Before making the diagnosis of chronic pelvic groin pain, other treatable causes must be addressed with the help of a primary care physician, urologist or gynecologist.
Conditions such as gastrointestinal disorders, urinary bladder processes, renal colic, endometriosis, prostatitis, and/or ovarian processes must be addressed first.
Other pain conditions which may resemble chronic pelvic pain include abdominal wall myofascial pain. Peripheral nerve neuritis of the genitofemoral nerve, inlioinguinal nerve, iliohypogastric nerve, and pudendal nerve may also mimic pelvic pain. Diagnostic nerve blocks of these nerves can be performed by an Illinois Pain Institute pain specialist to evaluate for pain due to a specific nerve or combination or nerves.
Pain arising from the pubic symphisis can also mimic pelvic pain and an Illinois Pain Institute physician can inject this structure if needed. Pelvic pain may arise from the retroperitoneal space and may be transmitted by the sympathetic axis. To address this pain, specific clusters of nerves can be blocked by an Illinois Pain Institute pain specialist. This can be achieved by blockade of the sympathetic axis at the hypogastric plexus.
Prostatitis is often described as an infection of the prostate. It can also be an inflammation with no sign of infection. Just 5% to 10% of cases are caused by bacterial infection. The primary symptom of chronic infectious prostatitis is usually repeated bladder infections. Prostatitis can affect men of all ages and is treatable.
Pain in rectal region may affect women and men of all ages. This pain can be seen acutely or chronically. Rectal pain may be due to scar tissue from radiation or surgery, ligament injury and other causes. Patients may experience or a burning, electric-like pain that is present at rest or with activity.