Pelvic Pain Treatment in New Jersey
Pelvic pain is the pain in the lowest part of your abdomen, groyne or buttocks. Although pelvic pain is often thought of occurring in women or women assigned gender of birth, it can occur in all sexes. One should seek a consultation with Dr. Dipty Mangla if one faces unbearable pelvic pain. The expert pain management physician provides the best pelvic pain treatment in New Jersey. Pelvic pain can have causes that are not related to any underlying disorder or disease. Constipation, full bladder, pregnancy, sexual pain, menstruation or trauma can all cause pelvic pain. It can be associated with pain in the abdomen or lower back. Pelvic pain can be caused by medical problems pertaining to the digestive system, reproductive system , urinary system or pelvic muscles,ligaments, bones and nerves.
When to seek medical help
Some of the situations that will require assistance from a pain management physician to get effective pelvic pain treatment in New Jersey are:
- If you have abnormal bleeding or vaginal discharge
- If it is associated with fever
- If it lasts more than 3 months
- If it is associated with weight loss, loss of appetite, fever
When to see pain management for pelvic pain
- If you are diagnosed with cancer
- If it is associated with fever
- If it lasts more than 6 months
- If it is a result of postoperative complications
- If the pain disrupts your daily life
- It is progressively getting worse.
The expert Mainland’s pain management physician also provides advanced treatments for areas with head pain, neck pain, back pain, and many more.
Pelvic pain can be a dull, aching or cramping type of pain. It can be constant or intermittent ( on or off). It can be mild or moderate to severe. It can be dull or sharp. It can radiate to the lower back, buttocks or thighs. It can be associated with diarrhea, constipation or blood or mucus in stools. It could be accompanied with increased frequency of urination, incontinence or burning urination. In females it can be associated with abnormal vaginal discharge or bleeding.
Causes of pelvic pain
- Inflammation or irritation of nerves caused by fibroids, trauma, pressure or inflammation
- Contraction of smooth muscles like in uterus, fallopian tubes, urethra or skeletal muscles
- Female reproductive system issues like ectopic pregnancy, ovarian cysts, pelvic inflammatory diseases, miscarriage, ruptured fallopian tube, endometriosis, endometrial polyps, cancers
- Scar tissue between the internal organs in the pelvis
- Male pelvic pain issues like testicular torsion, hydrocele, prostatitis, varicocele
Causes of chronic pelvic pain
- Radiation treatment
- Cancers of pelvic organs
- Levator syndrome
- Pudendal neuralgia
Pelvic support problems causing prolapse
- Irritable bowel syndrome
- Pelvic congestion syndrome
- Interstitial cystitis
This is a disorder where the lining of the uterus grows outside of the uterus. The lining could be typically in fallopian tubes, ovaries or even intestines. The lining could be outside of the pelvis, though this is rare. The most common symptoms are menstrual irregularities and pain. Pelvic pain with endometriosis is usually associated with menstrual bleeding. Sexual intercourse, bowel movements or even urination can cause severe pain. It can lead to infertility.
With increased life expectancy and advanced cancer treatments, it is not uncommon for cancer patients to suffer from pelvic pain even when they are in remission. Pain is usually dull discomfort , however it can be a sharp, burning type of pain if the pelvic nerves are involved. Multimodality pain management can help with this type of pain.
Irritable bowel syndrome
It is a common disorder involving the stomach and intestine. The patients with irritable bowel syndrome can have a cramping type of abdominal or pelvic pain which can be associated with diarrhoea and or constipation. While some patients can alleviate their symptoms with lifestyle modification, dietary changes and stress management, many patients need to seek medical help for treatment.
This is intermittent pain in the rectum, sacrum or coccyx. The pain can be associated with intense pressure in the buttocks or thigh. The pain is attributed to the spasms of the pelvic floor muscles ( levator ani). Rectal examination can be very uncomfortable in patients with this disorder. Another variant of this disorder can cause intense spasm and pain in the rectal area. Though the mainstay of treatment is biofeedback and physical therapy, patients can be helped with steroid injections in the muscles or the nerve blocks.
Pudendal nerve is the nerve supplying areas of the buttocks, genitalia ( vulva, labia and clitoris in females and scrotum and penis in males) , anus and rectum. Pudendal neuralgia is the pain caused by irritation, trauma or inflammation of the pudendal nerve. Pain could be burning, sharp, shooting type, can be gradual or sudden in onset depending on the cause of nerve irritation, constant or intermittent and the pain is usually worse with sitting and better with walking or standing. Wearing clothes or even light touch can exacerbate the pain. It may lead to urinary frequency or pain during sexual intercourse or cause erectile dysfunction male. Some patients report a feeling of golf ball or tennis ball or swelling in perineum
Sacroiliitis basically means inflammation of one or both sacroiliac joints. The sacroiliac joint is the joint where the pelvis and spine meet. It is one of the balancing joints and is responsible for transferring weight of the body to legs when trying to get up from sitting position or while walking. Patients with rheumatological disorders like rheumatoid arthritis, ankylosing spondylitis are at risk to develop this condition.The pain is usually described as dull, aching and stiffness, however some patients describe it as sharp discomfort. The pain can radiate from the buttocks to groin and thigh. The pain radiating from this joint usually does not radiate to the leg below the knee. Activities like getting in and out of bed or car, standing or walking can cause increased discomfort. Some patients complain of stiffness in the buttocks in the morning which becomes better as the day progresses. Having problems with balance or weight bearing on one leg can make the pain worse.
Piriformis is a narrow muscle in the buttocks. This muscle is attached from the sacroiliac joint to the long bone in the thigh. Sciatic nerve is in close proximity to this muscle in 85 percent of the patients. The pain due to this muscle irritation can be in the buttock or could radiate to the hip or leg. This could be a result of injury, swelling, muscle spas or scarring of piriformis muscles. Though self limiting in most patients, where rest and anti inflammatory medications can help with pain alleviation, some patients may require muscle relaxants or steroid injections.
