Der chronische Beckenbodenschmerz aus der Sicht der Neurologie

Antje Wiesner, Wolfgang H. Jost
In: Der chronische Beckenbodenschmerz · 2003 · pp. 83–89 · doi:10.1007/978-3-642-57396-5_6 · W2104581142
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

Neurological assessment can help pinpoint specific nerve involvement in chronic pelvic pain patients, avoiding unnecessary surgical interventions by differentiating between neurogenic and other pain sources.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This chapter discusses chronic pelvic floor pain from a neurological perspective, focusing on patients’ common belief that a “pinched nerve” causes their pain. The authors state that only a very small fraction of such patients show a confirmed or highly probable neurogenic lesion, and they argue that accurate pain-to-anatomical-structure mapping (nerve, nerve root, lumbosacral plexus, or spinal/central structures) is necessary to avoid unnecessary procedures. A key limitation explicitly implied is that neurogenic causes cannot be reliably demonstrated in most cases, so conclusions must be cautious and based on careful localization. Relevance to endometriosis: it 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

Patienten mit chronischen Beckenboden-schmerzen haben häufig die Vorstellung, da „müsse doch ein Nerv eingeklemmt sein`, der den Schmerz verursache. Tatsächlich lässt sich nur bei einem sehr geringen Teil dieser Patienten eine neurogene Läsion sichern oder zumindest mit großer Wahrscheinlichkeit vermuten. Um den Patienten unnötige Eingriffe, z. B. Dekompressions-oder Bandscheibenoperationen, zu ersparen, ist die exakte Zuordnung der Schmerzen zu einem Nerven, einer Nervenwurzel, dem Plexus lumbosacralis oder einer spinalen oder zentralen Struktur erforderlich.

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last seen: 2026-06-10T17:14:06.276822+00:00
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