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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Interventional Management for Pelvic Pain.

Ameet S Nagpal1, Erika L Moody1

  • 1UT Health San Antonio, 7703 Floyd Curl Drive MC 7838, San Antonio, TX 78229, USA.

Physical Medicine and Rehabilitation Clinics of North America
|July 6, 2017
PubMed
Summary
This summary is machine-generated.

Interventional procedures offer advanced options for pelvic pain management when conservative treatments fail. This review details various nerve blocks and injections for effective pain relief.

Keywords:
Ganglion imparHypogastric plexusInterventional pain managementNerve blockPelvic injectionsPelvic pain

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Area of Science:

  • Pain Medicine
  • Interventional Radiology
  • Neurology

Background:

  • Pelvic pain significantly impacts quality of life.
  • Conservative treatments are often insufficient for chronic pelvic pain.
  • Interventional procedures provide targeted diagnostic and therapeutic options.

Purpose of the Study:

  • To review current interventional management strategies for pelvic pain.
  • To provide an overview of various minimally invasive techniques.
  • To highlight options for patients refractory to conservative care.

Main Methods:

  • Review of superior and inferior hypogastric plexus blocks.
  • Discussion of ganglion impar, transversus abdominis plane, and pudendal nerve blocks.
  • Inclusion of ilioinguinal, iliohypogastric, genitofemoral, and selective nerve root blocks.
  • Exploration of trigger point injections, sacroiliac joint injections, and neuromodulation.

Main Results:

  • Interventional procedures offer a range of techniques for pelvic pain.
  • Nerve blocks target specific neural pathways involved in pelvic pain.
  • Injections and neuromodulation provide alternative treatment modalities.

Conclusions:

  • Interventional procedures are valuable tools in the multidisciplinary approach to pelvic pain.
  • A variety of nerve blocks and injection techniques can be employed.
  • Neuromodulation offers a non-pharmacological treatment option for refractory cases.