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Questions and Answers
What is a common occurrence in pain management, even when pain has been well managed?
What is a common occurrence in pain management, even when pain has been well managed?
- Reduced dosage of medications
- Complete elimination of pain
- Sudden development of new symptoms
- Episodes of increased pain, also known as flares (correct)
What is often beneficial in managing pain flares?
What is often beneficial in managing pain flares?
- Discontinuing all medications
- Reducing activity and exercise levels
- Increasing the dosage of painkillers
- Recommencing neuropathic medications or trialling an alternative (correct)
What may aggravate pelvic muscle pain?
What may aggravate pelvic muscle pain?
- Recent increase in inactivity or core-strength training (correct)
- Regular exercise and core-strength training
- Reducing stress levels
- A healthy diet and lifestyle
What should be considered when managing pain flares?
What should be considered when managing pain flares?
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What is an example of a new symptom that may be considered when managing pain flares?
What is an example of a new symptom that may be considered when managing pain flares?
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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.
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