Pelvic Nerve Blocks

Abstract

<h3>Study Objective</h3> To demonstrate nerve block techniques for the obturator nerve, pudendal nerve, and uterine nerves (paracervical block). <h3>Design</h3> Procedural video. <h3>Setting</h3> Academic medical center. <h3>Patients or Participants</h3> Patients with chronic pelvic pain. <h3>Interventions</h3> This video demonstrates how to perform obturator, pudendal, and paracervical nerve blocks. This video highlights the techniques of these pelvic floor nerve blocks and includes general management and follow-up principles for these patients. <h3>Measurements and Main Results</h3> Pain scores, on a scale of 0-10, are measured prior to and after nerve blocks to gauge response. <h3>Conclusion</h3> Determining the source of chronic pelvic pain can be difficult for gynecologists. Nerve blocks can be an effective strategy to help evaluate and possibly treat pelvic pain. Pelvic floor nerve blocks can delineate whether or not pain is originating from the pelvic floor, uterus, or other source. Nerve blocks can also potentially be therapeutic in instances of nerve entrapment, muscle spasms, neuralgia, or myofascial pain. These instructional videos on administering pelvic floor nerve blocks can help gynecologists provide an additional source of therapy for their patients.