Treatment of Pelvic Pain
Chronic pelvic pain is most common, but not exclusively limited to, women. Married women in their early thirties tend to have higher rates of chronic pelvic pain than single or divorced women. It may originate in pelvic or extrapelvic organs, or it may be secondary to a systemic disease. Sometimes modern medical doctors cannot find a cause for the pain.
Pelvic pain refers to pain in the lower abdomen and the pelvis. The pain may be dull or sharp. It might be steady and constant, or it might come and go. It may be mild, moderate or severe. When the pain is severe, it may interfere with activities of daily living. Sometimes the pain is noted only during certain activities. A woman might feel a dull pain during menstruation, urination or during intercourse. The pain may radiate to the lower back, buttocks, or thighs.
How does pelvic pain develop?
Pelvic pain can be broken down into three main causes: pregnancy causes, gynecologic causes and miscellaneous causes. Even though pelvic pain is frequently related to women, it can be present in men as well. Both men and women can suffer from disorders in the miscellaneous category, which include appendicitis, inflammatory bowel disease, diverticulitis, mesenteric adenitis, urinary tract infection, nephrolithiasis, constipation or trauma to either the bowel or bladder, or from pelvic instability and pelvic soft tissue abnormalities.
Pregnancy causes include disorders such as an ectopic pregnancy, a miscarriage, preterm labor, a ruptured corpus luteum cyst, abruption of the placenta, or a uterine rupture.
Gynecological causes include mittelschmerz, an ovarian cyst, ovarian torsion, acute pelvic inflammatory disease, endometriosis, uterine fibroids, primary dysmenorrhea, or pelvic neoplasm. Prostate issues can cause pelvic pain in men.
Symptoms of pelvic pain
Symptoms will vary depending on the cause of the pelvic pain. However, common symptoms include: menstrual cramps, painful urination, constipation, bloating, gas, painful bowel movements, pain with intercourse, pain in the hip area, and pain in the groin area.
Medical interventions for of pelvic pain
Due to the large number of possible causes of pelvic pain, diagnosis begins with a process of elimination. There are many tests that may be ordered to determine the cause, such as blood and urine testing, pregnancy testing, vaginal or penile cultures, abdominal and pelvic X-rays, bone density screening, hysteroscopy, ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), intravenous pyelography (IVP), barium enema, and lower endoscopy.
Treatment will then depend on the diagnosis. Treatments may include medications for urinary tract infections (UTI) and vaginal infections, as well as anti-inflammatories for muscle cramping. Hormonal therapies and anti-depressants are also common treatments for women with chronic pelvic pain. Heat therapy, nerve blocks and relaxation exercises are other possible treatments.
Surgery may be recommended, such as a laparoscopy or hysterectomy. Hysterectomy is not always the best treatment, especially in the case of chronic pelvic pain, as the cause of the pain is frequently unknown.
Modern medical interventions do well to treat and cure underlying causes of acute pelvic pain, such as conditions that affect the pelvic organs, gynecological disorders, and systemic diseases. However, when pelvic pain becomes chronic (lasting greater than 3 months) despite numerous attempts at treatment, other structures need to be evaluated. Often, chronic pelvic pain is related to underlying joint instability and ligament laxity, which is often overlooked in the modern medical world. Ligaments are the tissues that hold our bones together, including the joints in our pubic area and low back. When they are lax, they can be painful and refer pain into the pelvic floor and surrounding structures. They may become unable to hold the pelvis in the proper position, which can also cause chronic pain.
Using Prolotherapy to relieve Pelvic Pain naturally
At Caring Medical, we frequently find that patients with chronic pelvic pain have underlying and unresolved ligament laxity. This is why other conventional treatments may have failed to cure their chronic pain– they did not address the root cause of the problem. This is where Prolotherapy can help.
Prolotherapy repairs the injured or lax ligaments. Numerous ligaments surround the pelvis and help to keep it stabilized. When these ligaments become weak, they are unable to maintain pelvic stability and can cause pain. They may also be tender to palpation (touch). Patients with chronic pelvic pain are frequently tender over the pubic symphysis or sacroiliac joints, often signifying weakened ligament tissue.
Prolotherapy to the pelvis involves a comprehensive treatment with a dextrose solution to any of the numerous ligaments that may be weak and causing the pelvic instability. This treatment initiates a mild inflammatory response in the treated pelvic area. D-glucose (also called dextrose) is the normal sugar in the body, and when injected activates the immune system. The body’s normal healing inflammatory reaction boosts the blood flow to the area and attracts immune cells to the weakened or injured ligaments being treated. These cells will cause regeneration and strengthening of the injured areas. Once the ligaments are strengthened, the pelvis becomes stabilized. Referral pain will stop, contracted muscles will relax, and the chronic pelvic pain will abate.