Neurogenic Pelvic Pain

Nicholas Elkins, Jason Hunt, Kelly M. Scott

Research output: Contribution to journalReview article

14 Scopus citations

Abstract

Pelvic neuralgias frequently cause severe pain and may have associated bladder, bowel, or sexual dysfunctions which also impact quality of life. This article explores the etiology, epidemiology, presentation and treatment of common causes of neurogenic pelvic pain, including neuralgia of the border nerves (ilioinguinal, iliohypogastric, and genitofemoral), pudendal neuralgia, clunealgia, sacral radiculopathies caused by Tarlov cysts, and cauda equina syndrome. Treatment of pelvic neuralgia includes conservative measures such as pelvic physical therapy, lifestyle modification, and medications with escalation to more invasive and novel treatments such as nerve blocks, radiofrequency ablation, cryoablation, neuromodulation and neurectomy/neurolysis if conservative treatments are ineffective.

Original languageEnglish (US)
Pages (from-to)551-569
Number of pages19
JournalPhysical Medicine and Rehabilitation Clinics of North America
Volume28
Issue number3
DOIs
StatePublished - Aug 1 2017

Keywords

  • Genitofemoral
  • Iliohypogastric
  • Ilioinguinal
  • Pelvic pain
  • Pudendal
  • Tarlov cyst

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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