Echols Karolynn, Rich Jennifer
Thomas Jefferson University Hospital, Sydney Kimmel Medical College, Department of Ob/Gyn, Section FPMRS.
Thomas Jefferson University Hospital, Department of Ob/Gyn.
Tech Vasc Interv Radiol. 2021 Mar;24(1):100735. doi: 10.1016/j.tvir.2021.100735. Epub 2021 Apr 21.
Non-venous pelvic pain is a dilemma that can frustrate even the most patient of providers. Managing these conditions can be even more bewildering as they require a multidisciplinary approach in most cases. Diet and lifestyle modifications in addition to physical therapy, biofeedback, medications, surgery and integrative medicine modalities can be used alone or in combination to relieve symptoms and should be individualized after proper evaluation and diagnosis. Because most of these conditions are located in the area of pudendal nerve distribution, pudendal nerve blocks have been very successful in helping to control the pain symptoms and should be used judiciously. Here we discuss the common conditions and how physical therapy and pudendal nerve blocks play a significant role in treatment.
非静脉性盆腔疼痛是一个难题，即使是最有耐心的医疗服务提供者也可能感到沮丧。处理这些病症更加令人困惑，因为在大多数情况下它们需要多学科方法。除了物理治疗、生物反馈、药物、手术和综合医学方法外，饮食和生活方式的改变可以单独或联合使用以缓解症状，并且在经过适当评估和诊断后应个体化。由于这些病症大多位于阴部神经分布区域，阴部神经阻滞在帮助控制疼痛症状方面非常成功，应谨慎使用。在此我们讨论常见病症以及物理治疗和阴部神经阻滞在治疗中如何发挥重要作用。
