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Neuromodulation in Treating Pelvic Pain.

Corey W Hunter1, Steven Falowski2

  • 1Ainsworth Institute of Pain Management; Physical Medicine & Rehabilitation, Icahn School of Medicine at Mount Sinai Hospital, New York City, NY, USA.

Current Pain and Headache Reports
|February 3, 2021
PubMed
Summary
This summary is machine-generated.

Chronic pelvic pain (CPP) is complex and challenging to treat due to intricate pelvic innervation. Neuromodulation, including sacral stimulation and peripheral nerve stimulation, offers a key treatment approach for this disabling condition.

Keywords:
Dorsal root ganglion stimulationNeuromodulationPelvic painPudendal neuralgiaSacral stimulationSpinal cord stimulationVisceral pain

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Area of Science:

  • Pain Medicine
  • Neurology
  • Urology

Background:

  • Chronic pelvic pain (CPP) presents a complex clinical challenge due to its multifactorial nature and significant impact on patient quality of life.
  • The intricate innervation of the pelvic region contributes to the difficulty in diagnosing and treating CPP.
  • Understanding the diverse pathophysiological mechanisms, including similarities to complex regional pain syndrome, is crucial.

Purpose of the Study:

  • To review the complex diagnoses and involved pathways in chronic pelvic pain.
  • To explore the range of available treatment options for CPP.
  • To highlight the role of neuromodulation in managing chronic pelvic pain.

Main Methods:

  • Literature review of studies on chronic pelvic pain.
  • Analysis of pathophysiological similarities to other pain syndromes.
  • Evaluation of current and emerging treatment modalities, focusing on neuromodulation.

Main Results:

  • CPP involves complex pelvic innervation, making treatment challenging.
  • Pathophysiological similarities exist between CPP and sympathetically driven pain conditions.
  • Neuromodulation techniques, including sacral stimulation, spinal cord stimulation (SCS), dorsal root ganglion (DRG) stimulation, and peripheral nerve stimulation (PNS), are central to treatment.

Conclusions:

  • Chronic pelvic pain is a poorly understood condition influenced by psychological, psychosocial, cultural, and economic factors.
  • Effective management requires a comprehensive understanding of its multifaceted nature.
  • Neuromodulation represents a significant therapeutic strategy for managing chronic pelvic pain.