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Updated: Jun 25, 2026
02:41
Acupoint Catgut Embedding for Treatment of Chronic Pelvic Pain Due to the Sequelae of Pelvic Inflammatory Disease
Published on: May 3, 2024
Management of persistent postpartum pelvic pain
Yoram A Weil1, Christian Hierholzer, Domenico Sama
1Hadassah Hebrew University Hospital, Jerusalem, Israel.
American Journal of Orthopedics (Belle Mead, N.J.)
|February 13, 2009
Summary
Persistent postpartum pelvic pain can be disabling. While most cases resolve, surgery may help select patients, though outcomes were similar to nonoperative treatment in this study.
Area of Science:
- Orthopedics
- Gynecology
- Pain Management
Background:
- Persistent postpartum pelvic pain is a rare but debilitating condition.
- Surgical intervention may be an option for chronic cases unresponsive to conservative management.
Purpose of the Study:
- To evaluate the outcomes of surgical stabilization for persistent postpartum pelvic pain.
- To compare surgical outcomes with nonoperative management.
Main Methods:
- Retrospective study of 19 patients with persistent postpartum pelvic pain.
- Imaging (MRI) used to assess pelvic ring lesions.
- Surgical procedures included resection, plating, and bone grafting.
- Outcomes assessed using the Majeed score.
Main Results:
- 6 out of 19 patients (31.5%) underwent surgery for pain lasting over a year.
- 11 patients had anterior pelvic ring degenerative changes; 8 had sacroiliac joint changes.
- Mean Majeed outcome score was 85 for all patients.
- No significant difference in outcomes between surgical and nonoperative groups.
Conclusions:
- Surgical stabilization may be considered for refractory persistent postpartum pelvic pain.
- Outcomes for surgical and nonoperative management were comparable in this cohort.
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