What to do with a pain in the pelvis?
If you have ever experienced pelvic pain or pelvic floor dysfunction, then you might be wondering what to do next. You may feel like there is no point in trying any other solution than those already mentioned. But if your problem persists despite all these suggestions, then it’s time to consider surgery.
Surgery is not necessarily the best option for everyone. Some people are simply too sick to undergo it.
Others will need a longer recovery period before they’re ready to go back into the world again. Still others won’t recover fully from such an operation anyway, so their life would be better without it. Surgery is only one possible solution though; there are many more options available to you, depending on how severe your condition really is and whether you want them or not!
The main thing to keep in mind is that surgery isn’t always the right choice for every person. There are some cases where it wouldn’t make sense either.
If you don’t think you’ll benefit from surgery, then you shouldn’t bother with it at all.
In general, there are two types of surgeries: open and closed ones. The first one is more invasive and expensive, but it has a shorter recovery time.
On the other hand, the latter is cheaper and has a less painful recovery period, but it’s longer in general. Of course, you should always consult with your physician about which surgery would be best for you in the long run.
You might be wondering if there are other types of surgeries that are out there…and you’d be right to ask such a question!
There are a lot of different surgeries you can have done to fix your problems. We’ll go over the most common ones now, so keep on reading…
Sacral Nerve Stimulation
This surgery is primarily used as a last resort, because it doesn’t always work and it still requires a good bit of recovery time. The operation involves implanting a stimulator into the sacral nerves of your body.
This is usually done by making cuts in the buttocks. From there, the cuts are sewn up after the device is in place.
The stimulator sends electrical pulses to the nerves in order to promote better movement and relieve pain. The surgery is effective for about 75% of patients who have undergone it.
So, it’s not a bad option if nothing else has worked for you before!
Pelvic floor reconstruction
One common type of surgery involves reconstructive surgery on the pelvic region. This surgery is used when there are problems with the bones, ligaments, or tissues of the area.
It’s rare, but some people are born with such defects that can be easily fixed with surgery. Other people may have developed issues over the years that can be addressed in this way as well.
The type of surgery you need will depend upon your symptoms and your own situation. Some women, for instance, may need a hysterectomy.
Others will need a full reconstruction of their pelvic floor, including the removal of excess skin, tightening of muscles, and more.
For many women, childbirth can have adverse effects on the vaginal region. Some women may experience a loosening of the vaginal walls, a loss of elasticity, or even tearing, especially if they’ve had particularly difficult births.
In these cases, it’s possible to undergo a vaginal rejuvenation procedure. These procedures are as varied as the problems they’re designed to correct.
For instance, vaginoplasty is used to treat women who have experienced a loss of elasticity in the vaginal region–a common problem among older mothers. Vaginoplasty involves the replacement of vaginal walls with skin from another part of the body. The surgery is considered semi-emergency and requires around a week of recovery time.
Vaginal rejuvenation can also correct tearing in the vaginal region or treat women who have developed an abnormal connection between their bladder and their vaginal region. These types of issues are more common among women who have spent a long time in the saddle, so to speak.
While these procedures are a bit more involved, they’re still considered to be fairly routine when it comes to surgeries. Doctors will often allow patients who have had children to go in for a vaginal rejuvenation procedure rather than reconstructive surgery, because it generally takes less time to complete and has a lower chance of complications.
Chances are, you (and your physician) would rather not think about this one too hard…
but if you’re tired of “going” every 20 minutes or so, a colon resection might be the painless (yet still unenviable) solution you’re looking for.
Look, it’s nobody’s favorite option. But if your symptoms are bad enough that you’re looking up surgeries on the internet, this is a possibility your doctor might suggest.
The colon is a crucial part of our digestive system–but for some people, it just does too much. If it’s so backed up that it’s putting pressure on the bladder, or it’s twisting in on itself and cutting off circulation, a surgeon can do two things: remove part of it, or the entire thing.
There’s a reason this surgery is rarely performed nowadays, but if your options are limited…
well, you probably won’t be the first person to go down this road.
Whew! You certainly have a lot to think about.
You make a mental note to call your physician in the morning and get ball rolling on making an appointment. In the meantime, you’re getting sleepy, so you put your computer to sleep mode and find a comfortable position on your sofa pillow.
Soon, you’ve managed to doze off…
A searing pain in your abdomen wakes you from your sleep. It’s so bad that it takes you a moment to realize where you are and what’s going on.
You’ve had a pain in your gut before, but this is different. Way different.
You manage to crawl yourself onto your feet and slowly walk yourself up the stairs and into your bathroom, where you fill a small tub with cold water and then submerge yourself into it. The shock of the initial pain gives way to a dull soreness, like menstrual cramps, but much worse.
You look at yourself in the mirror. You’re deathly pale and there’s sweat on your brow.
Your eyes are dilated. You’ve got to get to a hospital.
