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BackTable / OBGYN / Podcast / Episode #47
Decoding Chronic Pelvic Pain
with Dr. Jorge Carrillo
In this episode of BackTable OBGYN, host Dr. Mark Hoffman engages in a comprehensive discussion with Dr. Jorge Carrillo, a MIGS specialist at the Orlando VA Healthcare System and Site Director for the UCF/HCA Healthcare OB/GYN Residency Program, about the complexities of chronic pelvic pain from the perspective of a biopsychosocial model.
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BackTable, LLC (Producer). (2024, February 20). Ep. 47 – Decoding Chronic Pelvic Pain [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Jorge Carrillo
Dr. Jorge Carrillo is a gynecologic surgeon with the Orlando VA Healthcare System and an assistant professor at the University of Central Florida.
Dr. Mark Hoffman
Dr. Mark Hoffman is a minimally invasive gynecologic surgeon at the University of Kentucky.
Synopsis
The conversation dwells mostly on the intricate relationship between pain, trauma, and the patient’s psychological state as it relates to chronic pelvic pain. Dr. Carrillo emphasizes the importance of adopting a trauma-informed care approach that creates a safe environment for patients. The discussion also covers the use of surveys for patient information, the importance of organizing thoughts during patient evaluation, and an outline of the four major categories of pelvic pain: gynecologic, urologic, gastrointestinal, and musculoskeletal. Dr. Carrillo shares valuable insights into managing complex conditions such as pelvic pain, providing an education-first approach for patients with emphasis on shared decision-making, and outlines how he and his team operate within a multidisciplinary framework for patient treatment.
Timestamps
00:00 - Introduction
04:32 - Dr. Carrillo’s Journey in the Medical Field
08:51 - The Importance of Trauma-Informed Care in Chronic Pelvic Pain
14:54 - Understanding the Biopsychosocial Model in Chronic Pelvic Pain
19:49 - The Initial Approach to Evaluating Patients with Chronic Pelvic Pain
25:25 - Understanding Nociplastic Pain and Sensitization
28:00 - Treatment Approaches for Sensitization
29:26 - The Importance of Organized Thinking in Pain Management
30:20 - The Role of Questionnaires in Patient Assessment
35:10 - The Importance of Multimodal Approach in Pain Management
43:00 - The Role of the Provider in Organizing Patient Care
45:37 - The Importance of Education in Pelvic Pain Management
Resources
International Pelvic Pain Society Handouts for Different Disorders of Chronic Pelvic Pain:
https://www.pelvicpain.org/public/resources/educational-resources/informational-handouts
Transcript Preview
[Dr. Jorge Carrillo]
We're in a society where pain, especially pain in women, is totally normalized…So they don't speak up and that aspect of care is delayed…there's actually studies that we all know, we always talk about the delay in diagnosis, especially with endometriosis of seven to ten years and all that. There's actually studies looking at why that could happen and what factors happen…The part that comes from the society part is basically normalization and the lack of education, the lack of talking more about how it's not normal to experience pain with intercourse. It’s not normal to have periods that are debilitating that don't allow people to actually carry out normal functions.
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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