Pelvic pain is not gender specific. Both men and women suffer from it for a variety of reasons. These may include Hernia, Athletic Pubalgia, Appendicitis, Urinary tract infections, Fractures, Compression or damage to pelvic nerves, Epididimytis, Prostatitis, Ovarian Cysts, Endometritis, Fibroids, and more.
The treatment for these and other disorders is dependent on a meticulous investigation to secure the proper diagnosis. The protocol for treatment may include: Detailed history, Physical diagnosis, Sonography, CT Scanning, MRI and diagnostic nerve injections. Once the diagnosis is made, there are a wide variety of treatment options available based on the thorough evaluation of each individual patient’s profile. Treatments may include: Antibiotics, OTC pain relievers, Hormonal manipulation, Physical Therapy and Surgery.
Where you are treated, and the qualifications of the doctor who treats you is crucial in order to ensure the accuracy of the diagnosis, and the quick, lasting and appropriate treatment tailored for the patients condition. Dr. Iraci’s expertise allows him to properly assess, diagnose and treat pelvic and groin pain conditions that may have become chronic due to prior improper diagnosis or neglect.
A hernia is an abnormal opening in the abdominal/pelvic wall. This may represent an enlargement of a naturally occurring opening or an abnormal new opening. The most common types hernias occur in the groin but they may be present anywhere on the abdominal or pelvic walls.
At a point near the “hip bone” there is a naturally occurring, small, slit-like opening in the abdominal wall. This is present in everyone. In women, the round ligament (which helps secure the uterus) passes through the slit and fixes on the bony pelvic structures. In men, the opening allows the spermatic cord (comprised of arteries, veins and the Vas deferens) to have access to the testicles in the scrotum. If this opening enlarges, it is called a hernia. Initially, fat will be able to pass through the abdominal wall. Eventually, intestine or other abdominal/pelvic organs may traverse the opening. These herniated materials may put pressure on the surrounding tissues causing pain. They may also compress neighboring sensory nerves also resulting in pain or numbness.
This type of hernia develops “deeper” or more posterior than the Inguinal variety. It is also caused by an enlargement of a naturally occurring opening which allows the large blood vessels to supply the lower extremities. Fat will usually protrude through this area but intestine may as well.
Lying still “deeper” yet, the Obturator Hernia is often overlooked. Occurring far less frequently than the above, it may be the cause of undiagnosed pelvic pain. Only a thorough evaluation by a specialist in this area will uncover this variety of hernia.
This term applies to any herniation on the ventral or front of the abdominal wall. The most common types are the Umbilical hernia and Incisional hernia. The Umbilicus has a naturally occurring pin-hole present as our umbilical cords are cut at birth but the opening through which they pass is left to heal on its own. In the majority of people, this does not present a problem but in some it may enlarge and allow fat or intestine to herniate causing symptoms similar to those described above. If you have had any type of incision to access the abdominal cavity (including laparoscopic surgery) you may develop and Incisional hernia. This occurs when the healing is incomplete or the scarring has weakened over time. Problems similar to those of the Umbilical hernia may result.
pain but in which no hernia is present.
Also called “Sports Hernia” or “Sportsman’s Hernia” this is specifically not a hernia. The point at which the Rectus Abdominus muscle (ABS) inserts (connects) to the pelvic bone can become inflamed. This is usually due to an overuse of the muscles. In some cases the insertion may become partially, or in rare cases, totally detached. This is a common cause of chronic, undiagnosed groin pain. The Rectus Abdominus shares its insertion with the Adductor Longus (Adductor), a muscle which is responsible for helping to move the lower extremity to the midline. The same condition may affect the Adductor. Either entity may cause the other to contribute to the spectrum of pain. Thus making the condition more difficult to diagnose.
patients share their experiences
SCHEDULE A CONSULTATION
For patients interested in a surgical approach, it is recommended that a consultation with Dr. Iraci be scheduled first in order to discuss the symptoms one is experiencing, the groin or pelvic condition, and the treatment options available. This is the best first step to clarify the entire treatment process that will ensure the highest quality of care and options available. Your first consultation is free.