Ep. 47 Decoding Chronic Pelvic Pain with Dr. Jorge Carillo

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. --- 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 --- RESOURCES International Pelvic Pain Society Handouts for Different Disorders of Chronic Pelvic Pain: https://www.pelvicpain.org/public/resources/educational-resources/informational-handouts