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Chronic Pelvic Pain

14 Apr 2025

Chronic Pelvic Pain is a debilitating condition that affects millions worldwide. It encompasses conditions such as endometriosis, adenomyosis, interstitial cystitis, pelvic congestion syndrome, pelvic adhesions, vaginismus and vulvodynia.

Whilst conservative treatments such as physical therapy and medications are often the first line of defence, there are minimally invasive treatment options that are emerging as promising options for management of Chronic Pelvic Pain. Lets take a deep-dive into  these cutting edge treatments.

Pelvic Rhizotomy: Targeting Nerve Pain

Rhizotomy, also known as neurotomy or radiofrequency ablation is a minimally invasive procedure that disrupts pain signals from specific nerves. By using heat, to create a lesion on the nerves of the pelvis responsible for the pain signals. Once this heat lesion is applied, the procedure relies on the body’s own healing process to create a scar that dampens the pain signals from the pelvis.

Pelvic Botulinum Toxin (Botox)

Pelvic Botox injections have gained traction in managing chronic pelvic pain associated with pelvic muscle tightness and spasms. Botox works by temporarily paralysing the hyperactive pelvic muscles, reducing spams and compressive pain. Studies show significant pain reduction and improved sexual satisfaction within weeks of treatment, with the effects lasting several months.

Platelet Rich Plasma Thererapy (PRP): Regenerative healing

Platelet rich plasma therapy uses concentrated platelets from the patients blood to promote tissue regeneration and healing. It works by stimulating cell repair and improvement in tissue stability in the pelvic region. It offers sustainable relief by addressing underlying tissue damage, rather than just masking symptoms

Rhizotomy, Botox injections and Platelet Rich Plasma (PRP) therapy are innovative approaches to managing chronic pelvic pain. Each method targets specific aspects of Chronic Pelvic Pain – nerve dysfunction, muscle spams or tissue damage, providing tailored solutions for patients who struggle with conventional treaments.

Consulting with a Pain Specialist with an interest in Pelvic Pain is essential to determine the most suitable options based on individual needs.