Chronic pelvic pain is highly prevalent, particularly among women of reproductive age. Estimates suggest that approximately 15–25% of women worldwide experience chronic pelvic pain at some point in their lives.
Chronic pelvic pain is multifactorial and may involve gynaecological, gastrointestinal, urological, musculoskeletal, neurological, and psychological components.
Management of chronic pelvic pain is multidisciplinary and stepwise, focusing on identifying treatable causes, reducing pain, and improving function and quality of life.
I offer following interventions tailored to individual need and requirement that can be complimentary to other treatment modalities, aiming towards reducing pain and improvement in quality of life-
- Nerve blocks (pudendal, hypogastric plexus)
- Trigger point injections
- Image-guided pelvic floor or abdominal wall injections
- Radiofrequency ablation in selected cases
- Neuromodulation (spinal cord or dorsal root ganglion stimulation) for refractory pain where all other treatment modalities have proven unsuccessful/ limited
You can request your GP to arrange a named consultant referral to the Barts neuromodulation service to access these advanced treatment options if they are not available in your area.