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See Latest ArticlesUltrasound-guided interventional procedures for chronic pelvic pain
Techniques in Regional Anesthesia and Pain Management, 09/23/09
Bellingham A et al. – This review focuses on three pelvic pain syndromes mediated by somatic nerves: the “border nerve syndrome” (consisting of the ilioinguinal, iliohypogastric, and genitofemoral nerves), the piriformis syndrome, and pudendal neuralgia. Various approaches have been described to block these nerves, ranging from simple blind techniques to the use of open magnetic resonance imaging facilities. The degree of accuracy and safety of the blocks seem to correlate well with the sophistication of the technology employed. The use of ultrasound (US) can consolidate the advantages of many of these methods. US is portable, readily available to pain specialists, and avoids the use of ionizing radiation. It allows the visualization of a wide range of tissues and possibly improves accuracy of needle placement.
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