Physiotherapy provides significant benefits for patients with chronic urologic pain

Abstract

We should ensure that we are treating the entire person with a biopsychosocial, multidisciplinary approach that includes physiotherapy. By doing a thorough subjective and objective assessment, that includes relevant outcome measures, we will be able to target the right “driver” of our patients' symptoms. In all persistent pain states, there is always a blend of tissue issues and a sensitized nervous system. We need to start with pain education as the first-line treatment and make sure we are targeting all the right drivers. A multifaceted treatment approach that addresses TNE, diet, deep breathing, improved sleep hygiene, behaviour modification, and uses various manual therapy techniques and exercises, both globally and locally, can help improve the musculoskeletal contributors of our patient's symptoms. We must continue to give our patients hope and teach them self-efficacy, and put the power of their nervous system back in their hands.