Neurogenic Pelvic Pain

Elkins, Nicholas; Hunt, Jason P.; Scott, Kelly M.

doi:10.1016/j.pmr.2017.03.007

Cited by 48 publications

(30 citation statements)

References 105 publications

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“…As in any of neuropathic pain, pharmacologic agents (nonsteroidal anti-inflammatory medications, gabapentin, pregabalin, tricyclic antidepressants, and muscle relaxants) and physical therapy may be beneficial as a curative option. When these treatment modalities fail, PNI should be considered for providing diagnostic information as well as pain relief as a minimally invasive, nonsurgical therapeutic option [24]. The pudendal nerve is situated in the deepest area in the pelvis and it makes the PNI technically difficult if transperineal or transgluteal approaches are preferred.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Ultrasound-Guided Transgluteal and Finger-Guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective?

et al. 2019

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Pudendal neuralgia (PN) is a painful and disabling condition, which reduces the quality of life as well. Pudendal nerve infiltrations are essential for the diagnosis and the management of PN. The purpose of this study was to compare the effectiveness of finger-guided transvaginal pudendal nerve infiltration (TV-PNI) technique and the ultrasound-guided transgluteal pudendal nerve infiltration (TG-PNI) technique. Methods: Forty patients who underwent PNI for the diagnosis of PN were evaluated. Thirty-five of these 40 patients, who were diagnosed as PN, underwent a total of 70 further unilateral PNI. All the patients underwent PNI for twice after the first diagnostic PNI, 1 week apart. Results: In the ultrasound (US)-guided TG-PNI group, the success rate was 68.8% (11 of 16) in both "pain in the sitting position" and "pain in the region from the anus to the clitoris. " The success rate of blocks in the US-guided TG-PNI group was 75% (12 of 16) in terms of pain during/after intercourse. In the finger-guided TV-PNI group, the success rate was 84.2% in both "pain in the sitting position" and "pain in the region from the anus to the clitoris. " The success rate of blocks in the fingerguided TV-PNI group was 89.5% (17 of 19) in terms of pain during/after intercourse. There was no statistically significant difference in the success rate of the 3 assessed conditions between the 2 groups (P > 0.05). Conclusions: The TV-PNI may be an alternative to US-guidance technique as a safe, simple, effective approach in pudendal nerve blocks.

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Section: Discussionmentioning

confidence: 99%

Comparison of Ultrasound-Guided Transgluteal and Finger-Guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective?

et al. 2019

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“…[48] The effectiveness of therapeutic nerve blocks performed with the guidance of USG and CT in CPP treatment has been shown in several studies. [49] Nerve blocks are well-defined for acute pain; in addition, it is an active research field yielding positive results in recent studies. Ilioinguinal, iliohypogastric, genitofemoral blocks are used in the treatment of CPP.…”

Section: Injection Techniques In Pelvic Painmentioning

confidence: 99%

Pelvic pain rehabilitation

Vural¹

2018

Turk J Phys Med Rehab

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Chronic pelvic pain is defined as persistent painful condition which lasts for at least six months under umbilicus. Numerous factors are blamed for etiopathogenesis, and quality of life of individuals is adversely affected. Chronic pain as well as functional disorders are accompanied to chronic pelvic pain. The treatment and rehabilitation program should be tailored for specific causes, targeting general pain treatment. Consequently, chronic pelvic pain management can be used to propose personalized treatment options and include patient education, behavioral therapy, and a biopsychosocial approach. Interdisciplinary teamwork and collaboration are essential for facilitating patient-centered rehabilitation.

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“…Overlapping cutaneous sensory innervations of these nerves may cause difficulty in finding the primary injured nerve. Furthermore, these three nerves are located anatomically in close proximity in the groin region, they can be injured alone or in combination in the groin area due to lower abdominal surgical procedures (12). IH, II, and GF neuralgias typically present sharp, burning, and persistent pain in the groin or upper pubic area.…”

Section: Evaluation and Treatmentmentioning

confidence: 99%