Treatments for Pelvic Pain
When seeking treatment for pelvic pain, it is important to note not only the location of your pain but also specific symptoms such as triggering factors and whether your pain is dull, sharp, intermittent, chronic or acute. This information will help your compassionate care provider at Balcones Pain Consultants determine the underlying condition causing your pelvic pain and inform an effective plan for treatment. Treatments for pelvic pain might include oral or topical medications, physical therapy, counseling, superficial muscle injections, spinal cord stimulation, nerve blocks or surgery.
Treating Pelvic Pain Due to Illnesses and Other Conditions of the Reproductive System
Illnesses and other conditions of the reproductive system are some of the most common causes of pelvic pain. Pelvic pain due to endometriosis can be treated with pain medications and supplemental hormone therapy. Ovarian cysts and uterine fibroids may resolve over time on their own, but when they do cause pelvic pain and discomfort, they can be treated with pain medications or surgical removal.
Pelvic pressure and discomfort due to pelvic organ prolapse (POP) can be treated with special physical therapy exercises designed to strengthen and tone the pelvic floor. Lifestyle changes, including proper diet and weight management to reduce pelvic floor pressure, can also help relieve pelvic pain and discomfort from POP. Biofeedback can also play an important role in POP pain treatment. Some people find relief from using a pessary, a removable device inserted into the vagina to provide internal support. In some cases, surgery can resolve the prolapse, thereby relieving pelvic discomfort.
Treating pelvic pain from sexually transmitted diseases (STDs) such as gonorrhea and chlamydia generally involves antiviral or antibiotic medications. When diagnosed early, pelvic pain from pelvic inflammatory disease (PID), a possible STD complication, can be treated with antibiotics. In rare cases, when severe PID has led to an abscess, surgery may be required.
Treating Pelvic Pain from Kidney Stones, Urinary Tract Infections and Interstitial Cystitis
Treatment for pelvic pain from kidney stones involves pain medication and muscle relaxants along with dietary and lifestyle changes. Eliminating certain trigger foods and ingredients from the diet while introducing others can prevent kidney stones from developing in the future. In some cases, when a kidney stone is too large to pass or is interfering with normal kidney function, surgery may be required.
Treating pelvic pain due to a urinary tract infection (UTI) involves pain medications and antibiotics. In the case of chronic UTIs, long-term, low-dose antibiotics may be prescribed along with vaginal estrogen therapy and lifestyle changes. Treatment for interstitial cystitis might include oral medications such as NSAIDs (non-steroidal anti-inflammatory drugs), antihistamines or antidepressants. Other treatment options include physical therapy, sacral nerve stimulation and transcutaneous electrical nerve stimulation to reduce pain and increase blood flow to the bladder.
Treating Other Pelvic Pain Conditions
Pelvic pain from irritable bowel syndrome (IBS) can be treated successfully with biofeedback as well as dietary changes designed to address the underlying problem. Some people find relief in following a gluten-free or lower-carb diet or eliminating high-gas foods. Stress management also plays an important role in treating IBS symptoms, so counseling, yoga, meditation and exercise can all play important roles in the treatment of this condition. Certain antibiotic, anticholinergic and antispasmodic medications can also help relieve bowel pain from IBS.
Pelvic pain can be mysterious and therefore difficult to diagnose. Even emotional conditions like stress and depression are thought to play a role in some cases of pelvic pain. Your provider at Balcones Pain Consultants will conduct a careful and thorough review of all symptoms and other factors in order to determine your individual treatment plan.
Videos About Potential Pelvic Pain Treatments
- Intrathecal Pump Implant
- Spinal Cord Stimulator Implant
- Spinal Cord Stimulator Implant (Trial Procedure)
- Trigger Point Injections