Pelvic Pain
Multidisciplinary approach to chronic pelvic pain
Understanding Pelvic Pain
Chronic pelvic pain is defined as pain in the pelvic region lasting six months or longer that is severe enough to cause functional disability or require medical care. It affects both men and women and can originate from reproductive, urinary, gastrointestinal, musculoskeletal, or nervous structures, making diagnosis complex.
The condition significantly impacts quality of life, affecting sexual function, relationships, work productivity, and mental health. A multidisciplinary approach is often necessary for effective management, as single-system treatments frequently fail to provide adequate relief.
Common Causes
Endometriosis
Endometrial tissue growing outside the uterus causing inflammation and pain
Pelvic Inflammatory Disease
Infection of reproductive organs causing chronic inflammation
Interstitial Cystitis
Chronic bladder inflammation causing pelvic pain and urinary symptoms
Pelvic Floor Dysfunction
Muscle tension, spasm, or weakness in pelvic floor muscles
Chronic Prostatitis
In men, inflammation or dysfunction of the prostate gland
Adhesions
Scar tissue from previous surgery, infection, or endometriosis
Symptoms
Constant or intermittent lower abdominal pain
Pain during or after sexual intercourse
Pain with urination or bowel movements
Chronic low back or hip pain
Severe or worsening menstrual pain
Urinary frequency, urgency, or incomplete emptying
Muscle spasms in pelvic floor or abdomen
Associated fatigue and sleep disturbance
Advanced Treatment Options
Nerve Blocks
Pudendal nerve blocks, superior hypogastric plexus blocks for specific pain patterns
Trigger Point Injections
Targeting myofascial trigger points in pelvic floor, abdominal, or hip muscles
Neuromodulation
Sacral nerve stimulation for interstitial cystitis or pelvic floor dysfunction
Laparoscopic Surgery
Excision of endometriosis, lysis of adhesions for specific conditions
Botulinum Toxin Injections
Into pelvic floor muscles for refractory muscle spasm
Pelvic Floor Physical Therapy
Specialized manual therapy, biofeedback, and exercises
Multidisciplinary Pain Programs
Integrating medical management, therapy, and counseling
Get Expert Treatment for Pelvic Pain
Schedule a consultation with our pain management specialists to discuss personalized treatment options.