Abdominal & Pelvic Pain Conditions We Treat
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Chronic Post-Surgical Pain
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Pancreatitis-Related Pain
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Chronic Pelvic Pain / Endometriosis-Associated Pain
Chronic Post-Surgical Pain
Overview
Chronic post-surgical pain (CPSP) refers to persistent pain that lasts more than three months after an operation, even after normal tissue healing. It can follow abdominal, pelvic, orthopaedic, or thoracic surgeries and is often caused by nerve irritation, scar adhesion, or inflammatory sensitisation. Left untreated, CPSP can interfere with mobility, sleep, and overall recovery, leading to anxiety and fatigue.
Symptoms
- Persistent burning, stabbing, or aching pain around the surgical site
- Tingling, numbness, or electric-shock sensations
- Hypersensitivity to touch or temperature changes
- Pain worsened by movement or pressure
- Disturbed sleep and mood changes
Diagnosis
- Detailed pain history and neurological examination
- Ultrasound or MRI to detect nerve entrapment or scar formation
- Diagnostic nerve blocks to map the pain pathway
- Pain scoring and quality-of-life questionnaires
Treatment
- Medication Management: Non-steroidal anti-inflammatory drugs, neuropathic pain modulators (gabapentinoids, tricyclics), and topical agents (lidocaine, capsaicin).
- Interventional Procedures: Image-guided nerve or trigger-point blocks to interrupt pain signals; radiofrequency ablation for long-term relief.
- Physical Rehabilitation: Scar-tissue mobilisation, graded exercise, and posture training to improve mobility.
- Psychological Support: Cognitive behavioural therapy and mind-body techniques to reduce pain perception and fear of movement.
- Follow-up & Prevention: Early pain intervention post-surgery reduces risk of chronicity.
Pancreatitis-Related Pain
Overview
Pain from pancreatitis originates in the upper abdomen and often radiates to the back. It may result from acute inflammation or progressive fibrosis of the pancreas. Chronic pancreatitis can lead to recurrent episodes of debilitating pain and nutritional deficiencies, affecting both physical and mental health.
Symptoms
- Severe epigastric pain radiating to the back or chest
- Nausea, vomiting, and bloating after meals
- Pain worse after fatty foods or alcohol
- Unintended weight loss and loss of appetite
- Fatigue from malabsorption or poor nutrition
Diagnosis
- Clinical evaluation with pain characterisation and history of episodes
- Blood tests for amylase and lipase levels
- Ultrasound, CT, or MRCP for ductal and structural assessment
- Endoscopic evaluation if indicated
- Nutrition and glucose monitoring in chronic cases
Treatment
- Medical Therapy: Pancreatic enzyme supplements, analgesics, antioxidants, and dietary modifications.
- Interventional Procedures: Celiac plexus block or neurolysis performed under CT/ultrasound guidance for refractory visceral pain.
- Lifestyle & Nutrition: Low-fat meals, small frequent portions, and complete abstinence from alcohol and smoking.
- Multidisciplinary Support: Endocrinology for diabetes control, nutrition counselling, and psychological support for pain-related distress.
Chronic Pelvic Pain / Endometriosis-Associated Pain
Overview
Chronic pelvic pain is pain lasting more than six months in the lower abdomen or pelvic region. It can be linked to gynecological, urological, or musculoskeletal disorders, and is commonly seen in women with endometriosis or pelvic floor dysfunction. It often requires a multidisciplinary approach involving pain medicine, gynecology, and physiotherapy.
Symptoms
- Deep pelvic ache or sharp pain, constant or cyclic
- Pain during menstruation, intercourse, urination, or bowel movements
- Pelvic heaviness or pressure
- Urinary frequency or bladder discomfort
- Fatigue and mood disturbance
Diagnosis
- Detailed history and pelvic examination
- Ultrasound or MRI pelvis to assess endometriosis or structural lesions
- Diagnostic laparoscopy (if required)
- Nerve mapping and hypogastric plexus block for pain origin confirmation
- Screening for bladder and bowel dysfunction
Treatment
- Medical Management: Hormonal therapy to suppress endometrial activity, neuropathic medications for nerve pain, and anti-inflammatory agents.
- Interventional Approaches: Superior hypogastric plexus block or ganglion impar block to interrupt pelvic pain transmission.
- Physiotherapy & Rehabilitation: Pelvic floor relaxation, biofeedback, and posture correction.
- Psychological & Lifestyle Support: Stress management, counselling, and mindfulness to address pain amplification cycles.
- Collaborative Care: Co-management with gynecology for fertility or surgical interventions if needed.
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FAQs
What causes chronic abdominal pain after surgery?
Chronic post-surgical pain can result from nerve damage, scar tissue formation, or ongoing inflammation. It’s important to get evaluated if pain persists beyond the expected healing period.
How is pancreatitis pain treated without surgery?
We use a combination of pain medication, dietary modification, enzyme supplements, and interventional procedures like celiac plexus blocks for effective pain management without surgery.
Can pelvic pain be treated without hormones?
Yes. We offer nerve blocks, physiotherapy, and pain modulating medications as non-hormonal options for managing chronic pelvic pain.