Chronic Abdominal and Pelvic Pain

A complex condition characterized by persistent pain in the abdomen or pelvic region lasting 6 months or longer. This condition can significantly impact quality of life and may result from various causes including nerve dysfunction, post-surgical changes, or inflammatory conditions.

Overview

Chronic abdominal and pelvic pain is a complex condition characterized by persistent pain in the abdomen or pelvic region lasting 6 months or longer. This pain can significantly impact quality of life and daily functioning. The condition may result from various causes including nerve dysfunction, post-surgical changes, inflammatory conditions, or visceral hypersensitivity.

Dr. Hemani uses a comprehensive, multidisciplinary approach combining nerve blocks, medications, physical therapy, and advanced neuromodulation techniques to manage pain and improve function.

Symptoms

Chronic Pain

Persistent pain in the abdomen or pelvic region lasting 6 months or longer

Pain Patterns

Pain that may be constant or intermittent, dull or sharp, localized or widespread

Digestive Symptoms

Bloating, nausea, changes in bowel habits, or discomfort after eating

Urinary Symptoms

Frequent urination, urgency, or pain during urination

Functional Impact

Difficulty performing daily activities due to pain and discomfort

Diagnosis

Clinical Evaluation

Detailed history and physical examination to identify pain patterns

Imaging Studies

CT scans, MRI, or ultrasound to rule out structural causes

Diagnostic Nerve Blocks

Nerve blocks to identify the source of pain and confirm diagnosis

Specialized Testing

Gastroenterological or urological evaluations as needed

Treatment

Nerve Blocks

Celiac plexus blocks, lumbar sympathetic blocks, or ganglion impar blocks for targeted pain relief

Physical Therapy

Pelvic floor therapy and core strengthening exercises to improve function

Medications

Pain medications, neuropathic medications, and anti-inflammatory drugs
Spinal cord stimulation or peripheral nerve stimulation for refractory cases

Multidisciplinary Approach

Coordination with gastroenterology, urology, and mental health specialists

When to See a Doctor

Seek immediate medical attention if you experience severe abdominal pain, fever, vomiting, or signs of a medical emergency. For chronic pain lasting 6 months or longer, consult with a pain specialist for comprehensive evaluation.

Frequently Asked Questions

Schedule a Consultation

If you're experiencing chronic abdominal or pelvic pain, Dr. Hemani can help determine the best treatment approach for your specific case. Contact us today to schedule your consultation.

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Medical Disclaimer: The information provided on this page is for educational purposes only and is not intended as medical advice. Please consult with Dr. Hemani or another qualified healthcare provider for personalized medical advice.

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