At Texas Pain Care, we aim to help you identify the cause of your pain and provide treatment. Our Pelvic Pain Specialists in Texas collaborate with urologists, gynecologists, and other specialists for comprehensive care.
Please note that this is not an exhaustive list and that pelvic pain can have various other causes as well. It’s always best to seek medical advice if you’re experiencing persistent or severe pelvic pain.
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It’s important to note that the most effective treatment will depend on the underlying cause of the pain, and that what works for one person may not work for another. A healthcare provider can help determine the most appropriate treatment plan for an individual with chronic pelvic pain.
Medications
This can include over-the-counter pain relievers like ibuprofen or acetaminophen, as well as prescription medications such as prescription strength ant-inflammatories (NSAIDs), hormonal birth control or antidepressants. Nerve pain medications such as pregabalin can also help.
Physical therapy
Pelvic floor physical therapy can help alleviate pelvic pain by teaching exercises to relax and stretch tight muscles in the pelvic region.
Nerve blocks
In some cases, a nerve block may be used to numb the nerves responsible for pelvic pain. Some nerve blocks include:
Superior hypogastric plexus block
A superior hypogastric plexus block is a medical procedure used to manage pain in the lower abdomen or pelvis. The hypogastric plexus is a bundle of nerves located in the pelvic area that provides sensation to the bladder, uterus, prostate, and other pelvic organs. When these nerves are irritated or damaged, they can cause chronic pain that is difficult to manage with conventional pain medications.
Superior hypogastric plexus blocks are commonly used to manage chronic pelvic pain caused by conditions such as endometriosis, pelvic inflammatory disease (PID), interstitial cystitis, or cancer. The procedure may be repeated as necessary to manage the pain, and some people may experience long-term relief from a single block.
Ganglion Impar Block
A ganglion impar block is a medical procedure used to manage pain in the lower rectum, perineum, or genital region. The ganglion impar is a small cluster of nerves located at the base of the spine, near the coccyx. When these nerves are irritated or damaged, they can cause chronic pain that is difficult to manage with conventional pain medications.
As with any medical procedure, there are some risks associated with a ganglion impar block, including bleeding, infection, and nerve damage. However, these risks are relatively low and the procedure is generally considered safe and well-tolerated. Prior to the procedure, a healthcare provider will review the risks and benefits of the block and answer any questions or concerns a patient may have.
Surgery
In certain cases, surgery may be necessary to treat underlying conditions such as endometriosis, fibroids, or ovarian cysts.
Counseling
Chronic pelvic pain can take a toll on mental health, so counseling or therapy can be helpful in managing the emotional impact of the pain.
Alternative Therapies
Some people may find relief through alternative therapies such as acupuncture, massage therapy, or chiropractic care.
Lifestyle Changes
Making changes to diet, exercise habits, and stress management techniques can also be helpful in managing chronic pelvic pain.
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