Chronic pelvic pain

Chronic pelvic pain is still unknown, and therefore its treatment is also not well known. The best way to treat this condition is to use a multidisciplinary approach. Treatment also requires knowledge of all the organs in the pelvis and other systems that include the musculoskeletal system and the nervous system.

Overview

Disease generation

Spread of disease

Morbidity and mortality

Symptoms and signs

Reasons

Tests

Treatment

Asking the patient about the location and type of pain and the factors that aggravate the pain. In pelvic congestion syndrome, for example, the pain is related to the patient’s position and increases at the end of the day. In cases of endometriosis, the pain is usually during or after intercourse. During the patient’s examination, he is asked about the factors that relieve pain, for example, rest reduces musculoskeletal pain. The patient is also asked to describe the type of pain, which may be throbbing, crushing, shooting, pricking, boring, or Stabbing, lancinating, sharp cutting, lacerating, pressing, cramping, pulling, pinching, stinging, burning, splitting, penetrating, squeezing, or dull aching pain. Describing the spread and radiation of pain is also important for evaluating nerve pain as well as the intensity and degree of pain.

Neurological disorders that include nerve pain, entrapment of a cutaneous nerve due to fibrosis in the lower abdomen, infection with herpes zoster virus, herniated disc between the vertebrae, or tumors of the spinal cord or sacral nerve.

An MRI scan can give good information about tissue structure.

CT scan detects tumors in the pelvis and can help distinguish between ovarian tumors and uterine tumors.