Interventional Treatment Options for Women with Pelvic Pain

Joseph E. Torres, Ameet S. Nagpal, Alice Iya, Donald McGeary, Malathy Srinivasan

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Purpose of Review: To provide an overview of current interventional treatment options for women with chronic pelvic pain (CPP). Recent Findings: Accessibility of CT imaging, ultrasound, and fluoroscopy has assisted the development of novel interventional techniques. Similarly, neuromodulation techniques have improved with the development of novel stimulation patterns and device implants. Summary: Numerous small-scale studies report high success rates with injection intervention therapies in CPP, but there are limited well-designed large-scale studies that demonstrate the superiority of treatment. Female pelvic pain is difficult to diagnose due to the multifactorial etiology and the variable presentation causing delay in accurate diagnosis and lack of response to conventional medical and initial interventional therapies. Despite the shortfalls of current studies, collectively, our understanding of chronic pain conditions and helpful injection interventions are improving. Undoubtedly, the breadth of current research will provide a rich foundation for future large-scale well-designed studies involving multiple disciplines with more uniform methods and criteria to produce reliable and reproducible results.

Original languageEnglish (US)
Pages (from-to)229-239
Number of pages11
JournalCurrent Physical Medicine and Rehabilitation Reports
Volume8
Issue number3
DOIs
StatePublished - Sep 1 2020

Keywords

  • Female pelvic pain
  • Ganglion impar block
  • Neuromodulation
  • Pelvic pain injections
  • Pelvic pain interventions
  • Plexus blockade
  • Pudendal nerve block

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Orthopedics and Sports Medicine
  • Rehabilitation

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