Neuropelveology: An Emerging Discipline for the Management of Pelvic Neuropathies and Bladder Dysfunctions through to Spinal Cord Injury, Anti-Ageing and the Mars Mission

Possover, Marc

doi:10.3390/jcm9103285

Cited by 9 publications

(11 citation statements)

References 37 publications

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“…These findings suggest some degree of pelvic peripheral sensitization and the neuromodulation therapies that seek to diagnose and ultimately treat these changes have been consolidated into a field of study preliminarily termed neuropelveology, a discipline seeking to gain traction among mainstream pain researchers and clinicians [32]. While the focus of these neuropelveology studies is highly characterized by investigations into mechanisms contributing to peripheral neuropathies, central changes in pain processing cannot be overlooked.…”

Section: Myofascial Releasementioning

confidence: 99%

Clinical Review of Neuromusculoskeletal Complementary and Alternative Approaches for the Treatment of Chronic Pelvic Pain Syndrome

Marks¹,

Rodriguez²,

Shah³

et al. 2022

Cureus

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Chronic pelvic pain syndrome (CPPS) is a functional pain disorder characterized by ongoing pain in the apparent absence of clinically identifiable causes. The prevalence of functional pain disorders demonstrates the importance of adequate management of ongoing symptomatology, but due to the uncertain etiology and myriad patient presentation phenotypes, reliable treatment options are difficult to implement. New interventions involving non-pharmacological approaches to pain management have been investigated across a spectrum of clinical and pre-clinical studies. Given that conservative care such as exercise, counseling, and musculoskeletal therapy is widely recommended as first-line treatment for CPPS, an updated review of these and related methodologies are needed. Familiarizing physicians and the public with the newest evidence for complementary and alternative medicine (CAM) and other conservative care treatments will assist with the promotion of evidence-based practices in a safe and reliable manner. This review aimed to summarize the current evidence and proposed mechanisms for non-pharmacological treatment specific to CAM and management of chronic pelvic pain centered on neuromusculoskeletal focused intervention such as acupuncture, auriculotherapy, manipulation, manual therapy, myofascial release, and phototherapy. The discussion suggests that reported improvements in pelvic pain or related symptomatology may be attributed to changes in the peripheral inflammasome and somatic origins of peripheral sensitization. Robustness of the included clinical studies is discussed throughout the review, and attention is paid to delineating inclusion criteria of formally diagnosed CPPS compared to general pelvic or abdominal pain. Overall, this review consolidates the current state of evidence regarding the utilization of non-traditional interventions using CAM techniques for the management of chronic pelvic pain and recommends a future direction for the field.

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Section: Myofascial Releasementioning

confidence: 99%

Clinical Review of Neuromusculoskeletal Complementary and Alternative Approaches for the Treatment of Chronic Pelvic Pain Syndrome

Marks¹,

Rodriguez²,

Shah³

et al. 2022

Cureus

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“…This discovery is of major interest since the application of the technique could have important consequences in preventing or even could be suitable for older adults even more than patients with paraplegia, particularly those incapable of active muscle training because of pain, motoric limitations, or subcortical pathologies, and people confined to their bed for a long time (prophylaxis of decubitus!) (Possover, 2020). In-body ENS could open the door to a whole new area of human medicine, in which implanted electronics could help the human body perform better, resulting in longer life.…”

Section: The In-body Ens Of the Human Autonomic Nervous System -An Ex...mentioning

confidence: 99%

Humans at the dawn of the in-body electrical nerve stimulation era

Possover¹

2022

Facts Views Vis ObGyn

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Background: The neuroprosthesis laparoscopic implantation technique for electric pelvic nerve stimulation was introduced to gynaecology over 15 years ago to treat intractable pelvic neuropathic pain. Following this first indication, other applications were developed, particularly in parapleology. The LION procedure developed to assist patients with paraplegia and common problems associated with inertia when confined to a wheelchair could find revolutionary applications in aging medicine and prevention. Material and Methods: Spinal cord injured patients who have undergone the Possover’s LION procedure. Main outcome measure: PubMed was systematically searched to identify peer-reviewed articles published in English that reported on LION procedure. Results: Three independent studies published recently (100 patients worldwide) have shown revolutionary recovery of supra-spinal control in patients with chronic spinal cord injury following pelvic nerves stimulation, with 70% of them establishing a walker/crutches-assisted gait. The same studies have also shown significant whole-body muscle-mass building, peripheral vasodilatation, and an unexpected improvement in bone mineral density. Conclusion: These ground-breaking findings could find revolutionary applications in aging medicine and the prevention of osteoporosis, with a huge impact on global public health. Humanity is on the cusp of an exciting new era following the introduction of the in-body electrical nerve stimulation technique. What’s new? In-body electrical nerve stimulation for recovery and/or control of human peripheral somatic and autonomic nervous systems.

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“…Neuropelveology, now a well-developed branch of neurological sciences, deals with pelvic nerves, the generation of pain, and putative sites of lesions along the nerve pathway. Knowledge of these aspects enables the clinician to provide specific treatment [ 24 ]. The diagnosis is confirmed by clinical investigation and imaging modalities.…”

Section: Introductionmentioning

confidence: 99%

“…The diagnosis is confirmed by clinical investigation and imaging modalities. Appendix A summarizes the history and examination to be done to reach a neurological diagnosis [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Review: Pelvic nerves – from anatomy and physiology to clinical applications

Alkatout

Wedel

Pape

et al. 2021

Translational Neuroscience

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A prerequisite for nerve-sparing pelvic surgery is a thorough understanding of the topographic anatomy of the fine and intricate pelvic nerve networks, and their connections to the central nervous system. Insights into the functions of pelvic nerves will help to interpret disease symptoms correctly and improve treatment. In this article, we review the anatomy and physiology of autonomic pelvic nerves, including their topography and putative functions. The aim is to achieve a better understanding of the mechanisms of pelvic pain and functional disorders, as well as improve their diagnosis and treatment. The information will also serve as a basis for counseling patients with chronic illnesses. A profound understanding of pelvic neuroanatomy will permit complex surgery in the pelvis without relevant nerve injury.

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Neuropelveology: An Emerging Discipline for the Management of Pelvic Neuropathies and Bladder Dysfunctions through to Spinal Cord Injury, Anti-Ageing and the Mars Mission

Cited by 9 publications

References 37 publications

Clinical Review of Neuromusculoskeletal Complementary and Alternative Approaches for the Treatment of Chronic Pelvic Pain Syndrome

Clinical Review of Neuromusculoskeletal Complementary and Alternative Approaches for the Treatment of Chronic Pelvic Pain Syndrome

Humans at the dawn of the in-body electrical nerve stimulation era

Review: Pelvic nerves – from anatomy and physiology to clinical applications

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