CSM Pre-Conference: Abdominopelvic Pain: New Medical and Surgical Treatments for Bowel and Endometriosis

Pelvic floor physical therapists must be well-versed in the many causes of abdominal and pelvic pain. Pelvic and abdominal pain are complex conditions that can arise from various systems within the body, particularly the reproductive and gastrointestinal systems. This pre-conference session brings together two world-renowned experts to explore the nuanced causes of chronic pelvic pain.

Dr. Mona Orady, a gynecologist specializing in minimally invasive surgery for endometriosis, will provide insights into reproductive causes of pelvic pain and dysmenorrhea, while Dr. Brooks Cash, a gastroenterologist and member of the Rome Criteria board, will delve into GI-related causes. Attendees will have the unique opportunity to engage in a panel discussion and Q&A with both physicians, highlighting the crucial collaboration between physical therapists and physicians in managing chronic pelvic pain.

Learning Objectives

1. Understand the role of reproductive system dysfunction in chronic pelvic pain, including menstrual disorders and endometriosis.
2. Explore effective management strategies for dyspareunia and breaking the pain cycle.
3. Gain insights into minimally invasive excision surgeries and their role in treating pelvic pain.
4. Learn about the gastrointestinal causes of pelvic pain, including IBS, IBS mimickers, chronic constipation, and abdominal pain with bloating and distension
5. Appreciate the interdisciplinary approach to managing chronic pelvic pain, with a focus on collaboration between physical therapists and physicians.

About Mona Orady, MD

Dr. Mona Orady, MD, is the Director of Robotic Surgery Services at St. Francis Memorial Hospital in San Francisco, California practicing gynecologic minimally invasive surgery at Dignity Medical Foundation. Formerly, she served as the Chief of Quality and Education in OB/GYN at Tawam Hospital, affiliated with John Hopkins Medicine in Alain, UAE. Prior to her tenure with Tawam Hospital, Dr. Orady was the Director of Robotic Surgery Education at the Cleveland Clinic Obstetrics & Gynecology & Women’s Health Institute, specializing in robotic surgery in benign gynecology. While there, she developed and oversaw the minimally invasive surgery curriculum for gynecology residents at the Cleveland Clinic.

Dr. Orady previously spent three years as a senior staff physician in the Department of Obstetrics/Gynecology at Henry Ford Health System in Detroit, Michigan. There, she was a member of the Division of Minimally Invasive Gynecology and Robotic Surgery and was faculty for the AAGL-accredited Minimally Invasive Gynecology Fellowship at Henry Ford Hospital. , Dr. Brooks D. Cash received his undergraduate degree in business administration with honors from The University of Texas at Austin. He earned his medical degree from the Uniformed Services University of Health Sciences and completed his internship, residency and gastroenterology fellowship at the National Naval Medical Center in Bethesda, MD.

About Brooks Cash, MD

Dr. Cash is chief of the Division of Gastroenterology, Hepatology and Nutrition at McGovern Medical School at UTHealth where he also serves as a visiting professor of medicine. Prior to his relocation to UTHealth, Dr. Cash was chief of the gastroenterology division at the University of South Alabama in Mobile. Before that, he served for 24 years in the United States Navy, retiring in 2013 at the rank of captain. For 20 of those years, he was stationed at Bethesda Naval Hospital and the Walter Reed National Military Medical Center, during which time he served as chief of gastroenterology, chief of medicine and deputy commander for medicine at both institutions. He also holds an appointment as a professor of medicine at the Uniformed Services University of the Health Sciences in Bethesda.

Dr. Cash is a diplomat of the American Board of Gastroenterology and is a fellow of the American College of Physicians, American College of Gastroenterology (ACG), American Gastroenterological Association and the American Society for Gastrointestinal Endoscopy. He has chaired numerous professional society committees and has been course director for national and regional ACG postgraduate meetings. He has authored over 150 articles and book chapters on a wide variety of gastrointestinal topics, including irritable bowel syndrome and chronic constipation, opioid induced constipation, colorectal cancer screening, CT colonography, acid-peptic disorders, Barrett’s esophagus, medical education techniques and evidence-based medicine.