• Curr Pain Headache Rep · Sep 2022

    Review

    Interventional Treatment Modalities for Chronic Abdominal and Pelvic Visceral Pain.

    • Christopher Wie, Shirin Ghanavatian, Scott Pew, Alexander Kim, Natalie Strand, John Freeman, Mostafa Maita, Stephen Covington, and Jillian Maloney.
    • Division of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 5777 E Mayo Boulevard, Phoenix, AZ, 85054, USA. wie.christopher@mayo.edu.
    • Curr Pain Headache Rep. 2022 Sep 1; 26 (9): 683-691.

    Purpose Of ReviewChronic 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 FindingsSympathetic 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. This paper will review interventional options for the treatment of chronic abdominal and pelvic visceral pain.© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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