Our Approach

The Abdominal and Pelvic Pain Center at Vincera brings together top abdominal, pelvic and core specialists who are dedicated to the diagnosis, treatment and prevention of abdominal and pelvic pain. Our experts include orthopedic and general surgeons, physician trained acupuncturists, physiatrists, pain management physicians, physical therapists, yoga and nutritional specialists and massage therapists.

We have specialized programs for abdominal and pelvic pain conditions in men and women of all ages. It is important to see a trained healthcare professional if you are experiencing abdominal or pelvic pain to help determine the exact cause and to alleviate your pain as quickly as possible.

Besides focusing on your particular abdominal or pelvic condition, we also emphasize strengthening your core muscles. Your treatment plan is also tailored to your specific clinical needs. This ensures that you receive the individualized care that is essential to your recovery and return to pain-free athletic activities, optimum performance and health.

Pelivc & Abdominal Conditions

 

 Diastasis Recti

Diastasis recti is a separation of the left and right sides of the “6-pack” abdominal muscles (rectus abdominis). It is common in pregnant women and the risk increases higher with multiple pregnancies. Your physician can see a ridge which runs down the middle of the belly area and this ridge increases with muscle straining. While usually cosmetic, this condition can be repaired surgically.

 Abdominal & Pelvic Pain

Chronic abdominal and pelvic pain can occur anywhere from the abdomen to between the hip bones. It is often frustrating because the causes are difficult to pinpoint, patients are often misdiagnosed and dissatisfied with their treatments; their quality of life diminishes while their healthcare costs rise.

Some common diagnoses for abdominal and pelvic pain include:

  • hernias
  • nerve entrapment
  • gynecologic causes such as menstrual cramps, ovulation, endometriosis, ovarian cysts, fibroids and cervical cancer
  • digestive tract disorders such as irritable bowel syndrome, gastroenteritis, inflammatory bowel disease (Crohn’s disease, ulcerative colitis), appendicitis, diverticulitis, constipation, a blockage or perforation in the intestine, colon cancer, gastroesophageal reflux disease (GERD), gallbladder inflammation, pancreatitis, peptic ulcers and intestinal obstruction
  • urologic disorders such as cystitis, kidney stones, interstitial cystitis, prostatitis and bladder infection
  • core muscle injuries
  • other musculoskeletal disorders

At the Vincera Institute, our team of trained professionals works with you to ensure accurate diagnosis, cohesive and comprehensive treatment, and prevention of your abdominal and pelvic pain. We also collaborate with your medical team to ensure that your care is tailored to your medical needs.

Nerve Entrapment including Abdominal/Anterior Nerve Entrapment Syndromes (ACNES)

Nerve entrapment syndromes occur when nerves are chronically compressed or inflamed and there results a pain or loss of function. Specifically, abdominal/anterior cutaneous nerve entrapment Syndrome (ACNES) is a frequently overlooked diagnosis in patients with abdominal pain. Symptoms include:

  • burning
  • pain
  • tingling
  • numbness
  • aching sensation
  • difficulty walking

Causes include:

  • prior surgery, often with mesh placement
  • pregnancy
  • appendectomy
  • inguinal hernia
  • inguinal lymph node dissection
  • femoral catheter placement
  • hysterectomy
  • trauma, including from sporting events, motor vehicle accidents and knife wounds
  • obesity
  • repetitive stress

Diagnosis may be made by:

  • using anesthetic nerve blocks to determine diagnosis and to prevent unnecessary surgical exploration of an uninjured nerve
  • physical exam (looking for weak hip flexion, weak knee extension, etc.)
  • MRI

Treatments for nerve entrapment syndromes vary, depending upon the anatomy, etiology, presentation and prognosis. Treatments include:

  • local injection of anesthetic (with or without corticosteroid)
  • physical therapy
  • use of thermal therapies and TENS (Transcutaneous Electrical Nerve Stimulation)
  • massage
  • yoga
  • oral medications (analgesics, anxiolytics, antidepressants, anti-inflammatories, and antispasmotics have helped some people)
  • surgery

 Complex Abdominal Wall Hernia

The abdominal wall is supposed to protect the inner organs and is usually durable and thick. However, a traumatic injury, recurrent hernias or a non-healing wound can weaken the abdominal wall and cause complicated hernias. Vincera offers treatment for a wide spectrum of hernias. Find out more about hernia conditions that may present as pelvic & abdominal pain at our [link to hernia center] Hernia Center site.

 Pain after Childbirth

Besides pain experienced following caesarian section or episiotomy procedures, after childbirth women may experience:

  • hip joint pain
  • core muscle injury pain
  • problems with the pubic symphysis—the cartilaginous joint that unites the left and right pubic bones

Pregnancy-related conditions

Diagnosis

The Pelvic and Abdominal Pain Center experts at the Vincera Institute will personally guide you through every step of this process. A visit will likely include:

  • MRI, ultrasound, x-rays or other imaging
  • functional assessment
  • history and physical
  • anesthetic nerve blocks, which can prevent unnecessary surgical exploration of uninjured nerves
  • other diagnostic procedures
  • meeting with physicians
  • consultations with experts in such areas as physical therapy, acupuncture, yoga therapy, nutrition, behavioral counsel, anesthesiology/pain management, massage therapy, radiology, neurosurgery and chiropractic

What to Bring to Your Appointment
When you come for your appointment, bring a list of all prescription and over-the-counter medications you take, any imaging studies you may have, any charts from other physicians or therapists and a list of all of your questions. Our team will meet with you and determine the best course of treatment for you.

Treatment

In consultation with you and your medical professionals, the Abdominal and Pelvic Pain team will recommend the treatment and procedures most appropriate for you and your condition so you can get back to pain free activities as quickly as possible. Each treatment protocol is personalized to your diagnosis, history and prognosis. Here are some examples of treatments your team may suggest:

  • activity modification
  • physical therapy
  • open or laparoscopic surgery
  • local injection of anesthetic (with or without corticosteroid)
  • anti-inflammatory medications to reduce inflammation and pain
  • yoga, massage, dietary modification
  • neuromuscular therapy

Our clinicians ensure you are provided with a comprehensive and tailored treatment plan to enable a speedy recovery.

Pre-habilitation Programs: Being healthy before surgery enables you to recover more quickly after surgery. Depending on your history and diagnosis, your team may recommend “pre-hab,” which may consist of physical therapy, exercise physiology, yoga, nutrition, acupuncture, behavioral medicine or chiropractic visits.

Prevention

While we like working with you, we do not want you to have a recurrence. We work with patients closely on lifestyle and other prevention programs to educate you so you can lead a healthy and pain free life.