Neurotomy and Stimulation Procedures for Pelvic Pain

Chronic pelvic pain can be broadly defined pain in the pelvis but can include groin, lumbosacral back, buttock, perineal, and hip areas (Peng and Tumber. Pain Physician 11:215–224, 2008). There are multiple causes of pelvic pain—visceral, musculoskeletal, neurologic, and primary or secondary psychologic causes. Pelvic pain is often difficult to address and, therefore, treat, and is usually relegated to the gynecologist (or psychologist). There are several nerve pathologies that, if accurately identified, may be effectively treated, including anterior cutaneous nerve entrapment (ACNE), as well as pudendal, ilioinguinal, genitofemoral, obturator, posterior femoral cutaneous, and inferior cluneal nerves.