Superior Hypogastric Plexus
Pelvic pain can arise from urinary bladder, uterus, ovary & genitalia in females and prostate or genitals in men. It also can be due to Pudendal nerve irritation(pudendal neuralgia). Also, it can be due to the bony pelvis following trauma or surgery. Patients who typically come to Breakthru Clinic are the ones who already have seen urologists, gynecologists, oncologists or colo-rectal surgeons and had any structural abnormality ruled out. Having ruled out any structural abnormality, the nerves that sense the pelvic organs need to be assessed as the cause of pain.
Dr. Kalava performs Ultrasound guided Pudendal Nerve Blocks and Ultrasound Guided Superior Hypogastric Plexus Blocks to manage pelvic pain, thus completely avoiding opioids and radiation (X-Ray).
Steps in Diagnosing & Managing your Pelvic Pain:
Diagnostic Nerve Block (Ultrasound Guided): To identify which nerve is irritated
Therapeutic Options: Radio Frequency Ablation/Peripheral Nerve Stimulation (https://stimrouter.com/)
Dr. Kalava focuses on extremities, joints, pelvic and truncal pain and utilizes ultrasound guidance to perform any required procedures, eliminating harmful radiation (X-ray) exposure.