In order to gain detailed information on the best pelvic pain treatment in New Jersey, book a consultation with Dr. Dipty Mangla at Mainland Pain Management.
FAQs - Frequently Asked Questions
What is Chronic Pelvic Pain?
Ans. Chronic pelvic pain is described as intermittent or continuous pain in a woman's lower abdomen or pelvis that lasts at least 6 months, is not connected with menstruation or intercourse, and is not caused by pregnancy. A chronic pelvic pain demands a proper medical evaluation to find out the cause behind it. One can consult Dr. Dipty Mangla, a pain management specialist who provides effective pelvic pain treatment in New Jersey at Mainland Pain Management.
Chronic pelvic pain frequently necessitates a complete medical evaluation to pinpoint the source of the pain and develop an effective treatment plan.
What Causes Chronic Pelvic Pain?
Ans. While pelvic pain is commonly associated with urinary tract infections or gastrointestinal problems, it can also suggest a problem with your pelvic organs. Pelvic discomfort can occur for a variety of reasons. Some of the underlying conditions that can lead to pelvic pain are irritable bowel syndrome, endometriosis, and pelvic inflammatory disease. You should schedule an appointment with a pain management specialist.
You can consult Dr. Dipty Mangla who ensures correct diagnosis and effective pelvic pain treatment in New Jersey.
How Is Chronic Pelvic Pain Diagnosed?
Ans. A pain management specialist will conduct a physical examination. The abdomen and pelvis will be examined, as well as the woman's organs, muscles, and tissues in the pelvic region, for soreness or abnormalities that indicate a pain disorder will also be examined.
What are the Red Flags of Chronic Pelvic Pain?
Ans. Some of the symptoms and indicators that are recognized as red flags in women with chronic pelvic pain and necessitate referral are
- rectal hemorrhage,
- irregular vaginal bleeding in a woman over the age of 40,
- bleeding after a sexual encounter,
- new bowel symptoms in a lady over the age of 50
- weight loss that is excessive or unexplained
- pain in the pelvis in a postmenopausal women
Noticing any of these symptoms accompanied by severe pelvic pain demands medical help. To get advanced pelvic pain treatment in New Jersey, consult Dr. Dipty Mangla at Mainland Pain Management.
Can Pelvic Pain Affect My Ability To Become Pregnant?
Ans. If you have pelvic inflammatory disease (PID) you may experience pain in your lower abdomen (belly) or pelvic. You may also experience unexpected vaginal discharge (leaking). Severe PID can permanently harm your reproductive organs and make it impossible for you to become pregnant. Getting diagnosed and treated for STIs (sexually transmitted infections) is the most effective strategy to avoid PID.
What Are Some Health Conditions That Can Cause Pelvic Pain?
Ans. Acute pelvic discomfort can be caused due to ectopic pregnancy (pregnancy outside of the uterus), pelvic inflammatory disease ( PID), ovarian cyst, miscarriage, UTIs, appendicitis, and fallopian tube rupture. However, some of the causes of chronic pain are menstrual cramps, endometriosis, uterus fibroids, endometrial polyps, reproductive system cancers, etc.
Other causes include issues with the digestive, urinary, or neurological systems. To get effective acute or chronic pelvic pain treatment in New Jersey, consult Dr. Dipty Mangla at Mainland Pain Management.
What Is the Best Way to Manage Chronic Pelvic Pain?
Ans. Nonsteroidal anti-inflammatory medicines (NSAIDs) such as ibuprofen or naproxen sodium can aid in the reduction of swelling that causes pelvic pain. Acetaminophen can also help with pain. Make time for physical activity. Even if you don't feel like moving, exercise increases blood flow and may help you feel better. Nerve blocks, physical therapy, surgery, transcutaneous nerve stimulation, and counseling are some of the treatments available.
You can consult Dr. Dipty Mangla for the best pelvic pain treatment in New Jersey at Mainland Pain Management.
Is Pelvic Disease Serious?
Ans. Yes, PID can be dangerous. Early detection and treatment are important for lowering the chance of long-term issues such as infertility. Pelvic inflammatory disease (PID) is a reproductive organ infection. It is usually caused by a sexually transmitted infection, such as gonorrhea or chlamydia. To get advanced pelvic pain treatment in New Jersey, consult Dr. Dipty Mangla at Mainland Pain Management.
Can Pelvic Pain Affect My Emotional Well-Being?
Ans. Ongoing pelvic pain can also lead to sleep issues, sexual issues, relationship difficulties, and troubles at work and at home. All of these characteristics can influence how a woman perceives pain, her emotional well-being, and her overall quality of life.
Furthermore, pain from pelvic floor dysfunction, regardless of the etiology, can create emotional anguish and despair. Living with chronic pain and suffering can interfere with your life and your ability to do the things you enjoy. For a comprehensive diagnosis and for an advanced pelvic pain treatment in New Jersey, consult Dr. Dipty Mangla at Mainland Pain Management.
Can Walking Reduce Pelvic Pain?
Ans. When you have pelvic discomfort, the most difficult thing may be getting started. Choosing an appropriate exercise method is the best place to start. Exercises that reduce pelvic floor strain are advised. Walking, using an elliptical machine, or swimming are examples of these types of exercises. However, avoid high-impact exercises such as gymnastics, running, weightlifting, triathlons, etc. These activities strain on your abdomen, creating stress on your pelvic floor and, in some cases, pelvic pain.
To get detailed guidelines, one can consult the pain management specialist, Dr. Dipty Mangla, renowned for offering advanced pelvic pain treatment in New Jersey at Mainland Pain Management