Published in:
05-07-2022 | Spinal Cord Stimulation | Chronic Pain Medicine (O Viswanath, Section Editor)
Interventional Treatment Modalities for Chronic Abdominal and Pelvic Visceral Pain
Authors:
Christopher Wie, Shirin Ghanavatian, Scott Pew, Alexander Kim, Natalie Strand, John Freeman, Mostafa Maita, Stephen Covington, Jillian Maloney
Published in:
Current Pain and Headache Reports
|
Issue 9/2022
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Abstract
Purpose of Review
Chronic abdominal and pelvic visceral pain is an oftentimes difficult to treat pain condition that requires a multidisciplinary approach. This article specifically reviews the interventional treatment options for pain resulting from visceral abdominal and pelvic pain.
Recent Findings
Sympathetic nerve blocks are the main interventional option for the treatment of chronic abdominal and pelvic visceral pain. Initially, nerve blocks are performed, and subsequently, neurolytic injections (alcohol or phenol) are longer term options. This review describes different techniques for sympathetic blockade. Neuromodulation is a potential option via dorsal column stimulation or dorsal root ganglion stimulation. Finally, intrathecal drug delivery is sometimes appropriate for refractory cases.
Summary
This paper will review interventional options for the treatment of chronic abdominal and pelvic visceral pain.