On Friday 12/19 Dr. Oz did a 5 minute bit on Fibromyalgia and Pelvic Pain. These are good topics to combine, as they often overlap. I’ve posted two guest posts here in the last month or so about dealing with pelvic pain, and it’s an issue I’ve dealt with, as well; however, I wouldn’t say that he really combined them so much as minimized them both and sped through too much information in too short of a time.
Watch the Dr. Oz on Fibromyalgia and Chronic Pelvic Pain
(you can scroll through past Oprah to the section on Fibromyalgia & Pelvic Pain)
The first question that was addressed was “Is Fibromyalgia a sleep disorder?” – The answer: No, it’s believed to be caused by abnormal pain processing.
Next, he asked about the recent study where women were injected with lidocaine to see if it would reduce Fibromyalgia pain. Women who received the injections reported decreased pain. (I’ll take a look at that study and report on it soon). Injections were in the shoulder, above the buttocks and just below. We still need more studies and more data to determine if this is a good treatment for Fibromyalgia.
He quickly moved on to chronic pelvic pain – This is pain in the lower abdomen, butt, hip, lower back, that has continued for six months or more. May feel cramping, burning, pain during urination, or pain during sex. Initially, this type of pain was thought to be gynological, but it may be pain from muscles, ligaments, or bones. It’s commonly caused by problems in the pelvic floor muscles. This (like Fibro) is difficult to diagnose, because doctors are not properly trained in this area, and there are no good tests.
They discussed a study regarding brain imaging of pelvic pain patients that shows that the pain is real; while they may not be able to see the source of the problem via MRI’s of the pelvic area, they can see in the brain MRIs that the pain really is there. Latest research shows that it’s not just organ based pain, has to do with nervous system, and pelvic floor muscles (kegal muscles). This area is hard to access / treat, and the best option is usually through well-trained physical therapists. Pelvic floor PT is performed by highly trained (usually female) physical therapists who work inside the female to stretch the muscles and help the patient learn how to relax and retrain the muscles to reduce pain. The sooner you see a doctor for this the better, and the easier it will be for them to diagnose you and treat you.
As I mentioned above, I have experience with chronic pelvic pain and have experienced pelvic floor physical therapy. I’ve also posted two guest posts on this topic, which I will link below. I still have issues with this pain and the PT didn’t really help me, but I think it’s likely more due to the type of PT I was given than anything. There are different types of pelvic PT, some do manual work, others use devices like the ones described in the linked posts (and there are different types of devices used by different PTs). I think I likely needed manual internal work, but the only PT locally that provides that is one that I won’t go to (because of many bad experiences). Of course, your mileage may vary; regardless of my experiences I highly suggest pelvic floor PT if you are having pain in this area, or urinary incontinence.