, lecturer and researcher with 25 years experience working with chronic pain disorders affecting the urinary and reproductive systems. He is a member of several professional associations
and a Fellow of the International Society for the Study of Vulvovaginal Disease (ISSVD). He continues to contribute articles to journals and textbooks and regularly shares his knowledge and experience at international conferences and workshops. He currently serves on the editorial board of the Journal of Lower Tract Genital Disease and the Journal of Pelviperineology, for which he is the section editor on Chronic Pelvic Pain.