An Overview of Pelvic Pain Treatment in Houston

What is pelvic pain?

The pain that originates from the pelvis, which include the womb, bladder, vagina, bladder, vulva, hips, cervix, bowel, ovaries, or lower back, and persists for almost six months is referred to as pelvic pain. In some people, the pain emanates from pelvic bones or nearby joints, nerves, muscles, or blood vessels. The condition is more common in women, affecting one in seven women, with 20 percent belonging to the 18-50 age group.

Pelvic pain may be the result of musculoskeletal, gynecological, psychosocial factors or central nervous system sensitization. Though chronic pelvic pain cannot be regarded as a disease, it may point toward several disorders, including interstitial cystitis, pelvic inflammatory disease, endometriosis, diverticulitis, and irritable bowel syndrome. Persistent pain in the pelvis can trigger physical, mental, and emotional distress and adversely affect the quality of life of the affected person.

What are the causes?

A range of urinary, gastrointestinal, or gynecological conditions can cause pelvic pain symptoms.

Gynecological Causes: About 20 percent of women experience pelvic pain as a result of gynecological causes, which may include fibroids, endometriosis, vulvodynia or pain in the vulva, pelvic adhesions, instability of pelvic joints, ovarian cysts, and ectopic pregnancy.

Gastrointestinal causes: Irritable bowel syndrome is one of the main gastrointestinal causes of pelvic pain that occurs as a result of disturbed bowel movement. In most cases, pain subsides when the stool has been passed.

Interstitial cystitis: Females suffering from painful bladder syndrome, also known as interstitial cystitis, also experience pelvic pain and discomfort in the lower abdomen.

Neuropathy: Some women experience pelvic nerve pain, which is also considered a cause of pelvic pain.

What are the symptoms?

Symptoms vary from one woman to another. While for some women, pelvic pain can be severe enough to interfere with routine activities or even during sexual intercourse. The pain can be steady or be felt intermittently. It can be dull or sharp and stinging pain at a specific spot. There are a few women who experience pelvic pain only during menstrual periods, while some others feel pain while lifting heavy objects.

  • Coccygeal Pain- felt in the tail bone
  • Genital pain
  • Pain in bladder
  • Rectal pain
  • Low backache
  • Perineum discomfort and pain
  • Groin discomfort
  • Reduced libido
  • Discomfort in sitting position
  • Increased urge to urinate
  • Burning micturition
  • Pain during and/or after intercourse

How is pelvic pain diagnosed?

The Houston pain doctor will examine the patient’s pelvis, abdomen, and muscle and tissues in the pelvic region to look for abnormalities or tenderness. Laboratory tests, such as urine test or blood work, can be performed for a clear diagnosis of the problem.

The pain management doctor in Houston may perform pelvic ultrasound using sound waves to take a clear view of the organs inside the pelvic region. In some cases, the doctor may suggest pelvic laparoscopy, which is a form of minor surgery performed by making a small cut into the skin to insert an instrument to get a clear picture of the pelvis. Cystoscopy, colonscopy, or pelvic MRI and ultrasonography are other methods to diagnose pelvis problems.

What is the treatment?

Most often, analgesics, antibiotics, antidepressants are prescribed to the patient experiencing pelvic pain symptoms.

The doctor may prescribe a treatment depending on the cause of your pelvic pain. For some cases of pelvic pain, the treatment involves taking anti-inflammatory drugs and hormonal therapy.

Physical therapy that includes pelvic floor exercises can prove beneficial in healing pain.

Behavioral therapy is designed to reduce effects that pelvic pain may have and reduce the baseline discomfort.

Endometriosis treatment may include hormonal therapy, nonsteroidal anti-inflammatory drugs, and laparoscopic procedure to remove scar tissue, adhesions, and outgrowth, without touching reproductive organs.

Hysterectomy is recommended for severe cases. Unfortunately, about 30% of women have already undergone a hysterectomy but continue to suffer from pelvic pain.

Hormonal medications are given to women who experience the pain during menstruation cycle.

Trigger point injections are used to treat myofascial abdominal wall pain.

A combination of physical therapy and medication therapy works better in treating the symptoms of pelvic pain.

Other treatment methods that offer more relief include relaxation therapy, acupuncture, counseling, and chiropractic.

Superior hypogastric plexus blocks with a Houston pain management doco may provide exceptional pain relief for all types of pelvic pain. A series of injections may be necessary for optimal relief.

As a last resort, if all other treatments fail, then a spinal cord stimulator is an  option. It is increasingly being used for relief as the newest technology can relieve pelvic area pain, not just back and leg pain.

Surgery is often used as the last resort in treating pelvic pain when the symptoms are due to cyst, tumor, or painful growths in the pelvis.

http://www.nichd.nih.gov/health/topics/pelvicpain/conditioninfo/Pages/diagnosed.aspx

http://www.medindia.net/patients/patientinfo/pelvic-pain-in-women-diagnosis.htm