After wrapping yourself up in a sheet, you head downstairs and find your car keys, but as you head towards the front door, you feel that all too familiar pain…
only this time worse than before. You’re having trouble walking.
You begin to panic as the pain becomes more frequent and more severe. When it finally comes time to push, you already know what’s about to come out.
What comes out is a lot of blood…
and a fully formed, calcified fetus that looks just like you did at that same age.
You fall to the floor, cold and clammy, as you feel the ghost fetus slip past your vaginal opening and off of your feet. You’re shaking, but it’s not from the cold–it’s from the shock.
You slowly gather yourself up off the floor and head into the bathroom, where you fill the tub once again. The water is warmer this time around, but when you fully submerge yourself into it, it feels more like ice.
As you sit in the tub, your thoughts turn to your baby.
Why did this happen? What was its future?
Its potential, lost. Its life, lost.
You know it’s not rational. You know it’s a human fetus, and that human fetuses die all the time.
But there’s a special sense of loss when it’s your own…
And for the first time since the day you found out about your pregnancy, you allow yourself to cry…
The sun is now high in the sky. You’ve spent most of the morning and early afternoon in your blood-and-vomit-filled bathroom.
You’ve finally managed to pull yourself together and have decided what you’re going to do…
It’s time to go see Momma. It’s time to get the hell out of Tennessee.
It’s time to let her know what happened and where you’ll be heading.
You call a taxi and pack a single bag full of clothes. Whatever doesn’t fit in the bag, you simply leave behind.
Only take one. You want to travel as light as possible. Your purse, phone, and laptop will be plenty for your journey.
You turn off all appliances and lights before opening your front door. The first thing you see is the taxi waiting for you…
And the second thing you see is a man with his arm stretched out, holding a gun pointed at you from down the street.
“Get out of the house!” he yells.
“Get out now!”
You nearly fall flat on your face in your tripping rush down the stairs, but the man catches you before you hit the ground. It’s the police officer who came to your door earlier.
His nametag reads ‘Biggums’.
“Come on!” he says.
“We need to get you to safety.”
You look behind you. No one is behind you…
but the taxi is still parked outside your house.
What about my stuff?”
“I’ll go get it, don’t worry.”
The officer hands you a piece of paper with his name and phone number on it.
“Listen,” he says, “if you need a place to stay, a place to hide out, you can always call me. Remember my name–it’s Biggums.
Most cops aren’t on your side, but I am. Always.”
The officer runs off towards your house. You get into the taxi and exit the scene.
You’re not sure where you’re headed, but anywhere is better than here.
The car ride is long and mostly silent. You stare out the window the entire time, watching buildings fly by.
Eventually, the taxi pulls up to a run-down house with chipping blue paint.
“This is my place,” the driver says. “I’ll pull around and wait for you here.”
You open the door and get out of the car. The driver pulls around the block and waits for you there…
just like he said he would.
You walk up the brick path towards the house…
You recognize this house. It’s the house you grew up in.
The one you lived in until you were twelve years old. The one your mom still lives in.
“What the hell is going on…” you mutter.
A for sale sign sits in the yard, blown over by the wind. You walk up to the door and find it ajar.
Pushing it open, you enter the house.
you call out. No answer. You step inside and look around. Nothing has changed. The living room still has the same old furniture. Your mom must not have moved anything after you and your father left.
You walk from room to room. Like the living room, Mom’s bedroom is untouched from how it was when you lived here.
The only time you see someone enter is when a real estate agent comes in to show someone the house. Other than that, it’s as if the past fifteen years were erased and no one ever moved out.
Taped to the refrigerator is a note that reads:
Gone to the store. Be back soon.
It’s something your mom would totally tell you to reassure you. But she wouldn’t need to reassure you if she were here right now…
Sources & references used in this article:
Management of patellofemoral pain targeting hip, pelvis, and trunk muscle function: 2 case reports by CL Mascal, R Landel, C Powers – Journal of Orthopaedic & Sports …, 2003 – jospt.org
Gait in patients with pregnancy-related pain in the pelvis: an emphasis on the coordination of transverse pelvic and thoracic rotations by W Wu, OG Meijer, PC Jutte, K Uegaki, CJC Lamoth… – Clinical …, 2002 – Elsevier
Changes in pain perception after pelvis manipulation in women with primary dysmenorrhea: a randomized controlled trial by S Molins-Cubero, C Rodríguez-Blanco… – Pain …, 2014 – academic.oup.com
Sexual dysfunction and dyspareunia in the otherwise normal pelvis by JS Black – Sexual and marital therapy, 1988 – Taylor & Francis
Chronic pelvic pain by FM Howard – Obstetrics & Gynecology, 2003 – Elsevier
Intermittent pain of the pelvis in a Syrian woman by BT Schleenvoigt, B Theis, M Wüst, C Forstner… – 2020 – journals.plos.org