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CONDITION/DISORDER SYNONYMS
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338.4 Chronic pain syndrome
Associated medical diagnoses
564.6 Anal spasm
569.42 Anal or rectal pain
595.1 Chronic interstitial cystitis
601.1 Chronic prostatitis
617 Endometriosis
625.0 Dyspareunia
625.5 Pelvic congestion syndrome
625.7 Vulvodynia
625.71 Vulvar vestibulitis
Associated physical therapy diagnoses
719.45 Pain in the hip joint, pelvic region, and thigh
724.7 Disorders of coccyx
728.2 Muscular wasting and disuse atrophy
728.85 Spasm of muscle
728.89 Disorders of muscle, ligament, and fascia
729.1 Myalgia
729.2 Neuralgia/neuritis
729.9 Other disorders of soft tissue
780.7 Malaise and fatigue
782.3 Edema
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G89.4 Chronic pain syndrome
N30.10 Interstitial cystitis (chronic) without hematuria
N30.11 Interstitial cystitis (chronic) with hematuria
N41.1 Chronic prostatitis
N80 Endometriosis
R10.2 Pelvic and perineal pain
Symptom specific diagnoses
K59.5 Anal spasm
N53.12 Painful ejaculation
N94.1 Dyspareunia
N94.81 Vulvodynia
N94.810 Vulvar vestibulitis
N94.818 Other vulvodynia
N94.819 Vulvodynia unspecified
N94.89 Other condition associated with female genital organs and menstrual cycle
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PREFERRED PRACTICE PATTERN
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As of July 2014, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology
Associated or secondary musculoskeletal patterns include:
4C: Impaired Muscle Performance1
4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction1
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PATIENT PRESENTATION
A 45-year-old woman reports that 3 years ago she had a urinary tract infection (UTI) that was treated with antibiotics. She had recurrent symptoms of UTIs every 2 to 3 months for the next 2 years until during the last episode, she was told by the physician that the urinalysis was negative. The burning with urination was painful. In the past year she has developed more symptoms. She has noticed that she has to urinate more frequently, at least 10 times per day. She wakes up at least three times at night to urinate. Pain is temporarily relived by urination. She reports that in the last year, she has started having problems with bowel movements. Sometimes she is constipated, and sometimes stools are loose. She never had these problems before. She now is having pain during intercourse, and sometimes feels a throbbing pain in the vaginal regions while she is working at her desk. She has stopped exercising because she is concerned that running is making her symptoms worse. She is afraid to have intercourse because it was very painful the last time.
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