There are a number of conditions that can cause chronic abdominal/pelvic pain. Comprehensive pain management is vital to a patient’s healing process.
If you are ready to schedule a consultation with us, use the contact form here. If you would like to learn more use the resource buttons below that explore the causes, diagnosis process, and treatment options.
I LOVE LOVE LOVE this office. I was helping my mom find a place for her arthritis pain, and I explained to them how bad it was. They were able to schedule me the same week! That's almost impossible at any doctor's office...and then add COVID..... I was thrilled. I took my mom, and everyone was absolutely so sweet and kind
- Donyasha B.
Dr. Rao. I can't find the words to tell you how much he has meant to me. I followed him from an old practice to his very new high tech office. They offer so many different areas of assistance to those with issues from nutrition to spinal surgery...and much more. His office is professional.
- Mom To2
Dr. Roa is such an amazing doctor! During my first visit he never tried to rush through my appt., he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.
- Nikki Walker
In the 3 years as a patient of Dr. Rao, it is my opinion that he is a phenomenal and extraordinary doctor. He keeps up to date with the latest treatment options, will sacrifice time no matter how many are in the waiting room to listen and explain. Dr. Rao has treated multiple patients with rare illnesses, and shows more empathy than any Dr. I’ve met.
- Mom To2
I have now been with Dr. Rao for 13 years. He is the most caring Doctor I have ever been to! Dr. Rao makes you feel very comfortable at all times. I would not want to go to any other Doctor... I go to the Hagerstown location, everyone is very nice
- Theresa R.
The entire staff from the folks at the front desk to the Nurse, to the Physicians Assistant to the scribe that records the visit for the doctor - (great idea so the Doctor can focus on the patient!!!)
- NVA F.
Completely the best care you could want the staff is so pleasant and caring and the doctors have true heart for healing, love being a patient here would give 10 stars if I could & absolutely the most caring during my procedure with Dr B
- Cathern C.
Always friendly, courteous, and efficient service. From the ladies, who work the front desk, to the nurses and the doctors. I've always had a good experience with the Harrisonburg office in Virginia.
They scheduled my appointment very quickly so that I can get to help that I needed immediately instead of like most places having to wait two to three weeks to get in I called and was able to be seen the next day
- John H.
After transitioning from a pain and spine doctor in Columbia, MD.. The intake staff member at Pain and Spine Specialist made the scheduling a breeze. They were able to get me in within a week.
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Causes Of Abdominal or Pelvic Pain
Abdominal/pelvic pain can be described, just to name a few, as sharp, dull-aching, throbbing, cramping, or pressure-like when it arises. When this pain persists over the course of a considerable amount of time, it is classified as chronic pain, which can be an indicator of a present underlying issue.
General causes can be:
- Irritable Bowel Syndrome: a disorder affecting the muscle contractions of the bowel. The symptoms of IBS, such as bloating, constipation or diarrhea, can cause pelvic pain.
- Crohn’s Disease and Ulcerative Colitis: chronic inflammatory bowel diseases which are characterized by inflammation of the gastrointestinal tract.
- Interstitial Cystitis: recurring pain in the bladder, and a frequent urge to urinate.
- Celiac Disease: an autoimmune disorder that is triggered by eating gluten (wheat, barley, rye, and other grains). This immune reaction creates inflammation that damages the small intestines lining over time.
Causes Specific to Men:
- Prostate Cancer: a type of cancer that occurs in the prostate, which is a walnut sized gland that produces seminal fluid. Pelvic pain can also happen when the cancer has spread to the bones.
- Prostatitis: Inflammation that causes swelling of the prostate. Other areas near the prostate can also swell, resulting in pelvic/abdominal pain, and can lead to difficult or even painful urination.
Causes Specific to Women:
- Endometriosis: occurs when the endometrial lining grows outside the uterus, which can cause scar tissue and adhesions.
- Ovarian Cancer: the growth of cancerous cells on the organs that produce eggs, known as the ovaries. Ovarian cancer frequently goes undetected until it has spread to the pelvis and abdominal area, at which point pain can start.
- Cervical Cancer: a malignant tumor of the cervix, located at the lower part of the uterus and connects to the vagina.
- Uterine Fibroids: noncancerous growths of the uterus. These fibroids can cause heavy menstrual bleeding, prolonged periods, and pelvic pain.
Symptoms Associated with Abdominal or Pelvic Pain
Numerous symptoms can be related to pelvic pain, such as:
- Fevor or chills
- Bloating or gas
- Constipation or diarrhea
- Vaginal bleeding
- Menstrual cramps
- Pain in the hip or groin area
Anyone is at risk for developing pelvic pain. Many conditions that lead to pelvic or abdominal pain can be genetic in nature or caused by other contributing circumstances that a person has no control over. The following are some of those factors.
- Irregular periods
- Heavy or long menstrual flows
- History of endometriosis or miscarriages
- Diagnosis of anxiety or depression
Diagnosis of Abdominal or Pelvic Pain
Our physicians are board-certified, and are dedicated to giving you a comprehensive exam that will aid in diagnosing the cause of your symptoms. Using advanced diagnostic techniques, our doctors will find out the reason for your pain, and then get you on the road to better health right away. Here are a few steps our physicians use when completing their comprehensive exams:
- We take your complete medical history to identify or rule out possible causes of your pain
- We conduct a thorough physical exam
- We carefully review your symptoms, including how you would describe the pain (burning, achy, dull, etc.) and whether certain positions or activities make the pain feel better or worse
- We may order diagnostic tests, including MRI or CT scan, to help us diagnose your chronic pain
Once we have an accurate diagnosis, we will work together with you to create a treatment plan that will effectively address your chronic abdominal or pelvic pain. We have treatment locations in Maryland, Pennsylvania, and Virginia.
- Spinal Cord Stimulation: This is a procedure that delivers small electrical signals to the spinal cord through the nerves, to mask the pain signals. A spinal cord stimulator may be an option when other traditional pain management options have not worked.
- Radiofrequency Ablation: RFA is a minimally invasive procedure that uses heat to minimize and stop pain signals from moving throughout the body. Nerve endings that cause pain are “burned” so the pain signals are not sent to the brain.
- Trigger Point Injection: TPI is a procedure used to treat areas where spasms and inflammation occur in the skeletal muscle. A trigger point injection is delivered directly to the trigger point in the body.
- Epidural Steroid Injection: ESIs deliver anesthetic and steroid medication directly to the epidural space in the back. Epidural steroid injections numb the inflamed nerves and prevent pain signals from being sent to the brain.
- Alternative Therapies: For those who would like to try, alternative therapies can be easily integrated with traditional treatments to manage their pain. These therapies can minimize the need for opioid medication for many.
- Medication Management: Managing medication is a critical aspect of treating chronic pain. Medication management is provided by the pain management specialists monitoring your care to ensure that you are on the right medications, at the appropriate dosage.
Treatments We Offer
- Spinal Cord Stimulation
- Injection Therapies
- Medication Management
- Intrathecal Pumps
- Occipital Nerve Blocks
- Alternative Therapies
- Radio Frequency Ablation
- Trigger Point Injections
- Epidural Steroid Injections
- SGB Injection for PTSD
- MILD (Lumbar Decompression
- Minuteman Spinal Fusion
- Peripheral Nerve Stimulation
- Lumbar Sympathetic Block
- Stellate Ganglion Blocks
- HA Injections
Condition We Treat
At Pain and Spine Specialists, our team of physicians and nurse practitioners are committed to giving you the most effective treatment when treating your pain. We believe that all patients should have access to quality care, and that is why you can find us conveniently located throughout Maryland, Pennsylvania, and Virginia.