Abdominal and pelvic pain can be due to many factors, including being a symptom of a more serious and complex disease or condition. In addition to the fact that these pains are among the most intense there is, this is why it is important to treat these pains so that they do not affect our quality of life in any way. Some of the treatments that you can find in our clinic that will help you relieve these intense pains are the following:
The Fluoroscopy-guided Neurolytic Splanchnic Nerve Block is one of the most useful treatments for treating pain from upper gastrointestinal malignancy, which leads to considerable morbidity. One of the advantages of this treatment over others such as celiac plexus, is that although it is performed less frequently, it can be performed in patients with altered anatomy of the celiac plexus due to enlarged lymph nodes.
This treatment has been shown to significantly reduce pain intensity, opioid requirement and quality of life. These results can last up to three months.
The ganglion impar block is used to evaluate and treat anorectal pain (anus and rectum), perineal pain (space around the genitals) and genital pain. The ganglion impar is a collection of nerve cells next to the tailbone (coccyx) that may be involved in long-lasting (chronic) pelvic or anorectal pain. By injecting numbing medicine (local anesthetic) around the nerves the cause of your pain can often be identified. Once identified some patients may benefit from repeat injections, sometimes with steroids.
The effectiveness of this treatment on postoperative pain has been demonstrated when performed before the cesarean section, however when performed after the surgical procedure the results are still quite uncertain. Some things to know about this treatment are:
A superior hypogastric plexus block (also known as a hypogastric block) is an advanced, minimally invasive procedure used to treat pelvic and genital pain that has been so far unresponsive to oral medications and other conventional treatments. This injection is considered to be a sophisticated, and more precise version of a sympathetic block that targets a specific region of the Sympathetic Nervous System (SNS) known as the Superior Hypogastric Plexus.
This injection can be used to control pelvic pain that cannot be controlled by oral medication. Also if the side effects of pelvic pain medications, such as excessive nausea, constipation, and sedation are too strong for the patient. This blockade contains sympathetic fibers efferent to pain fibers afferent to the bladder, urethra, uterus, vagina, vulva, perineum, prostate, penis, rectum and descending colon, so it can alleviate pain originating from the above mentioned regions. Its effectiveness is proven.
This type of block is used to provide surgical anesthesia and postoperative analgesia in some procedures involving the midline.
A transducer is used for the blockage. The transducer is located at the lateral edge of the rectus abdominis muscle, usually periumbilical. This blockade provides analgesia over the anterior midline of the abdominal wall from the xiphoid process to the lower pubic symphysis. It is indicated for surgeries involving the midline or paramedial incision of the anterior abdominal wall. Regularly this technique was used for analgesia of umbilical hernioplasties, pulpotomies and laparoscopic procedures, nowadays it is mostly used for the analgesia of vertical laparotomy incisions of upper or lower abdominal surgery. Its effect has been proven.
It is a peripheral block that involves the nerves of the anterior abdominal wall and provides analgesia from the skin to the parietal peritoneum, producing sensory loss from the xiphoid to the pubic symphysis. It works for postoperative pain control in abdominal and gynecological surgery involving incisions below the midline.
As a result, a significant reduction in postoperative pain and opioid requirements has been demonstrated, as well as some effects related to secondary reactions, including nausea, sedation and vomiting.
These are some of the treatments for abdominal and axial pain that we have at our clinic. If you have any ailment in these areas or if you have undergone a procedure where any of these may be useful to you, or if you simply wish to know more about them, we invite you to contact us to provide you with all the information you need.
