Doctors’ Pain Management Associates, LLC

dba: Advanced Neurospine Associates

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Orlando Pelvic Pain Specialists

Living with pelvic pain can be a challenging, isolating experience. Finding the right specialist is essential to managing your chronic pain and achieving long-term relief from its symptoms. At Advanced Neurospine Associates, we are here to provide dedicated, evidence-based treatment for both men and women afflicted by painful disorders of the lower abdomen and pelvic region. Our team of experienced physicians specializes in comprehensive diagnosis and care designed specifically for you so that you can move forward on the road to recovery.


We Are a Team of Specialists Dedicated to Treating Chronic Pelvic Pain

With over 25 years of experience and expertise, we have helped countless patients understand the source of their pelvic pain and develop a holistic course of treatment. Our team approaches diagnosis and care with sensitivity, understanding that pelvic pain can come with feelings of vulnerability and embarrassment. We strive to provide quality, personalized care that helps our patients achieve meaningful lasting relief.


What Is Pelvic Pain and What Are the Symptoms?

Pelvic pain can be a debilitating and uncomfortable condition, with many potential causes. Generally, pelvic pain is defined as any discomfort or discomfort in the lower belly region, between the hipbone and belly button, that may be ongoing or sudden and sharp. Symptoms associated with pelvic pain may include a burning, cramping, or stabbing sensation as well as pressure, tenderness, and swelling of the abdomen. It can be an intermittent or chronic issue and can vary in intensity. Individuals experiencing pelvic pain should seek medical advice if their symptoms persist for more than two weeks.


How Is Pelvic Pain Treated, and What Are the Benefits of Treatment?

Treating pelvic pain can provide important relief, empowering patients to reclaim their quality of life and return to activities they once enjoyed. Neuropathic pain medicines, nerve blocks, ketamine infusions, and surgery are all possible treatment options that may prove beneficial, depending on the cause and type of the pain. Neuropathic pain medicines help to alleviate sensations of burning or shooting pains associated with neuropathy, while nerve blocks provide temporary relief by interrupting signals from nerves to the brain. Ketamine infusions can be used for chronic pain conditions that are not responding to other treatments, and surgery may be necessary to remove scar tissue or correct anatomical issues that are contributing to pelvic pain. Through customized treatment plans tailored to individual needs, many patients experience improvements in daily function, overall productivity, and well-being.


Neuropathic Pain Medications

Those with neuropathic pelvic pain often benefit from an anticonvulsant, antidepressant, and opioid medications, although two types show particularly strong clinical success: pregabalin (Lyrica) and gabapentin (Neurontin). These medications work by reducing neurotransmitters that carry the sensation of pain so the patient’s discomfort is relieved. Additionally, additional treatments such as physical therapy or nerve blocks may be beneficial in managing neuropathic pain. It is important to note that all medications should only be taken with a medical healthcare professional’s prescription and appropriate monitoring.


Nerve Blocks (Superior Hypogastric Plexus & Ganglion Impar)

Superior hypogastric plexus block (SHPB) is an innovative, minimally invasive procedure that offers new hope to patients suffering from persistent pelvic pain. People often seek it out once they’ve exhausted other options and their pain remains untreatable. The SHPB involves an injection into the superior hypogastric plexus of the nerve root or ligament using x-ray guidance, either in a hospital or doctor’s office setting. Studies suggest that this technique offers promising results for widespread relief and delivers long-term benefits in roughly 75% of cases. It can be helpful to both diagnose and relieve chronic pelvic pain, offering non-opioid therapeutic alternatives to traditional medical treatments which typically provide only limited short-term pain control. Overall, SHPB has helped many people overcome lifelong challenges of debilitating pelvic discomfort once thought unbearable.

A ganglion impar block is an advanced form of treatment for patients who experience chronic pelvic pain. This procedure has proven to be particularly effective in treating pelvic conditions involving nerve entrapment, nerve compression, and nerve irritation. In addition, the block involves injecting a local anesthetic and/or steroid around the ganglion impar to reduce inflammation and provide long-lasting pain relief. As with any surgical procedure, there can be some risks involved; however, these risks may be outweighed by the favorable results a ganglion impar block can provide. Patients should discuss the advantages and disadvantages of this treatment with their medical provider before proceeding.


Risks of Interventional Therapies for Pelvic Pain

Pelvic pain can have a wide range of causes, from musculoskeletal problems to both gynecological and urological conditions. Many times, medications can be prescribed to provide relief, but there are also potential risks involved, as with any medication. Ketamine infusions and nerve blocks might also be used in some cases of pelvic pain, but they too come with the potential for side effects. It is important to discuss all available treatment options and their risks carefully with a healthcare provider before embarking on any regimen. It is possible to find much-needed relief without putting oneself at undue risk.



Pelvic pain can be debilitating, preventing sufferers from enjoying their everyday lives. However, there is hope. At Advanced Neurospine Associates, we are a team of pain management experts dedicated to treating pelvic pain. We offer a variety of treatments that can provide relief and improve quality of life. If you or someone you know suffers from pelvic pain, please do not hesitate to reach out to us. We are here to help.

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