18 Oct Pain Management For Chronic Pelvic Pain
According to the ACOG chronic pelvic pain is defined as continuous pelvic pain that is noncyclical and lasts longer than 6 months and that is localized to the abdominal wall that occurs at/below the umbilicus, pelvis, lumbosacral back, and/or buttock and that is of sufficient severity to result in functional disability or require medical care.
Chronic Pelvic Pain Can Come From:
• Chronic Pelvic Inflammatory Disease
• Tension in the Pelvic Floor Muscles
• Ovarian Remnant
• Interstitial Cystitis
• Pelvic Congestion Syndrome
• Psychological Factors
Almost 4 percent of women are believed to have chronic pelvic pain and it is responsible for 18 percent of all hysterectomies and 40 percent of gynecologic laparoscopies. Annually in the Unites States, doctors perform 400,000 laparoscopies related to chronic pelvic pain or endometriosis. In 40 percent of those cases there are negative finding.
Chronic pelvic pain may be a symptom of its own or it can be its own condition. The cause of chronic pelvic pain is very hard to find.
• Intermittent pain or severe and steady pain.
• Dull aching
• Sharp pains
• Pressure or a heaviness deep in the pelvis
• There may be pain during intercourse
• There may be pain during urination or a bowel movement
• There may be pain when you sit for long periods
Pain Management Options for Chronic Pelvic Pain
Your pain management can include a number of treatments including but not limited to the following:
• Pain Relievers – Over-the-counter pain remedies, such as ibuprofen, aspirin, or acetaminophen that may provide some relief of pelvic pain. Prescription pain reliever may be necessary if OTC do not work. It’s important to note that pain medication alone seldom resolve chronic pain.
• Antibiotics – If an infection is present, your doctor may prescribe antibiotics.
• Hormone treatments – Pelvic pain may match with a particular phase of your menstrual cycle and so the use of hormonal treatment could help relieve your pelvic pain.
• Antidepressants – Some antidepressants can help with chronic pain syndromes. Tricyclic antidepressants seem to have some pain-relieving effects.
• Physical Therapy – Applying heat and cold to your abdomen, massage, stretching exercises, and other similar relaxation techniques can be beneficial in reducing chronic pelvic pain. Sometimes physical therapists use TENS, where electrodes send electrical impulses to nearby nerve pathways
• Neurostimulation – This treatment implants a device that will block nerve pathways so that the pain signal is unable to reach the brain.
• Trigger Point Injections – Your team may be able to find a specific point where you feel pain. In these cases, you could benefit from injections of a numbing medicine into the spot that’s painful.
• Counseling – The pain can be intertwined with sexual abuse, depression, a personality disorder, family crisis, or a troubled marriage. Get help for social, psychological and emotional challenges as part of your treatment.
• Surgery – Your doctor(s) may determine that surgery is the best alternative for your chronic pelvic pain; however, this is generally a last resort. This can include laparoscopic surgery or a hysterectomy.
Your pain management may be a combination of treatments that work for you. A pain management clinic may be the best option for you to find the relief that you need.