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.

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.

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SHOW NOTES

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

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RESOURCES

International Pelvic Pain Society Handouts for Different Disorders of Chronic Pelvic Pain:

https://www.pelvicpain.org/public/resources/educational-resources/informational-handouts