Last Week’s Hot Topic on Endometriosis


Last week’s hot topic on endometriosis was Chronic Pelvic Pain, Including Endometriosis, Has New Treatment Approach Targeting Nervous System written by Carolina Henriques.

This article focused on an interventional pain specialist, Dr. Douglas Spiel, who offers a new approach to treating chronic pelvic pain (CPP) that aims to shut down pain at its source in the nervous system, rather than through the use of conventional oral medications or creams. The approach targets the plexus of nerves connected with a pain area.

CPP affects millions of people worldwide, both men and women, and is related to diagnoses like vulvodynia, pudendal neuralgia, interstitial cystitis, prostatitis, and endometriosis.

CPP presents a challenge to healthcare providers due to its unclear etiology, complex natural history, and poor response to therapies. CPP is also often poorly managed, as management requires knowledge of several systems, including the musculoskeletal, neurologic, and psychiatric. Patients who suffer from CPP often complain of pain that keeps them from normal daily activities and affects their quality of life.

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