What causes chronic pelvic pain with tender spine?
Patient: I have had chronic pelvic pain for 28 years I am a 45 year old female, I have Fibro, Endometriosis, Adhesions, abdominal scar tissue, Interstitial Cystitis, bradycardia, and have recently noticed the more weight lose(approx 120 lbs over a year, not intentional, but no complaints about it either) my back, spine to be specific is very tender to the touch from mid back slightly above belly button level clear down to my cocyxx. Any ideas, I d like to have my life back, was declared disabled in 2002. Doctor: hi,thank you for providing the brief history of you.A thorough neuromuscular assessment and musculoskeletal assessment is advised.As you have a certain conditions diagnosed and also certain physical symptoms which are restricting your functional ability I will recommend to undergo physical therapy. As with physical therapy the pain and aches can be controlled with non invasive electrotherapy. Post which exercises will be implemented where the muscles will become stronger. It will be a slow and gradual process to undergo. As the pelvic area is painful and spine is tender, physical therapy like - Therapeutic ultrasound therapy and TENS therapy will help you with decrease in the pain. Also, exercises are the key for long term recovery.I deal with similar cases and many more, but with the combination of drug therapy and physical therapy the results are good.RegardsJay Indravadan Patel