[Physiotherapeutic differential diagnosis of back pain associated with endometriosis].

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Schmerz Pub Date : 2024-02-23 DOI:10.1007/s00482-024-00795-0
Elisabeth Oberegger, Bernhard Taxer
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Abstract

Background: Endometriosis (EM) is one of the most common gynecologic conditions in our society. The diagnosis takes an average of 7 to 10 years. To shorten this period, this syndrome needs more attention. The aim of this article is to show overlaps between EM and low back pain (LBP) and to describe their relevance for physiotherapeutic screening.

Objectives: What clinical signs do the syndromes EM and LBP have in common and to what extent can physiotherapeutic screening take gynecological aspects into account and be adapted accordingly?

Results: To answer this question, the two syndromes were screened for overlaps. These overlaps were then related to the existing literature and case studies. The current research situation shows overlaps of the two syndromes with regard to the etiology, the pain mechanism as well as a psychosocial aspect. The literature shows that more women than men are affected by LBP and other chronic pain syndromes. EM occurs almost exclusively in women and, like LBP, is considered a chronic pain syndrome. Thus, a common pain mechanism of the two syndromes is discussed in the literature. The most frequent overlap of the two syndromes is shown by the occurrence of LBP as a frequent symptom of EM. This connection can be justified by structural causes as well as by a reflex pain presentation.

Conclusion: In a physiotherapeutic setting, evidence of EM can be observed in the history and physical examination. Considering these factors may help shorten the diagnosis time of endometriosis by referring for further evaluation if gynecologic involvement is suspected in LBP. A comprehensive history is important and should cover urologic, gynecologic, as well as sexual history. In this article, the term woman is used to refer to the biological female sex and is not related to individual gender identity. The clinical picture mainly affects women, which is why in the following work, as far as it concerns the people suffering from the disease, it is not used in the opposite sense.

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[子宫内膜异位症相关背痛的物理治疗鉴别诊断]。
背景:子宫内膜异位症(EM子宫内膜异位症(EM)是当今社会最常见的妇科疾病之一。确诊平均需要 7 到 10 年的时间。为了缩短这一时间,这一综合征需要更多的关注。本文旨在说明子宫内膜异位症与腰背痛(LBP)之间的重叠,并描述其与物理治疗筛查的相关性:目的:EM 和腰背痛有哪些共同的临床表现?为了回答这个问题,我们对这两种综合征进行了重叠筛查。然后将这些重叠与现有文献和病例研究联系起来。目前的研究情况表明,这两种综合征在病因、疼痛机制以及社会心理方面存在重叠。文献显示,枸杞痛和其他慢性疼痛综合征的女性患者多于男性。EM几乎只发生在女性身上,与枸杞痛一样,被认为是一种慢性疼痛综合征。因此,文献中讨论了这两种综合征的共同疼痛机制。这两种综合征最常见的重叠表现为枸杞多糖症是 EM 的常见症状。这种联系可以通过结构性原因和反射性疼痛表现来证明:结论:在物理治疗环境中,可以从病史和体格检查中观察到 EM 的证据。考虑这些因素有助于缩短子宫内膜异位症的诊断时间,如果怀疑枸杞痛涉及妇科疾病,可转诊进行进一步评估。全面的病史很重要,应包括泌尿科、妇科和性史。在本文中,"女性 "一词是指女性的生理性别,与个人的性别认同无关。该病的临床表现主要影响女性,因此在接下来的文章中,只要与该病患者有关,就不会在相反的意义上使用 "女性 "一词。
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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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