Effects of an Intervention Program Based on Pain Education in Patients With Chronic Pelvic Pain

University of Valencia

Status: Completed

Conditions: Pelvic Pain

Treatments: Other: Pain education

Study type: Interventional

Funder types: Other

Identifiers

NCT02957214

RM-27072016

Details and patient eligibility

About

The purpose of this study is to obtain imaging biomarkers based on changes in activity patterns and changes in brain connectivity obtained with the analysis of functional magnetic resonance imaging (fMRI) and tractography that are related to chronic pelvic pain

Enrollment: 15 patients

Sex: Female

Ages: 18 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 18 and 55 years
• Chronic pelvic pain diagnosis
• Pain duration > 6 months
• Average pain intensity ≥ 6 during the previous week

Exclusion criteria

• Suspected or knowledge of actual organic pathology that requires medical or surgical treatment
• Psychiatric illness: major depression, bipolar syndrome...
• Patients with significant cognitive deficits
• Have pacemaker, metal prostheses or hearing aids incompatible with MRI
• Severe traumatic brain injury
• Previous cranial surgeries
• History of alcoholism
• Do not sign informed consent

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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15 participants in 1 patient group

Pain education

Experimental group

Description:

The patient education provides a basic set of information that includes the explanation of possible pathophysiological mechanisms involved in the development of chronic pain. The main objective is to reduce pain threatening and alarmist interpretation. The patient must understand that the pain is not necessarily a sign of injury, but the consequence of a maladaptive central sensitization. One element of this therapeutic strategy is to help the patient to perform physical activities that involve a gradual exposition to stimuli associated with their pain and promote physical recovery exposure. Pain education also aims to reduce fear-avoidance behavior and the patient's disability.

Treatment:

Other: Pain education