Iliohypogastric Nerve Block for Chronic Pelvic Pain Treatment: Ultrasound-Guide Technique Description and Case Series
Keywords:Iliohypogastric Neuropathy, Pelvic Pain, Rehabilitation Treatment, Ultrasound-Guide, Nerve Block.
Background: Chronic pelvic pain is common and often difficult toÂ alleviate. The aim of this study is to describe the technique of theÂ Iliohypogastric Nerve (IPN) block with ultrasound-guide (UG) and showÂ its utility and safety in a Physical Medicine and Rehabilitation Unit.
Aim and Objetives: To Todescribe the technique of the IliohyogastricÂ Nerve (IPN) block with ultrasound-guide (UG) and show its utilityÂ and safety in a physical medicine and rehabilitation consulting room.
Methods: we present three consecutive patients with a chronic pelvicÂ pain difficult to manage with NSAIDS or analgesics. All this patientesÂ suffered more than six months of burning and lancinating pelvicÂ pain that get worse with trunk movements and when the patient isÂ seated or walking. Due to symthoms and physical examination, theÂ patients were diagnosed of iliohypogastric neuropathy and we decidedÂ to perform an ultrasound guided iliohypogastric nerve block inÂ all cases.
Results: The VAS punctuation were improved after each nerve blockadeÂ in three patients at the finally of follow-up, decreasing VAS 3.5 points (P50) in compare with before start the treatment. Any secondary effects were reported.
Discussion: There is little literature concerning this procedure whichÂ shows, such our study, that in blockades were used a local anesthetic and the nerve is located with ultrasound guide. The results show partial improvement of the symptoms after the treatment. Although our sample is small and the follow up is short, we continue the study with the aim of improving the technique and provide statistically significant results.
Conclusion: The iliohypogastric nerve block is easily repoducible inÂ the clinical setting and offers an advancement for patients with pelvicÂ pain, that could be an initial option of treatment to improve the painÂ and delay other treatment as surgery.
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