Login
Register

Home

About Us

Diagnoses

Treatments

Classes

Resources

Media

Testimonials

Blog

Account

Blog
Register
urinary chronic pelvic pain

A recent pilot study looked at how resilience affects patients with urinary chronic pelvic pain (UCPP) conditions and chronic overlapping pain conditions (COPCs). Resilience can be defined as the “capacity to adapt successfully to disturbances that threaten a patient's viability, function or development.” (Southwick et al., 2014) Resilience is now an important aspect in the treatment of pain, as it can increase psychosocial well‐being and the quality of life in patients living with chronic pain. (Casale et al., 2019)

Resilience levels and urinary chronic pelvic pain conditions

Previous studies have measured resilience levels in other chronic pain conditions. This was the first study to look at this relationship with UCPP. In this study the participants were placed in two groups, pelvic pain only and widespread pain (WP). All the participants rated their pain as well as answered several questionnaires which included the Pain Catastrophizing Scale (PCS), 17 Depression Anxiety and Stress Scale (DASS ‐21) 18 and 14 item‐Resilience scale (RS‐14). 

Catastrophizing and Resilience

High levels of catastrophizing were found in both groups of patients (UCPP and WP), but those with widespread pain, and particularly females, demonstrated significantly higher levels of catastrophizing than patients with pelvic pain only. Consistent with other research they found  poor resilience in patients living alone and not engaged in work activity.  This observation demonstrates that emotional and social relationships improve resilience and well‐being. 

Further research needs to be done to determine if  catastrophizing is due to higher levels of pain and number of COPCs or vice‐versa. Other studies have observed that changes in catastrophizing are associated with improvement in pain intensity, depression levels, pain‐related anxiety and physical and psychosocial disabilities. (Giannantoni et al., 2021)  Cognitive behavioral therapy (CBT) has demonstrated improvement in patient disability, pain and catastrophizing (Tripp et al., 2011) This supports the need for urinary chronic pelvic pain patients to participate in a multimodal treatment style to address all domains of pain. 

At Femina Physical Therapy, we believe in an interdisciplinary approach to treating chronic pain. In most locations we offer physical therapy, massage therapy, somatic stress therapy and resilience building

Use this link if you are ready to make an appointment with one of our trained physical therapists.

References

Casale R, Sarzi‐Puttini P, Botto R, et al. Fibromyalgia and the concept of resilience. Clin Exp Rheumatol. 2019;37:S115‐S113.

Giannantoni, Antonella, et al. “Resilience in the Face of Pelvic Pain: A Pilot Study in Males and Females Affected by Urologic Chronic Pelvic Pain.” Wiley Online Library, John Wiley & Sons, Ltd, 25 Mar. 2021, onlinelibrary.wiley.com/doi/10.1002/nau.24659.

Southwick SM, Bonanno GA, Masten AS, Panter‐Brick C, Yehuda R. Resilience definitions, theory, and challenges: interdisciplinary perspectives. Eur J Psychotraumatol. 2014; 5(1):25338.

Tripp DA, Curtis Nickel J, Katz L. A feasibility trial of a cognitive‐behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome. Can Urol Assoc J. 2011; 5: 328‐ 332.

Star InactiveStar InactiveStar InactiveStar InactiveStar Inactive
 

** This information is for educational purposes only and is not intended to replace the advice of your doctor. **

What They Say About Us

  • Testimonials

    • Testimonial by S.H., age 24

      I just wanted to thank you for everything you've done for me for the past 19 months. I literally could not have reached my goals without you and your practice. You gave me the courage to keep moving forth with my treatment no matter how afraid and anxious I was. You were always there to answer questions and made this whole process so much easier than I expected it to be. It's because of you that my marriage is on the right track, that I can get pregnant and that this part of my life is finally...

      Read more Testimonial by S.H., age 24

  • Testimonials

    • Testimonial by Jackie W.

      I was in multiple car accidents a decade ago, and I have been to many physical therapists through the years without success. They found the root of my lower back pain problems and after nearly a decade of barely being able to walk I finally can again without pain. They are also the best pelvic floor pts and the only ones who found the connection between my pelvic floor and lower back problems. If you need help with physical pain, they are your answer. -- Jackie W., 1/19/17 via Yelp!

Subscribe To Our Newsletter

Get access to our free downloads and a 15% discount on Heather's book "Sex Without Pain"!
captcha 
I agree with the Terms and Conditions and the Privacy policy