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APICO Pain and WellnessAPICO Pain and Wellness
09Where does it hurt?

Pelvis & Groin

Step 1

Common symptoms

  • Pain deep in the pelvis, groin or tailbone
  • Pain with sitting
  • Burning or shooting pain in the perineum or groin
  • Pain following hernia repair or pelvic surgery
Step 2

Conditions we treat

The condition pages that cover pain in this area.

07Pelvic, Abdominal & Groin Pain
Step 3

How we evaluate

Your visit starts with a comprehensive evaluation: your history, a focused musculoskeletal and neurologic examination, and a review of any imaging or diagnostic studies you already have. When it helps to pinpoint the source of pain, we use diagnostic nerve blocks or ultrasound-guided assessment before recommending treatment.

Pelvic and groin pain is mapped to the pudendal, ilioinguinal, genitofemoral or coccygeal nerves with targeted diagnostic blocks.

Step 4

Treatment options

Treatments linked from those condition pages, from conservative care to advanced procedures.

Physical therapist guiding a man through a resistance-band exercisePhysical Therapy, Rehabilitation & Functional RestorationPhysical therapy and rehabilitation help patients improve movement, strength, flexibility, endurance, balance, and confidence with activity.Illustration of a needle at the nerves of the groinPelvic & Groin Peripheral Nerve BlocksNerves such as the ilioinguinal, iliohypogastric, genitofemoral, and pudendal nerves can become irritated or injured after surgery, hernia repair, trauma, entrapment, or other pelvic conditions.Illustration of a needle at the celiac plexus among the abdominal organsCeliac Plexus & Splanchnic Nerve BlocksThe celiac plexus and splanchnic nerves carry pain signals from many upper abdominal organs.Illustration of a needle at the superior hypogastric plexus in the pelvisSuperior Hypogastric Plexus BlockThe superior hypogastric plexus carries pain signals from pelvic organs and structures.Illustration of a needle at the ganglion impar near the tailboneGanglion Impar BlockThe ganglion impar is a small sympathetic structure located near the front of the sacrum and coccyx.Illustration of an ultrasound probe guiding a needle to a nerveUltrasound-Guided Peripheral Nerve BlocksPeripheral nerve blocks place medication around a specific nerve outside the spine.Illustration of a needle in the serratus anterior plane over the ribsSerratus Anterior & Other Fascial Plane BlocksFascial plane blocks place local anesthetic within tissue planes where sensory nerves travel.Illustration of a needle at the coccyxCoccygeal InterventionsCoccyx pain, or coccydynia, can follow a fall, prolonged sitting, childbirth, repetitive pressure, or develop without a clear injury.Illustration of a stimulation lead along a peripheral nerve in the armPeripheral Nerve Stimulation (PNS)Peripheral nerve stimulation delivers electrical stimulation directly to a selected peripheral nerve or nerve region.Illustration of stimulation leads at the dorsal root ganglion beside a vertebraDorsal Root Ganglion (DRG) StimulationDRG stimulation is a targeted form of neuromodulation that delivers electrical stimulation near the dorsal root ganglion, an important structure involved in sensory signaling.Patient in a head scarf resting during an infusionCancer & Treatment-Related Pain ProceduresCancer pain may arise from tumor involvement, bone disease, nerve compression, surgery, radiation, chemotherapy, or treatment-related nerve injury.
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