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Chronic Pelvic Pain: Understanding and Treating the Discomfort


By Pain Management Doctor Edward Rubin, MD

Welcome to our webpage dedicated to providing information on chronic pelvic pain and its management. Dr. Edward Rubin aims to shed light on this condition, including its causes, conservative treatment approaches, and minimally invasive procedures available to alleviate the discomfort. If you or someone you know is suffering from chronic pelvic pain, I encourage you to read on and consider scheduling an appointment for personalized care.

What is Chronic Pelvic Pain?

Chronic pelvic pain is a persistent and distressing discomfort that affects the pelvic region, lasting for at least six months. It can be a challenging condition to manage as it may stem from various underlying causes. Identifying the precise cause of chronic pelvic pain is crucial to determining the most effective treatment plan.

Causes of Chronic Pelvic Pain:

  1. Pelvic Inflammatory Disease (PID): Infections of the female reproductive organs, such as the uterus, fallopian tubes, or ovaries, can lead to chronic pelvic pain.
  2. Endometriosis: This condition occurs when the tissue lining the uterus (endometrium) grows outside the uterus, causing pain and inflammation.
  3. Irritable Bowel Syndrome (IBS): Abnormal intestinal contractions and heightened sensitivity in the gut can lead to pelvic pain.
  4. Interstitial Cystitis: Also known as painful bladder syndrome, this condition involves bladder pain and urinary urgency.
  5. Musculoskeletal Issues: Problems with the muscles, ligaments, and joints in the pelvic region can cause persistent pain.
  6. Pelvic Congestion Syndrome: Swollen and engorged veins in the pelvic area may lead to chronic pain.
  7. Nerve Conditions: Conditions like pudendal neuralgia or pelvic floor neuralgia can cause significant discomfort.

Conservative Treatments:

As a Pain Management Doctor, my first approach is to recommend conservative treatments to manage chronic pelvic pain effectively. These non-invasive methods often serve as the initial step in the treatment process. Some common conservative approaches include:

  1. Physical Therapy: Specialized pelvic floor physical therapy can help strengthen and relax muscles in the pelvic area, reducing pain and improving function.
  2. Medications: Depending on the underlying cause, different medications such as pain relievers, muscle relaxants, or nerve stabilizers may be prescribed.
  3. Lifestyle Modifications: Simple lifestyle changes, such as dietary adjustments and stress management techniques, can contribute to pain reduction.
  4. Heat Therapy: Applying heat to the pelvic region can help ease muscle tension and alleviate discomfort.
  5. Counseling and Psychological Support: Chronic pelvic pain can have emotional effects. Counseling and support groups can be beneficial in managing the psychological impact of the condition.

Minimally Invasive Procedures:

In some cases, conservative treatments may not provide sufficient relief, and minimally invasive procedures may be considered. These procedures are designed to be less invasive than surgery and often involve the use of image-guided techniques. Some examples of minimally invasive procedures for chronic pelvic pain include:

  1. Nerve Blocks: Injection of anesthetic agents or steroids can help block pain signals from specific nerves, providing temporary pain relief.
  2. Trigger Point Injections: By injecting medication into tender trigger points, muscle spasms can be alleviated, reducing pain in the pelvic region.
  3. Laparoscopy: A minimally invasive surgical procedure that allows visualization of the pelvic organs to diagnose and treat conditions like endometriosis.
  4. Spinal Cord Stimulation This therapy involves applying electrical currents to nerve pathways to reduce pain signals.

Please note that the specific treatment plan for chronic pelvic pain will depend on the individual’s medical history, symptoms, and underlying cause.

Take the First Step towards Relief!

If you’re experiencing Chronic Pelvic Pain that interferes with your daily activities and quality of life, take the first step towards relief by scheduling an appointment with Dr. Edward Rubin. With his expertise in pain management and commitment to using conservative treatments and minimally invasive procedures, Dr. Rubin will work with you to develop a personalized treatment plan to address your specific needs and alleviate your joint pain.