TAILIEUCHUNG - Chronic Pelvic Pain

The International Association for the Study of Pain: ‘Pain is an unpleasant sensory and emotional experience associated with actual or potential other non-painful symptoms from the same organ tissue damage, or described in terms of such or area. Chronic pain arising from the pelvic organs damage’. | 6 Chronic Pelvic Pain Vanessa Sangala INTRODUCTION The International Association for the Study of Pain IASP defines pain as follows Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage 1. This definition was introduced in 1979 and is important because it accepts that pain can occur without tissue damage and that psychological factors learning memory the soul mood feelings etc. as well as sociocultural factors play a vital role in the perception of pain2. Being able to experience pain is essential for sur-vival3. Acute pain has a protective function it is abrupt in onset and leads to immediate withdrawal from the cause of the pain as well as to seeking help if the pain is internal or severe. Acute pain disappears as the affected tissues heal. Chronic pain is different. It persists. It may have started with an episode of acute pain it may be associated with an on-going disease process but it may also arise without any discernible physical cause4. The physiology of pain is complex. The brain and spinal cord have mechanisms that are able to modify the perception of a stimulus and either increase or decrease sensations felt as pain. When a stimulus becomes repetitive . chronic for example from persistent inflammation it can lower the threshold for pain perception so that even normal activity within an organ is perceived as painful3. This is why people without objective evidence of disease can still experience pain. Another important aspect of pain is that the mind can think it is originating from one area but in fact it is coming from another. This happens because nerve fibers from different areas converge as they enter the spinal cord and signals can jump from one nerve to another3. Chronic pain is a symptom which when arising from an internal organ is often accompanied by other non-painful symptoms from the same organ or area. Chronic pain arising from the pelvic organs can be

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