If you suffer from chronic pelvic pain:
• That is not related to your menstrual cycle
• That’s in the abdominal wall at or below the umbilicus
• That you have had for more than six months
• That is severe enough to require medical condition or leave you unable to function at a normal level
You need to help with pain management and the best way to get that is from a Pain Management Clinic.
• Dull ache
• Intermittent or steady pain that’s severe
• Sharp pain
• Pressure deep in your pelvis
• Pain when urinating or with a bowel movement
• Pain when sitting for long periods
• Painful intercourse
Chronic pelvic pain may be a symptom of another condition or it may be its own condition. It can be extremely difficult to determine what the underlying cause of chronic pelvic pain is.
Causes of Chronic Pelvic Pain:
• Chronic Pelvic Inflammatory Disease
• Ovarian remnant
• Pelvic floor muscle tension
• Interstitial cystitis
Around 4% of American women suffer from chronic pelvic pain. It is responsible for 40% of gynecologic laparoscopies and 18% of hysterectomies. In the USA more than 400,000 laparoscopies are tied to endometriosis or chronic pelvic pain. However, there are negative findings 40% of the time.
Pain Management for Chronic Pelvic Pain
There are a number of treatments your doctor may include as part of your pain management. He or she may use one or more of the treatment options.
• Pain Medications – OTC pain remedies, such as aspirin, ibuprofen, or acetaminophen are the first line of defense in chronic pelvic pain but if you are already at the doctor it’s likely that these will not work. Prescription pain reliever are likely to be more beneficial. There are different strengths and your doctor will determine which medications to try first. This may require some experimenting to find the best one.
• Hormone treatments – If your pelvic pain matches a certain part of you menstrual cycle and in these cases hormonal treatment may bring relief for chronic pelvic pain.
• Antidepressants – Tricyclic antidepressants can help with chronic pain.
• Antibiotics – If your doctor suspects an infection may be responsible for your pelvic pain, he/she may prescribe an antibiotic treatment.
• Neuro-stimulation – A device in implanted to block nerve pathways so pain signals aren’t able to reach your brain.
• Trigger Point Injections – If your doctor finds a specific point for your pain, you might benefit from injections into the painful area.
• Surgery – Your doctor may decide that surgery is the best option for your chronic pelvic pain, but this is always the last choice and may include a hysterectomy or laparoscopic surgery.
Optimizing Pain Management
Your pain management may involve a combination of treatments that lead to pain relief. It’s always best if the underlying problem can be found and addressed, but far too often with chronic pelvic pain, this simply doesn’t happen. In these instances pain management becomes the focus.