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Topic: Pain Management

  1. Fact Sheet: Disorders Related to Excessive Pelvic Floor Muscle Tension


    By: Jeanette Tries, PhD, OTR

    Disorders which have excessive pelvic floor muscle activity as their primary feature are often not recognized and diagnosed by physicians. However, millions of people suffer from such disorders and associated symptoms of disabling pain and disruptions in bowel and bladder control. Unfortunately, individuals with these disorders frequently seek help for many years before receiving any explanation for, or relief from their disturbing symptoms. The purpose of this article is to briefly explain the role of the pelvic floor muscles and some symptoms related to the presence of elevated tension in these muscles, and to describe various treatment options available.

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  2. Fact Sheet: Understanding and Managing Chronic Pain


    By: Bruce D. Naliboff, PhD

    Most of the time pain serves as a critical part of our sensory system, and is therefore a necessary though unpleasant function of a healthy body. However, it is becoming increasingly clear that chronic pain may be more like a disease or pathology of the nervous system associated with abnormal responses in the brain and spinal cord. Chronic pain has an impact on every facet of patients' lives. If you have chronic pain it is important to develop a pain management plan that works for you.

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  3. Fact Sheet: An 8-Step Approach to Chronic Pain Management


    By: Bruce D. Naliboff, PhD

    For those with a functional gastrointestinal/motility disorder, pain is often one of several overlapping unpleasant symptoms.

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  4. Fact Sheet: Functional Abdominal Pain Syndrome


    By: Douglas A. Drossman, MD

    People with functional gastrointestinal (GI) disorders can have a variety of symptoms that range from painless diarrhea or constipation, to pain associated with diarrhea and/or constipation (usually called irritable bowel syndrome). There is another, less common condition of abdominal pain that is chronic or frequently recurring; it is not associated with changes in bowel pattern. This condition is called functional abdominal pain syndrome. Cause and treatment is discussed.

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  5. Fact Sheet: Fibromyalgia and Irritable Bowel Syndrome


    By: Kevin W. Olden, MD

    Although fibromyalgia and irritable bowel syndrome (IBS) are two very different disorders, they often overlap, and they share a number of commonalities that bear closer scrutiny. Like irritable bowel syndrome, fibromyalgia is a disorder that is diagnosed based on clinical (symptom based) criteria as opposed to laboratory and imaging studies.

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  6. Fact Sheet: Proctalgia Fugax-and Other Pains


    By: W. Grant Thompson, MD, FRCPC

    Many diseases of the anus and rectum may cause severe rectal pain. Usually a doctor can identify such a condition by examining the area. One pain that cannot be so identified is proctalgia fugax, a sudden severe pain that lasts for several minutes and then disappears. An overview of the condition. Reviewed 2009.

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  7. Fact Sheet: Rectocele: Symptoms Include Vaginal Pain or Constipation


    By: Bruce A. Orkin, MD

    A rectocele is a bulge from the rectum into the vagina. Most rectoceles occur in women where the front wall of the rectum is up against the back wall of the vagina. This area is called the rectovaginal septum and may be a weak area in the female anatomy. Other structures may also push into the vagina. A description of causes, symptoms, diagnosis, and treatment.

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  8. Fact Sheet: A Guide to Managing the Benefits and Risks of Medicines


    By: Information Adapted from FDA Publication FDA

    For many people, taking medication is a regular part of the daily routine, and these medicines are relied upon to treat disease and improve health. Although medicines can make you feel better and help you get well, it's important to know that all medicines, both prescription and over-the-counter, have risks as well as benefits.

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  9. Fact Sheet: Report from IFFGD Research Award Winner: Understanding Pain and Discomfort in Functional GI Disorders


    By: Klaus Bielefeldt, MD, PhD

    Pain, a burning or otherwise uncomfortable sensation in the upper abdomen, nausea, or fullness - all of these are symptoms many patients list when they seek medical advice. While we may think of ulcers, gallstones or perhaps inflammation of the pancreas as the cause, all too often even extensive and sophisticated testing does not show any abnormalities. So, why do all these persons feel pain or any of the other symptoms they report?

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  10. Fact Sheet: Nocebo Effects: They can Impair Health Care


    By: W. Grant Thompson, MD, FRCPC

    The placebo effect can enhance therapy, and promote a successful relationship between healer and patient. However, a treatment administered by a healer may also have a bad effect. Any treatment may have a predictable risk, but a nocebo effect denotes worsening beyond the known risk – the adverse effect of a failed therapeutic relationship. This can result in sub-optimal health care. An examination of its causes and ways to avoid it are discussed.

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