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There was such deluge of important research presented at the recent World Congress on Abdominal and Pelvic pain that I’m taking time to digest it and translate it into practice. Here’s my second instalment.

If you didn’t see Part 1 click here.

There’s much more discussion in the vlog above, here are my brief notes. Starting with the end of the BPS cluster, Mr Kenneth Peters MD presented the role of peripheral nervous system on development and management of pelvic pain.

He believes there’s clearly two distinct populations in BPS: those with active Hunner’s Ulcers and those without. Those with Hunner’s Ulcers and pain/urgency symptoms (the more Type 3c, small stenotic bladder, passing small volumes at a high frequency) are the “active” Hunner’s ulcer phenotype, who tend to have less systemic pain, occur in post-menopausal women, and patients respond more readily to intensive surgical treatment....

I had an absolutely inspiring time at the World Congress on Abdominal and Pelvic Pain in Washington recently. I was given the opportunity thanks to the Dame Josephine Barnes award from the POGP and the EPIC Scholarship from Entropy Physiotherapy in Chicago and Lorimer Moseley. I can’t thank them enough for supporting the education and development of clinicians who wouldn’t otherwise be able to attend world-leading conferences such as this one. It truly was EPIC.

I’ve gone back through my notes and pulled together some of the things I think are important and have great clinical translation. It helped me to gather and retain the information and I really wanted to share what I learned. Better informed clinicians providing up to date evidence-based therapy are going to be the best for our patients, and at the end of the day this is why we do what we do. Apologies to any of the researchers for inaccuracies, these are just a few teeny pearls of wisdom I took/understood...