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Interventional Treatment Modalities for Chronic Abdominal and Pelvic Visceral Pain

  • Chronic Pain Medicine (O Viswanath, Section Editor)
  • Published:
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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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Authors and Affiliations

  1. Division of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 5777 E Mayo Boulevard, Phoenix, AZ, 85054, USA

    Christopher Wie, Scott Pew, Natalie Strand, John Freeman, Mostafa Maita, Stephen Covington & Jillian Maloney

  2. Department of Anesthesiology, University of North Carolina, Chapel Hill, NC, USA

    Shirin Ghanavatian

  3. Department of Anesthesiology Brigham and Women’s Hospital, Boston, MA, USA

    Alexander Kim

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  1. Christopher Wie
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  2. Shirin Ghanavatian
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  3. Scott Pew
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  4. Alexander Kim
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  5. Natalie Strand
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  7. Mostafa Maita
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Correspondence to Christopher Wie.

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Christopher Wie, Shirin Ghanavatian, Scott Pew, Alexander Kim, Natalie Strand, John Freeman, Mostafa Maita, Stephen Covington, and Jillian Maloney declare no conflict of interest.

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Wie, C., Ghanavatian, S., Pew, S. et al. Interventional Treatment Modalities for Chronic Abdominal and Pelvic Visceral Pain. Curr Pain Headache Rep 26, 683–691 (2022). https://doi.org/10.1007/s11916-022-01072-4

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