Diana comes to see you 2 months after starting hormonal therapy, initiating pelvic floor physical therapy, and working on behavioral strategies to reduce pain.
Diana’s Pain Disability Index at 2 month Follow-Up
Diana scored the following (0= no disability, 10= worst disability):
- Family/home responsibilities: 2
- Recreation: 2
- Social activity: 2
- Occupation: 1
- Sexual behavior: 3
- Self care: 0
- Life-support activity: 0
Baseline total score: 16 = mild impairment in function
2 month follow-up score: 10 means some improvement!
Diana’s Pelvic Pain Management Summary
Diana has benefited from the following multimodal strategies and her team will continue to work with her to optimize her function:
- Physical therapy
- pelvic floor physical therapy and lumbopelvic muscle treatment
- Medication management
- trial of suppressive hormonal therapy (continuous oral contraceptive pills to stop menstruation) as pain is worse around her menses
- Behavioral strategies
- stress reduction techniques for acute pain, 3-minute daily deep breathing exercises