Pelvic Pain Treatments

Innovative Pelvic Pain Treatments

Peripheral nerve blocks can be an extremely effective way of treating many types pain, including chronic pelvic pain (CPP). There are an abundance of nerves providing innervation to the pelvic region and its organs – any of which can be targeted and blocked with a small amount of local anesthetic to provide dramatic pain relief. Many of these injections can be performed under fluoroscopic or ultrasound guidance including the pudendal, genitofemoral, ilioinguinal, iliohypogastric, lateral femoral cutaneous, obturator nerve, superior hypogastric and ganglion impar blocks.

Epidural steroid injections (commonly used for neck and low back pain) can also be used to provide pelvic pain relief. They can affect the dermatome overlying pain in the pelvic region.

Superior hypogastric blocks are used as both a diagnostic and therapeutic tool. Under radiographic guidance, a needle is inserted through the skin and advanced toward the L5 vertebra toward the superior hypogastric plexus. A blockade of the superior hypogastric plexus has been reported to decrease pelvic pain significantly.

Ganglion Impar blocks can also be used for both diagnostic and therapeutic purposes. This procedure is performed under radiographic guidance with the target being a small area directly in front of the coccyx (tailbone). This injection is extremely effective in treating pain originating from the cervix, colon, bladder, rectum and endometrium. Studies have reported 70-100% pain relief from this procedure.

Perineural (Lyftogt technique) therapy injections is another treatment for pelvic pain. See more information under the Nerve & Neuropathy Treatments page.

Prolotherapy/PRP/Stem Cell injections can also be used to treat pelvic pain. See more information under the Regenerative Medicine Therapies page.

Nutritional Therapy and Exercise & Diet Counseling is also available.