Abdominal Region Pain
Chronic pancreatitis is a painful condition in which the pancreas is damaged leading to inability to digest the food and unable to produce pancreatic hormones. Apart from the other symptoms like vomiting, diarrhea, weight loss, malnutrition, pain is the most disabling of all. Pain is intolerable and patient cannot perform any routine activity, hence curing pain in these patients is of par importance. Painkillers, opioid group of drugs, antioxidants and coeliac plexus blocks are important key factor in management of pain. All these measures when used properly and in proper dose will lead to pain free condition.
Functional Abdominal Pain Conditions:
Functional abdominal pain syndrome is a condition of chronic abdominal pain of more than 6 months without any specific cause of pain . Few precipitating causes like emotional stress, altered bowel habits, Pain is difficult to treat and requires multimodal approach. Antineuropathic drugs, antisapasmodics and cognitive behavior therapy are the mainstay of the treatment.
Testicular pain syndromes:
Pain in the scrotum and testis are one of the common cause of chronic pain in males. These pains are usually not associated with any damage to the male genitals. These kind of pain usually occur in young males who have just started with sexual activity, those with history of trauma in that part, and in those patients not having meaningful relationships. These pain occurs due to changes occurring in brain and in the genitals , all of these leading to perception of pain. Anti-neuropathic drugs, pain killers, nerve blocks , groin blocks, psychological counseling are important treatment modalities.
Pelvic pain in females:
Females with chronic pelvic pain often have difficulties in explaining the pain site and type due to social factors and psychological issues. Pain in perineum may be associated with depression, anxiety, poor health. These kind of pain may or may not be associated with gynecological causes. Treating pain without any gynecological cause is difficult to understand, diagnose and treat. It requires proper examination and investigations, appropriate medicines and doing proper exercises along with multiple sittings of follow up along with psychological counseling. Radiofrequency ablation of ganglion impar and chemical neurolysis of the hypogastric plexus yields food results.
It is a painful condition associated with discomfort in the vulva and external genitals , without any identifiable cause . Patient will have burning pain on touching , irritation of the area, rawness, difficult to do exercises and sexual activity and is usually seen after long hours of sitting or after sexual intercourse. Application of local anesthesia cream in the site ,oestrogen creams, trigger point injections, pelvic floor exercise, ultrasonographic and stimulation therapy, botox injections are the treatment modalities available depending on the type and severity of the pain.
It is a painful condition of tail bone with tender point present in the tail bone and pain in buttocks. This pain usually seen following trauma to the tail bone, sitting on rough surface for long hours, sudden weight loss leading to disappearance of buttock fat. Patients find it difficult in sitting for long hours. Treatment for coccygodynia involves pain killers, non surgical intervention like triple maneuvers which includes trigger point injection , coccyx massage, caudal epidural injection. Ganglion impar block and radiofrequency ablation is also a treatment modality .along with all these use of coccyx seat is mandatory for healing process to take place.