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Published in: Current Pain and Headache Reports 9/2022

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.
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Metadata
Title
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
Publication date
05-07-2022
Publisher
Springer US
Published in
Current Pain and Headache Reports / Issue 9/2022
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-022-01072-4

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