1. Comprehensive quantitative sensory testing shows altered sensory function in women with chronic pelvic pain:results from the Translational Research in Pelvic Pain (TRiPP) Study
- Author
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Coxon, Lydia, Vollert, Jan, Perro, Danielle, Lunde, Claire E, Ferreira-Gomes, Joana, Charrua, Ana, Abreu-Mendes, Pedro, Krassowski, Michal, Birch, Judy, Meijlink, Jane, Hummelshoj, Lone, Hoffmann, Anja, Aziz, Qasim, Arendt-Nielsen, Lars, Pogatzki-Zahn, Esther, Evans, Emma, Demetriou, Lysia, McMahon, Stephen B, Missmer, Stacey A, Becker, Christian M, Zondervan, Krina T, Horne, Andrew W, Cruz, Francisco, Sieberg, Christine B, Treede, Rolf-Detlef, Nagel, Jens, and Vincent, Katy
- Abstract
Chronic pelvic pain (CPP), despite its high prevalence, is still relatively poorly understood mechanistically. This study, as part of the Translational Research in Pelvic Pain (TRiPP) project, has used a full quantitative sensory testing (QST) paradigm to profile n = 85 women with and without CPP (endometriosis or bladder pain specifically). We used the foot as a control site and abdomen as the test site. Across 5 diagnostically determined subgroups, we found features which are common across different aetiologies, eg, gain of function in pressure pain threshold (PPT) when assessing responses from the lower abdomen or pelvis (referred pain site). However, disease-specific phenotypes were also identified, eg, greater mechanical allodynia in endometriosis, despite there being large heterogeneities within diagnostic groups. The most common QST sensory phenotype was mechanical hyperalgesia (>50% across all the groups). A "healthy' sensory phenotype was seen in
- Published
- 2023
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