Practical Chronic Pain Management by Tariq Malik

Author:Tariq Malik
Language: eng
Format: epub
ISBN: 9783030466756
Publisher: Springer International Publishing

How Is This Problem Managed?

Treatment for IC/BPS can be divided into four general categories – non-medication management, oral medications, intravesicular therapy, and interventions/surgeries.

Non-medication Management

Patients with IC/BPS should be educated about the condition, instructed on dietary changes such as avoiding food triggers, and taught stress management. Care should be taken to get baseline voiding symptoms and pain levels in order to measure the effectiveness of subsequent treatments. Physical therapy, development of coping strategies, and cognitive behavior therapy are also crucial to management [2, 4, 8]. Any psychologic comorbidities should be appropriately treated [2]. There are two common misconceptions in non-medication management of IC. First, some patients drink cranberry juice thinking it would help their pain such as in bacterial cystitis; however, the acidification of the urine caused by cranberry worsens BPS symptoms [1]. Second, some patients do Kegel exercises to strengthen the pelvic floor thinking that it can relieve symptoms; however, increased pelvic tone can worsen the pain of BPS. The reverse strategy of relaxing pelvic wall muscles, called Thiele’s exercises, are more helpful [1].

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