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Ultrasound-Guided Blocks for Pelvic Pain

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Atlas of Ultrasound-Guided Procedures in Interventional Pain Management

Abstract

Chronic pelvic pain (CPP) is defined as noncylic pain of at least 6 months duration, severe enough to cause disability or seek medical attention, occurring in locations such as the pelvis, anterior abdominal wall at or below the umbilicus, lower back, or buttocks. The pathophysiology of CPP is complex. The pain generator may include the viscera (e.g., bladder, bowel), neuromuscular system (e.g., pudendal neuralgia, piriformis syndrome), or the gynecological system (e.g., endometriosis). Pathophysiological processes, both peripherally and centrally combined with psychological factors most likely contribute to the clinical picture. Therefore, a multidisciplinary approach to management is recommended. As part of this management plan, neural blockade and injection of muscles within the pelvis play both a diagnostic and therapeutic role.

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  1. Department of Anesthesia, University of Toronto, Toronto Western Hospital, McL 2-405, 399 Bathurst Street, Toronto, ON, Canada, M5T2S8

    Philip W. H. Peng

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  1. Chin-Wern Chan
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Correspondence to Philip W. H. Peng .

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  1. Summa Western Reserve Hospital, Center for Pain Medicine, Cuyahoga Falls, 44223, Ohio, USA

    Samer N. Narouze

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Chan, CW., Peng, P.W.H. (2011). Ultrasound-Guided Blocks for Pelvic Pain. In: Narouze, S. (eds) Atlas of Ultrasound-Guided Procedures in Interventional Pain Management. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1681-5_16

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