Nerve Blocks

In: Urological and Gynaecological Chronic Pelvic Pain · 2017 · pp. 271–281 · doi:10.1007/978-3-319-48464-8_18 · W4248618902
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This chapter reviews the anatomy and methodology of nerve blocks for chronic pelvic pain, detailing relevant procedures, approaches, and imaging techniques.

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This chapter reviews the anatomy relevant to chronic pelvic pain and describes the methodology for various nerve block procedures, including approaches and imaging techniques used to guide them. It frames chronic pelvic pain as often multifactorial, with many co-existing etiologies alongside a biopsychosocial perspective, and emphasizes correct diagnosis, multidisciplinary team input, and careful patient selection before proceeding with interventions. A major limitation noted is that it is presented as an overview within a book chapter rather than as new clinical study evidence, relying on previously published procedure literature and discussing the need for appropriate selection. Relevance to endometriosis: the paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Chronic pelvic pain is a debilitating diagnosis with an increasingly recognised prevalence. Underlying aetiologies are numerous and often co-existing alongside the biopsychosocial model that is relevant for all chronic pain conditions. Along with all of the other treatment strategies discussed within this book, there is a role for interventions with this pathology. The importance of correct diagnosis, multidisciplinary team input and careful patient selection should be heavily emphasised before proceeding with this course of action. In this chapter, we will review the anatomy relevant to both understanding the aetiology of chronic pelvic pain as well as performing these nerve blocks. The methodology underlying the most relevant of these procedures will then be elucidated in detail, as well as the various different approaches and imaging techniques that may be employed. 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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