2/11/2024 0 Comments Back pain endometriosis![]() This is a similar pattern to that seen among all female ED presentations in this period, likely influenced by the COVID-19 pandemic. Between 2018––22 (the period for which reliable diagnosis information is available nationally), the highest number of ED presentations due to endometriosis was in 2020–21 with 3,700 presentations (Figure 9). The number and rate of ED presentations due to endometriosis (where endometriosis was the principal diagnosis) has fluctuated in recent years. 26% as ‘semi-urgent’ (within 60 minutes).9.5% were categorised as ‘resuscitation’ (requiring immediate care) or ‘emergency’ (within 10 minutes).Of all endometriosis-related ED presentations in 2021–22: Triage category is used to indicate the level of urgency of a patient’s need for care. The health classification used for emergency department presentation diagnosis reporting in Australia is the Emergency Department ICD-10-AM Principal Diagnosis Short List.įor further information on the NNAPEDCD and the methods used in this report, see the Technical notes. Triage is the process by which a patient is briefly assessed to determine the urgency of their problem and priority for emergency care.Endometriosis-related emergency department presentations are emergency department presentations with a principal and/ or additional diagnosis of endometriosis.An emergency department provides triage, assessment, care and/or treatment for patients suffering from medical conditions and/or injury. ![]() What is an endometriosis-related emergency department presentation?Įmergency department data presented here are based on non-admitted patient episodes of care from the National Non-admitted Patient Emergency Department Care Database (NNAPEDCD), including multiple events experienced by the same individual in a given time frame. Figure 8: Number and rate of endometriosis-related emergency department presentations, by age group, 2021–22 For 27% of the endometriosis-related presentations the patient was admitted to the same hospital for further care. The rate of endometriosis-related ED presentations was highest in the 20–24 age group.Īround 71% of endometriosis-related ED presentations in 2021–22 ended with the patient leaving the hospital without being admitted or referred to another hospital. Most endometriosis-related ED presentations were among females aged 15–44 (Figure 8). 72% of endometriosis ED presentations were triaged as needing to be seen within 30 minutes or less.Īlmost all (95%) endometriosis-related ED presentations had endometriosis listed as the principal diagnosis.The number and rate of endometriosis-related ED presentations has fluctuated between 2018––22, peaking at 3,700 presentations in 2020–21.The rate of endometriosis-related ED presentations was highest in the 20–24 age group.This represents around 28 presentations per 100,000 females. There were more than 3,600 endometriosis-related emergency department (ED) presentations in 2021–22.Those are of crucial importance to make an appropriate differential diagnosis and to screen amongst the possible causes of lumbopelvic pain also visceral ones as endometriosis, which often manifests with associated symptoms such as nonspecific LBP.Ĭhronic pelvic pain Differential diagnosis Endometriosis Low back pain.Ĭopyright © 2021 Elsevier Ltd. This case report highlights the importance of a thorough clinical assessment and the identification of relevant findings from patient's medical history to be carried out by the physiotherapist. The patient underwent a laparoscopy for endometriosis eradication and the intervention resulted in complete abolition of symptoms, enabling the patient to return to work and to do physical activities. Nevertheless, after five treatment sessions, the symptoms remained unchanged, and therefore the patient was referred to a gynecologist for a consultation. Initial physical therapy management included education, manual therapy and therapeutic exercise. Functional evaluation and clinical tests revealed a disorder referred to the lumbar spine and sacroiliac region. The patient's past medical history included gynecological visceral disorders, regularly monitored. S.C, 45 years old, complained to physiotherapist of lumbar spine and left buttock pain, spreading to the hypogastric, inguinal and left pubic areas. The purpose of this case report is to underline the primary role of clinical reasoning and assessment process, which led the physiotherapist to the differential diagnosis, considering endometriosis among the possible causes of low back pain. Endometriosis is commonly related to low back pain (LBP) and therefore often mistaken for a musculoskeletal disorder. ![]() Endometriosis is one of the most widespread gynecological disorders and a very common condition amongst fertile women, thus it has to be considered one of the possible sources of lumbopelvic pain.
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