Pelvic pain can originate from the reproductive system, urinary system, digestive system or nervous system. It can also be referred pain from the lower back or tailbone. The sympathetic nervous system, or the "fight or flight" response, is activated and often maintained by pain in the pelvis, leading to abnormal sweating, difficulty sleeping, increased anxiety, and bowel/bladder/sexual dysfunction.
Psychological intervention plays an important role in pelvic pain treatment. Our Pain Psychologist Explains.
We begin by working closely with you to understand your individual experience of pelvic pain and to identify its primary source (or sources). The body will attempt to adapt to pain, and this adaptation can lead to secondary problems often extending beyond the pelvis. Because the body’s adaptive response to pain can obscure the true source, we have developed a specialized approach that helps us identify the root cause of pelvic pain and promote optimal healing of this condition.
Your well-being and quality of life are always our top priority, so we work closely with you to determine the treatment that will give you sustainable, long-term results. Initially, though, we understand that you need relief. A variety of medications – oral, suppository and intravenous – can help determine which parts of the nervous system and which neurotransmitters are involved. We will then use targeted injections to identify and treat potential sources of pain.
When necessary, we also use neuromodulation with spinal cord or peripheral nerve stimulation, pulsed radio frequency neuromodulation, prolotherapy/neural therapy and a variety of other techniques which we have found to be helpful, depending on your specific situation.
We work directly with your physical therapist to ensure full understanding of your body's response to each step. We also work closely with gynecologists, endometriosis specialists, hernia surgeons and pain psychologists to ensure comprehensive, coordinated care.