Pelvic pain

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Over the last decade, medicine has increasingly considered pelvic disorders especially for their bio-psycho-social implications. Often it is difficult to identify a single cause for pelvic pain, it is very likely that it is due to several factors involving both local neuroendocrine factors, both mechanical and also dependent on the processing of pain by the Central Nervous System and irritation of peripheral nerves. In these cases, NERVENIA intervention with Deep Nerve Stimulation proves to be fundamental.

Symptoms

Under the name pelvic or perineal pain the consequences of many pathologies of the genitourinary system both male and female, and many forms of disorders are collected.
We can go from a pain in the perineal area such as vulvodynia, to constant pain worsening with sitting, cycling or fatigue in general. Often (and with very important social and psychological consequences) the clinical picture is that of dyspareunia, i.e. pain during sexual intercourse, which can reach levels that prevent its development, many times associated with anorgasmia.

60% of the patients affected by this problem are female. The onset can be sudden or gradual. It has numerous clinical symptoms and can cause slight pain, burning, feeling of tension, twists, changes in sensitivity, changes in the perception of temperature. It can be located in a limited area, in different areas, bilaterally or unilaterally. It is frequently associated with urinary, uro-gynecological and sexual disorders.

Causes

Pelvic pain often appears as a consequence of particular events in an individual’s life. Some examples: it can appear following abdominal surgery (especially in the lower abdomen as after hysterectomies, interventions for adhesion lysis from endometriosis or uterine prolapse), in hernioplasty, in post partum periods especially with episiotomy or lacerations of the birth canal . In male subjects we have the appearance of pelvic pain in the results of prostate biopsy or prostate surgery or irritation of the prostate, or following cystoscopies.

One of the most common pictures of pelvic pain is Pudendal neuropathy. Pudendal neuralgia often appears under the name of Alcock syndrome, since pinching of the nerve often occurs in the canal with this name that runs in the lateral part of the pelvic floor. Pain is present in the perineum and on the genitals. Pudendal neuropathy is due to mechanical or inflammatory damage to this area, which is why it is often involved in pelvic pain. Unfortunately, sometimes the causes of this inflammation are due to stresses considered trivial such as prolonged sitting position, cycling, sports, hemorrhoids.

While not representing an omnipresent factor, the Pudendal Nerve is used in the NERVENIA centers as the main therapeutic entry channel for pelvic pain problems. This nerve innervates the pelvic floor and has an important sensory and trophic function on the tissues of this area.

Cures and remedies

The elective treatment used in NERVENIA centers is Deep Nerve Stimulation (DNS), a particular type of neuromodulation with direct efficacy on the nerve trunks.

Specific treatments for problems associated with pelvic pain are the responsibility of staff with gynecological-obstetric specialization. We strongly advise our patients (if they are not already being treated) to contact these specialists to work in synergy with them, in order to obtain the best possible result.

While the perineal disorder specialists apply the therapies necessary to act on the primary causes of the disorder, be they post-surgical or secondary to some other problem, NERVENIA works to ensure that DNS enhances the results through:

  • the very rapid decrease in painful symptoms
  • the treatment of nerve entrapment disorders when the need arises
  • the enhancement of trophic nerve signals, which push the restoration of the tonicity of the pelvic floor

All this allows us to obtain a working ground conducive to the effectiveness of the therapies carried out.

The work of the NERVENIA centers becomes fundamental in case of nervous entrapments, above all of the aforementioned Pudendo nerve, with pictures of sensitivity and irritability of this nerve.

It is also necessary to evaluate the rest of the innervation of the neighboring areas of the lower pelvis and the adductors, since problems in these areas (such as hernioplasty or adductor muscle problems – very common in sports) can trigger or increase floor problems pelvic.

Thus the use of DNS at the level of the Pudendal Nerve in the Alcock canal, added to the treatments for rebalancing the pelvic floor and to the treatment of the nervous system in general, allows us to have very important results in the treatment of pelvic disorders.