Basic principles in pain treatment

Acute pain may be treated rapidly and adequately over a short period of time by administering analgesics. Pharmacological treatment offers the advantage of speed, low treatment costs and simplicity of use. Chronic pain is also usually treated by medication. However, in some cases, pain cannot be reduced to tolerable levels and medication may have to be administrated at doses that can cause severe adverse side effects. Addressing and eliminating the cause of pain is thus the best approach.

Laparoscopy is the method of choice to identify and treat the different organic causes of chronic lower abdominal pain (such as adhesions, endometriosis or inflammation). Neuropelveology goes one step further by offering the possibility to directly treat the pelvic nerves responsible for pain. For instance, a nerve lesion that results from a surgical stitch is treated by removing the stitch altogether. Such corrective action must take place at an early stage. Indeed, the presence of a nerve lesion over a prolonged period of time may cause the brain to develop pain memory, resulting in chronic pain, and thus requiring significantly more complex antalgic treatment.