Pelvic ganglioneuritis is an inflammation of the lumbar node of the sympathetic nervous system, which is accompanied by damage to the corresponding processes. The initial cause of this defect is the presence in the body of an acute or chronic infectious process. In addition, there are several factors that contribute to the development of the disease.
Pelvic ganglioneuritis - what is it
Symptoms of this disease are very diverse, but the main among them is a pronounced ongoing pain syndrome and a violation of normal sensitivity.
An accurate diagnosis can be determined on the basis of specific symptoms, however, a number of instrumental studies are needed to conduct differential diagnosis.
In order to suspect and identify a pathology in time, one should know its clinical features. Pelvic ganglioneuritis is always quite difficult, but it has several symptoms, in the presence of which you can quickly detect the disease. If such signs are detected, it is very important to immediately consult a doctor to select the appropriate therapy.
For the treatment of the disease, conservative methods are most often used, but if they are ineffective, the patient is prescribed surgical intervention.
In the international classification of pathologies ICD-10, pelvic ganglioneuritis does not have its own designation. This disease belongs to the class of neuralgia, which is why some of its types can be found under the codes B00-B99.
Pathogenesis
According to reviews, pelvic ganglioneuritis usually develops against the background of a certain infection process in the body. So, the source of the disease can be:
- angina;
- measles;
- flu;
- dysentery;
- rheumatism;
- tuberculosis;
- sepsis;
- scarlet fever;
- diphtheria;
- syphilis;
- oophoritis;
- adnexitis;
- prostatitis.
In addition, pelvic ganglioneuritis can have a herpetic nature, that is, appear against the background of the spread of the herpes virus in the peripheral nervous system.
Much less often, this disease can result from the toxic effects of toxic elements or potent medications, as well as the progression of cancer.
Causes
Among the factors contributing to the development of pathology, doctors distinguish:
- smoking;
- alcohol abuse;
- prolonged exposure to the body of low temperature;
- HIV
- emotional or physical overwork;
- weakening of the immune system;
- pelvic surgery.
All these conditions contribute to the occurrence of inflammatory processes in the nerve trunks and nodes.
Symptoms of the disease
Treatment of pelvic ganglioneuritis begins, as a rule, with the elimination of its manifestations that cause patient discomfort. Usually conservative methods are used for this. First of all, the appropriate drugs are prescribed to the patient. For example, if a person is worried about severe pain, appropriate analgesics are prescribed for him, with loss of sensitivity - physiotherapeutic procedures and immunomodulators. That is why doctors say that treatment and symptoms of pelvic ganglioneuritis are interrelated.
The main signs of the disease, by which it can be determined, include:
- pronounced pulsating, burning, aching pain;
- violation of sensitivity in the coccyx;
- insomnia;
- emotional instability;
- severe pain at the time of intimacy;
- deviations of the menstrual cycle.
It is noteworthy that the pain syndrome, considered the main symptom of pelvic ganglioneuritis, does not increase with mobility. But it worsens with a sharp change in weather, during stressful situations and with meals.
As for sensitivity, then with such a disease it can be either reduced or increased.
Diagnostics
A qualified neurologist will be able to determine pelvic ganglioneuritis based on clinical manifestations. However, for differential diagnosis, instrumental studies are necessary, before which the doctor must:
- thoroughly examine the history of the disease and lifestyle of a person to discover the initial cause;
- carry out a physical examination;
- conduct a detailed survey to determine the severity of the available symptoms and the time the problem occurred.
Laboratory tests of feces, urine and blood with suspected presence of pelvic ganglioneuritis are simply meaningless, because they do not carry any diagnostic value.
In exchange, you may need such instrumental examinations:
- Ultrasound of the pelvic organs;
- CT
- MRI
- electromyography;
- radiography of the spine.
Therapy
Immediately it is worth saying that exclusively complex treatment can be effective. Given the severity and frequency of the pain syndrome, the nature of the rashes and other external signs, as well as the presence of all sorts of complications, the patient is prescribed ganglion blockers, herpetic virus vaccines, novocaine blockades, drugs aimed at maintaining a normal level of water-salt balance, all kinds of antiviral medications. Among other things, the patient is shown symptomatic and pathogenetic therapy. Physiotherapeutic procedures are equally important. Only adhering to all the instructions of a neurologist can count on a positive outcome of the disease.
For the treatment of pelvic ganglioneuritis, several effective methods are used:
- drug therapy;
- surgical intervention;
- physiotherapeutic procedures.
