Pelvic Pain

In: Questions and Answers in Pain Medicine · 2021 · pp. 117–122 · doi:10.1007/978-3-030-68204-0_15 · W4238491090
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Chronic pelvic pain presents a diagnostic and treatment challenge due to variable presentations and complex anatomy, yet understanding pelvic anatomy can guide interventional treatment based on pain patterns.

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This paper/chapter addresses chronic pelvic pain as a diagnostic and treatment challenge for pain physicians, emphasizing the pelvis’s complex anatomy and how persistent pain can continue even after resolution of the underlying pathology. It describes, at a high level, how understanding pelvic pain anatomy can guide interventional treatment by selecting blocks based on the anatomical pain-transmission structures implicated by a patient’s pain pattern. A key limitation is that the content is primarily an anatomical and clinical overview rather than a single original study with patient-level outcomes. Relevance to endometriosis: the chapter is included because it cites endometriosis-related material in its references (e.g., “Endometriosis: pathogenesis, clinical features, and diagnosis” and long-term endometriosis pelvic-pain treatments), though the chapter’s main focus is chronic pelvic pain anatomy and interventional considerations rather than endometriosis specifically.

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Abstract

Chronic pelvic pain presents a unique diagnostic and treatment challenge for the pain physician given the variable presentations and complex anatomy of pain transmission. Despite resolution of the underlying pathology, pain can persist and can remain. Understanding the anatomy of the pelvis can aid the physician in guiding treatment, especially interventional, as many blocks can be performed in the pelvis depending on the anatomical structures involved and the pattern of pain at presentation. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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