FAQ’s on Pelvic Pain
Approximately 20% of women and 8-10% of men will experience some form of pelvic pain in their lifetime. Pelvic pain can occur in both men and women as the result of varied and numerous causes. Pain in the pelvis can be indicative that infection is present, or that there are one or more complications with a pelvic bone or internal organ.
What are the causes of Pelvic Pain?
- Bladder disorders
- Intestinal disorders
- Kidney infection
- Kidney stones
- A hernia
- Broken pelvic bone
- Arthritic inflammation
- Endometrial growth
- Ovarian cysts
What are the symptoms of Pelvic Pain?
- Pain in the groin or hip
- Painful or difficulty in urination
- Blood in the stool
- Feelings of bloating
How is Pelvic Pain diagnosed?
Initially, a physical exam will be performed first followed by secondary tests, with the exact method used dependent upon the symptoms a patient is experiencing. Diagnostic testing may include:
- Blood work or urine tests
- Abdominal or Pelvic X-rays
- Bone Density Screening
- A CT scan or Ultrasound
What are the treatment options for Pelvic Pain?
The treatment options available to patients will differ based on the cause of their pain. Some patients may be able to achieve a therapeutic effect with only conservative methods, while some causes of pelvic pain will require surgical correction to obtain full relief.
Our clinic will be able to diagnosis the cause and present one of the following as a viable treatment method for obtaining relief.
Medication: Some patients may be able to obtain pain with the use of anti-inflammatory drugs and over-the-counter pain killers. Patients with moderate to severe pelvic pain may receive stronger, prescribed medications such as steroidal anti-inflammatory drugs or opiates. Pain that is caused by an intestinal infection may receive prescription antibiotics to obtain relief.
Pain that is related to more serious causes will likely require surgical intervention to obtain full relief, with separate treatments for many of the possible causes.
Kidney stones: Treatment for kidney stones will vary based on the size of the stone and the likelihood of it blocking the urinary tract. Patients with smaller stones may not require surgical treatment, and instead be allowed to pass the stone naturally. Patients who have larger stones, are who are in danger of having the stone block the tract may require surgical removal of the stone to prevent serious complications.
Hernia: The most viable option in treating pelvic pain resulting from hernia is surgical removal of the tissue followed by repair of the tissue wall it was on. Pain mediation may be given to ease the pain resulting from hernia prior to surgery.
Broken bone: Pain due to one or more broken bones may be relieved by surgical repair of the bone.
Superior hypogastric plexus block: Patients with non-cancer visceral pelvic pain may receive an injection into their superior hypogastric plexus to block the nerve bundle from transmitting signals of pain to the brain (Blockade of the superior hypogastric plexus block for visceral pelvic pain, 2001). A CT-guided anterior approach to the same plexus may also be an effective treatment for patients (Computed tomography-guided anterior approach to the superior hypogastric plexus for noncancer pelvic pain, 2005).
Sacral Nerve Stimulation: Patients with chronic pain due to irritable bowel syndrome may finally obtain relief for their pain with stimulation of the sacral nerve (Sacral Nerve Stimulation for Irritable Bowel Syndrome, 2014).
Transsacrococcygeal approach for cancer pain: Patients with pelvic cancer pain who have not found relief with other treatments may have a viable treatment option with a transsacrococcygeal ganglion impar block (Transsacrococcygeal approach to ganglion impar for pelvic cancer pain, 2008).