What drugs are effective
With this disease, doctors usually prescribe to their patients:
- Vitamin complexes - Vitrum Osteomag, Calcemin Advance, Calcium D3-Nycomed, Neuromultivit, Unigamma, Vitaxon, Pentovit, Neurorubin;
- antidepressants and sedatives - āFluoxetineā, āSertralineā, āEscitalopramā, āParoxetineā, āFluvoxamineā;
- ganglion blockers - Hygronium, Benzogyxonium, Imekhin, Dimekolin, Quateron, Pentamine, Camphony, Temekhin, Pakhikarpin, Pyrene;
- antispasmodics - āPyreneā, āIpoventā, āPlatifillinā, āNo-spasmā, āBuscopanā, āOksiventā, āMidriacilā, āMidrumā, āDetrusitolā;
- antipsychotics - Fluanxol, Levomepromazin, Abilifay, Quetiapin, Molindone, Triftazin;
- anticholinergics - "Besalol", "Atrovent", "Atropine sulfate", "Bellalgin", "Atropine", "Bellastesin", "Becarbon";
- antihistamines - āRupatadinā, āAzelastineā, āCetirizineā, āAstemizolā, āAkrivastinā, āBilastinā, āLoratadineā, āLevocabastineā;
- analgesics - "Ibuklin", "Tempalgin", "Ibuprofen", "Ketanov", "Naproxen", "Pentalgin", "Baralgin", "Kaffetin", "Ketorol";
- antiviral and antibacterial agents - Imupret, Influcid, Lavomax, Neovir, Derinat, Poludan, Remantadin, Engistol;
- immunomodulators - Likopid, Intron A, Reaferon, Amiksin, Savrats, Immunofan;
- calcium chloride and calcium gluconate.
In addition, modern medicine for the treatment of herpetic forms of pelvic ganglioneuritis offers special virostatics - Famciclovir and Brivudin. Today, these drugs are considered to be very popular.
In the acute form of the disease, patients are additionally prescribed corticosteroids.
Second stage of treatment
In combination with selected drugs, a good effect can be achieved using physiotherapeutic measures. The following procedures are considered the most effective:
- Ural federal district;
- rad baths;
- ultrasound;
- mud applications;
- drug electrophoresis;
- diadynamic therapy;
- magnetotherapy.
If conservative methods do not bring the desired effect, the patient is prescribed a sympathectomy - a procedure in which the damaged sympathetic nerve node is excised. Typically, surgery is performed using minimally invasive techniques:
- laparoscopically;
- thoracoscopically.
In general, the duration of treatment and its success depend on the timeliness of contacting a specialist, the accuracy of the diagnosis and the quality of the therapy itself.
Alternative medicine
In fact, treating the symptoms of pelvic ganglioneuritis with folk remedies is not the best solution. All doctors unanimously talk about the dangers of such therapy. Indeed, in reality, it is not able to completely eliminate the pathology, but only temporarily blunt the external manifestations of the disease. In this case, the initial cause of the disease will remain undetected, due to which it can soon remind of itself. Of course, after such therapy, the risk of relapse is extremely high. But for those who, for some reason, simply can not see a doctor, treatment of pelvic ganglioneuritis with folk remedies can really come in handy. But it is worth noting once again that such therapy is not able to completely rid a person of a problem.
Fans of traditional medicine consider a willow decoction a very effective means. It is recommended to take one tablespoon 4 times during the day before meals. To make a medicine you need:
- 10 g of crushed tree bark pour 200 ml of hot water;
- boil the product on low heat for 20 minutes;
- strain the made broth through several layers of gauze;
- after the infusion has cooled, you can drink it.
Another effective cure for the treatment of symptoms of pelvic ganglioneuritis is a folk remedy considered an ointment from glycerol and iodine. This medicine should be used every day for a month. For cooking you need:
- in equal proportions mix iodine and glycerin, placing the components in a convenient bottle;
- shake the bottle thoroughly, moisten a cotton pad in the resulting solution;
- gently lubricate the places where the pain is localized.
Likely Consequences
If you ignore the external manifestations of pelvic ganglioneuritis and abandon timely therapy, the risk of serious complications increases significantly. Most often, the disease leads to the following consequences:
- encephalitis;
- postherpetic neuralgia, manifested in the form of severe burning in the localization of the main focus;
- muscle weakening in the lumbar region.
Forecast and Prevention
Measures aimed at preventing the appearance and development of ganglioneuritis can be primary and secondary. The first is necessary to prevent the occurrence of the disease. These include:
- maintaining an active healthy lifestyle;
- the systematic passage of preventive examinations by doctors of different profiles;
- timely treatment of pathologies of an infectious nature.
Secondary prevention involves the prevention of relapse of ganglioneuritis after the course of treatment. Such measures involve a systematic visit to a neurologist and the implementation of physiotherapeutic procedures.
Further prognosis for pelvic ganglioneuritis is predominantly favorable, but subject to timely and competent therapy. But in some situations, patients complain of pain and impaired sensitivity for several more years after a course of treatment. Often, therapy takes a lot of time, while the ability to work with people with a diagnosis of pelvic ganglioneuritis is significantly reduced. But be that as it may, with timely and proper treatment, most patients successfully get rid of the pathology and lead a full-fledged lifestyle.