Interventional Management for Pelvic Pain

Phys Med Rehabil Clin N Am. 2017 Aug;28(3):621-646. doi: 10.1016/j.pmr.2017.03.011. Epub 2017 May 27.

Abstract

Interventional procedures can be applied for diagnostic evaluation and treatment of the patient with pelvic pain, often once more conservative measures have failed to provide relief. This article reviews interventional management strategies for pelvic pain. We review superior and inferior hypogastric plexus blocks, ganglion impar blocks, transversus abdominis plane blocks, ilioinguinal, iliohypogastric and genitofemoral blocks, pudendal nerve blocks, and selective nerve root blocks. Additionally, we discuss trigger point injections, sacroiliac joint injections, and neuromodulation approaches.

Keywords: Ganglion impar; Hypogastric plexus; Interventional pain management; Nerve block; Pelvic injections; Pelvic pain.

Publication types

  • Review

MeSH terms

  • Humans
  • Hypogastric Plexus
  • Nerve Block
  • Pain Management*
  • Pelvic Floor / innervation
  • Pelvic Pain / therapy*