Analgesic physiotherapy contribution in painful pelvic syndrome

The first consultation with a patient suffering from pelvic-perineal pain is always an essential time: - to understand the disease - to analyze all the symptoms (and there are many) described by the patient - to explain to the patient what he or she is suffering from (which has often not been done as the patient remains unaware of his or her disease) - to establish the most appropriate treatment possible This first consultation must allow us to organize the history of the disease in search of a possible etiology most often ignored by the patient; my pain appeared like this and yet there is no effect without a cause. Currently we can put forward four groups of etiological hypotheses: trauma in everyday life surgery sexuality and psychosomatic aspects. The psychosomatic aspect of pelvic-perineal pain cannot be overlooked. 80 to 90% (perhaps more) of patients who consult for this pathology also present states of stress worry anxiety family problems sentimental socio-professional.... It is the spirit that suffers and the body says its pain.