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Pelvic Disorders/Dysmenorrhea

Regarding CPP, chiropractic claims that women may possibly be spared from hysterectomy if they first obtained a chiropractic assessment; the cause of illness is often referred pain from the lumbar spine, which can be treated with manipulation.

Guiding Hypotheses

• The autonomic nervous system for the pelvic pathways are closely associated with the spine.  One hypothesis is that decreased spinal mobility could adversely affect the sympathetic nerve supply to the blood vessels supplying the pelvic organs.  This could lead to dysmenorrhea due to the constriction of blood vessels.  Manipulation of the vertebral column increases spinal mobility and may improve pelvic blood supply through an influence on the autonomic nerve supply to the blood vessels.

• Another hypothesis is that pelvic pain is referred pain arising from musculoskeletal structures that share the same pelvic nerve pathways. The character of pain from musculoskeletal dysfunction can be very similar to gynecological pain.