TY - CHAP T1 - Comprehensive neuromuscular assessment of chronic pelvic pain (including BPS/IC) T2 - Urogenital Infections and Inflammations AU - Quaghebeur, Jörgen ED - Naber, Kurt G. AD - Dr. Jörgen Quaghebeur PhD. Med. Sci., University Hospital Antwerp and University Antwerp, Department of Urology, Antwerp, Belgien, E-mail: jorgen.quaghebeur@telenet.be N2 - Patients diagnosed with chronic pelvic pain syndrome (CPPS) consult with a variety of symptoms related to organs in the pelvic region, in the absence of a proven infection, pathology or confusable disease. The ESSIC classification of bladder pain syndrome (BPS) according to the results of cystoscopy and of biopsy has to be used for the differentiation between BPS subtypes. A systematic approach is needed trying to understand the problem in CPPS. A four step plan with attention for emotional factors is indicated to assess these patients. A thorough clinical investigation includes a physical assessment as well. Assessing CPPS patients shows musculoskeletal pain that is not restricted to the pelvis. The whole spine can be painful. Manual applied neurodynamic tests and local palpation show mechanosensitivity of the pudendal nerve in most of cases, although almost all other nerves of the lumbosacral plexus can have minor nerve injuries. One patient can have multiple mononeuropathies simultaneously. A thorough physical assessment can indicate the anatomical origins of pain and help to determine the therapeutic approach. The variety of symptoms suggesting simultaneous organ dysfunction in multiple systems, indicate the need for a multidisciplinary approach. PY - 2017 DA - 2017/11/10 DO - 10.5680/lhuii000002 LA - en L1 - https://books.publisso.de/de/system/getFile/38 UR - https://dx.doi.org/10.5680/lhuii000002 L2 - https://dx.doi.org/10.5680/lhuii000002 PB - German Medical Science GMS Publishing House CY - Duesseldorf ER -