5 Questions
What is a common occurrence in pain management, even when pain has been well managed?
Episodes of increased pain, also known as flares
What is often beneficial in managing pain flares?
Recommencing neuropathic medications or trialling an alternative
What may aggravate pelvic muscle pain?
Recent increase in inactivity or core-strength training
What should be considered when managing pain flares?
Reviewing medications and activity/exercise levels
What is an example of a new symptom that may be considered when managing pain flares?
A newly painful bladder
Study Notes
Managing Pain Flares
- Episodes of increased pain, known as flares, are common and should not be considered as treatment failure.
- Flares can last for weeks or months and worsen symptoms.
Effective Management of Pain Flares
- Review medications, especially neuropathic medications, which may have been ceased when the patient was well.
- Recommencing or trialling alternative medications can be beneficial.
- Increase the dose of progestogen medication, such as:
- Early replacement of the levonorgestrel intrauterine device.
- Adding norethisterone 5 mg daily.
Review of Activity and Exercise
- Recent increase in inactivity or core-strength training may aggravate pelvic muscle pain.
- Management of this aspect of the patient's pain is often overlooked.
Consideration of New Symptoms
- New symptoms, such as:
- Painful bladder.
- Painful intercourse.
- Vaginal candida infection.
- These symptoms should be considered when managing pain flares.
Learn about managing episodes of increased pain, including reviewing medications and trialing alternative options, to effectively handle pain flares.
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