Peripheral neuropathies causing chronic pelvic pain

Chronic Female Pelvic Pain—Part 1: Clinical Pathoanatomy and Examination of the Pelvic Region

“…Conversely, the femoral branch supplies the skin of the femoral triangle 55 . The most common injury in this region involves the right genitofemoral nerve 56 . This injury may occur as a result of postappendectomy perineural fibrosis at the nerve’s exit through the psoas muscle.…”

“…At least 80 different etiologies for this neuropathy have been described. Pressure from tight or wide belts, tight pants, postsurgical abdominal scars, pregnancy, iliac bone graft harvest, ascites, obesity, abdominal/pelvic mass, and metabolic neuropathies can serve as the etiology of this condition 56 …”

Chronic pelvic pain treated with gabapentin and amitriptyline: A randomized controlled pilot study

“…Recommended state-of-the-art treatments for visceral and neuropathic pain differ considerably [4,[7][8][9]. Tricyclic antidepressants and anticonvulsive drugs have emerged as effective standard treatment options for neuropathic pain [6]: amitriptyline is an effective tricyclic antidepressant, but side effects often limit its clinical use [10,11]; gabapentin [1-(aminomethyl)cyclohexanacetic acid] is a structural analog of γ-aminobutyric acid, which was initially introduced in 1994 as an anticonvulsive drug [12][13][14], and has been reported to be well tolerated and effective in the treatment of various chronic pain conditions, particularly in neuropathic pain [13,15].…”

Zum chronischen Unterbauchschmerz der Frau

“…Es kommen zusätzlich zur psychogenen Genese viszerale, vaskuläre, neuronale, myofasziale und muskulo-skeletale Ursachen in Betracht. Des Weiteren können die Schmerzen fortgeleitet oder durch periphere Neuropathien verursacht sein [18]. Eine Vielzahl funktioneller Veränderungen, auch anderer Organsysteme kommt als Differenzialdiagnose infrage.…”