Welcome to Pain and Spine Clinics

 Overview of Pelvic Pain Treatment in Arizona

 

pelvic painPelvic pain involves discomfort located in the lowest part of your abdomen and pelvis. Women who experience pelvic pain might refer to symptoms arising from the reproductive, digestive, urinary, and/or musculoskeletal sources. Pelvic pain can be sharp or dull, mild, moderate or severe, and short- or long-term. It can be a constant pain or “come and go” pain. At times, the pain may radiate down the lower back, thighs, or buttocks. With pelvic pain, you may notice the pain during sexual activity or while urinating. Some pain in the pelvic area can come on suddenly and be brief yet sharp. which is an acute pain. Chronic (long-term) is any constant or intermittent pelvic pain that lingers six months or more.

 

Incidence/Prevalence/Statistics

Chronic pelvic pain is common, affecting around 1 in 7 women. In a study of women who were reproductive age, the prevalence rate of pelvic pain was 39%. Addition, of all referrals to gynecologists, 10% are related to pelvic pain. In one study, Blacks had a higher incidence of pelvic pain than other races. Women are affected mostly with pelvic pain, but causes in men include prostatitis, orchalgia, and prostatodynia. Of women, the most common ages for pelvic pain are 26 to 30 years.

 

Causes

 

Chronic pelvic pain can result from more than one condition. Several types of diseases and conditions may cause it. Pelvic pain can arise from your digestive, urinary, and reproductive system. Some doctors have recognized that certain pelvic pain, particularly chronic pelvic pain, can also arise from muscles and connective tissue (ligaments) in the structures of the pelvic floor. Irritation of nerves in the pelvic region can also cause pain.

The female reproductive system causes of pelvic pain include:

  • Menstrual crampspelvic pain2
  • Adenomyosis
  • Miscarriage
  • Endometriosis
  • Ectopic pregnancy
  • Ovarian cancer
  • Mittelschmerz (ovulation pain)
  • Ovarian cysts
  • Uterine fibroid’s
  • Vulvodynia
  • Uterine fibroid’s
  • Pelvic inflammatory disease

 

Symptoms

 

What symptoms are associated with pelvic pain? Pelvic pain can occur just as severe pain of the pelvic region, or it could involve other symptoms. These are:

  • Worsening of menstrual cramps
  • Constipation or diarrhea
  • Blood with bowel movement
  • Menstrual pain
  • Pain in the hip or groin area
  • Pain during intercourse
  • Painful or difficulty urinating
  • Vaginal spotting, discharge or bleeding
  • Gas or bloating
  • Fever and chills

 

Diagnosis

 

The Phoenix pain doctor will ask questions and do a physical examination to help diagnose the proper way to treat the pelvic pain. He/she may decide on additional tests or procedures which may include:

 

  • Blood workcanstockphoto9803533
  • Urine test
  • Ultrasound
  • X-rays, MRI and/or CT Scan
  • Laparoscopy
  • Colonoscopy
  • Cystoscopy

 

Treatments

Many times, it’s hard to pinpoint the cause of pelvic pain. Some people may go to different doctors in order to find the cause. Many times, it’s good to go to a specialist. If a cause of pain isn’t found, it can be treated by knowing what triggers the pain, or at least by taking or doing something for the pain.

While pelvic pain is more common in women, pelvic pain also affects men. The goals of pelvic pain management treatment are focused on the reduction of pain, restoration of normal function and improved quality of life. Here are a few treatment options for pelvic pain:

 

  • Cognitive and behavioral therapies. Psychologists understand the emotional and mental stress that exist for patients who have a chronic pelvic pain diagnosis. These professionals provide pelvic pain management tools, such as relaxation training, hypnosis, and group support to help patients cope.superior hypogastric plexus block

 

  • Physical therapy. Physical therapists have specialized training in pelvic pain management treatment, and they are experts in the diagnosis and treatment of pelvic floor tension disorders. These conditions may be associated with urinary incontinence, fecal incontinence, constipation, interstitial cystitis, pudendal neuralgia, and dyspareunia.

 

  • Neurostimulation. This is a high-tech intervention that is being used to treat refractory pelvic pain and bladder dysfunction syndromes, such as interstitial cystitis.

 

  • Therapeutic injections. Your Phoenix pelvic pain management specialist may recommend one or a series of injections, depending on the exact nature of symptoms. These are termed superior hypogastric plexus blocks. They are performed as an outpatient, and may be repeated as needed for optimal effectiveness.

Dr. Abbasian with Pain and Spine Clinics in Phoenix is a pelvic pain specialist. He offers several treatment options for effective relief. This may include medication management and/or interventional procedures such as superior hypogastric plexus blocks or spinal cord stimulation. Most insurance is accepted at the Phoenix pain center, call us today!

 

Resources

Jamieson DJ, Steege JF. The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in primary care practices. Obstet Gynecol. 1996 Jan. 87(1):55-8.

Mathias SD, Kuppermann M, Liberman RF, et al. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol. 1996 Mar. 87(3):321-7.

Reiter RC. A profile of women with chronic pelvic pain. Clin Obstet Gynecol. 1990 Mar. 33(1):130-6

 

 

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