What is pain? What types of pain are there and how to deal with them?

Pelvic pain

- this is any pain below the navel or in the perineum. This pain can be caused by various reasons: diseases of the intestines, bladder and urinary tract, kidneys, female or male genital organs. Acute pelvic pain is a signal for urgent medical attention. If there is pain in the rectal area that occurs during defecation or immediately after it, you should consult a proctologist; pain associated with urination is a reason to consult a urologist.

Chronic pelvic pain syndrome

- long-term pelvic pain, ranging in intensity from mild to unbearably strong. Constant excruciating pain contributes to the appearance of depression, severe anxiety and strong feelings.

Chronic pelvic pain in men

and in women they worsen the quality of life because they last a long time (six months or more) and do not allow them to lead a normal lifestyle.

At CELT you can get advice from a specialist algologist.

• Initial consultation – 4,000
• Initial consultation with the head of the Pain Clinic - 4,500

Make an appointment
Very often, pelvic pain occurs in women. Every 6th patient suffers from them, but no more than 10% go to a gynecologist. At the same time, pain can signal a serious gynecological disease. If pain in the groin occurs when walking, and intensifies when supporting the leg, the patient may have a disease of the hip joint - it is necessary to consult an orthopedic traumatologist.

If you do not know which doctor to contact or have already contacted specialists, but the cause of the pain has not been found, contact a pain treatment specialist.

More about coxarthrosis

Pathologies of the musculoskeletal system

One of the clinical manifestations of diseases of the musculoskeletal system is pain in the pelvic area.

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Painkillers for back pain in women

Taking analgesics and antispasmodics helps temporarily relieve pain, but does not eliminate the root cause. Without treatment, the underlying pathology progresses, and lower back pain intensifies. It is important to know the origin of lumbar pain, so the use of medications is possible only after examination.

Note! If the cause of the pain syndrome is unknown, then you cannot take analgesics!

Painkillers for back pain are available in the form of tablets, ointments, patches and injections. For diseases of the spinal column, injection of drugs is most effective. In case of severe pain, special blockades are performed and injections are given in the back. Unlike all painkillers, their effect is long-lasting. The effect lasts from several months to six months. This blockade can be done at the SmartMed clinic.

Shpidonov Gennady Stanislavovich

Neurologist

Rostov State Medical University (neurology)

10 years of experience

Pathologies of the urinary system

A number of diseases of the urinary system are characterized by chronic pelvic pain

.

Diagnostics

Women with suspected injuries and diseases of the musculoskeletal system are examined by an orthopedic traumatologist. Patients with signs of gynecological pathologies require consultation with a gynecologist. If there are symptoms of damage to the urinary system, an examination by a urologist is necessary. At the initial stage, the specialist establishes the circumstances of the appearance, the nature and duration of the pain syndrome, its connection with various factors, and the presence of other manifestations. The diagnostic program may include the following procedures:

• Visual inspection.
  Allows you to localize the source of pain (bones, internal organs). During the physical examination, the doctor identifies redness, swelling, wounds, purulent foci, bone deformities, space-occupying formations, and detects symptoms that are pathognomonic for certain pathological conditions.
• Gynecological examination.
  Makes it possible to determine the presence and nature of discharge, the size and tone of the uterus, and the condition of the appendages. It is used in assessing the duration and course of pregnancy, during the primary diagnosis of endometritis, endometriosis, adnexitis, ovarian cysts, and other gynecological pathologies.
• X-ray of the pelvis.
  In case of fractures, survey photographs are recommended to study all the pelvic bones and fully visualize possible severe and complex injuries. For osteomyelitis, tuberculosis, and tumors, radiographs of the symphysis and pubic bones are taken. For women with symphysitis, the technique is prescribed in the postpartum period.
• Ultrasonography.
  In case of symphysitis, an ultrasound of the symphysis pubis is performed to assess the severity of the pathology and select the method of delivery. For gynecological diseases, ultrasound of the pelvic organs is performed. The best option in most cases is the method with the simultaneous use of vaginal and abdominal sensors. For detrusor lesions, an ultrasound of the bladder is performed. Some women are advised to have a kidney ultrasound.
• Other imaging methods.
  For stones, urography is informative. Patients with neoplasms can undergo cystography, pelvic venography, and lymphadenography. Women with urolithiasis are prescribed a CT scan of the kidneys, ureters and bladder. Victims with traumatic injuries with insufficient radiographic information require a CT scan of the pelvis.
• Endoscopic studies.
  They are an important part of tumor diagnosis. For malignant neoplasia of the uterus, hysteroscopy is performed, and for neoplasms of the bladder, cystoscopy is performed. They provide detailed visualization of space-occupying formations and provide for the collection of biopsy samples for subsequent histological analysis.
• Lab tests.
  Leukocytosis and increased ESR in the CBC indicate the presence of inflammation. Urine, discharge from wounds and genitals are examined by culture to identify the causative agent of infection. With symphysitis, a decrease in the amount of calcium and magnesium in the LHC is determined. To confirm an ectopic pregnancy, the level of human chorionic gonadotropin is examined. As part of the morphological analysis of biopsy specimens, the type and degree of malignancy of tumors is clarified.

Ultrasound of the bladder

Gastrointestinal pathologies

There are many diseases of the gastrointestinal tract that require treatment for pelvic pain

, along with eliminating the root cause that caused them.

Types of back pain in women

To understand why the lower back hurts, you need to take into account the nature of the pain. According to its course, it can be acute or chronic. In the first case, it lasts from several weeks to 2-3 months. If the pain syndrome persists for a longer time, then we are talking about a chronic course.

The pain can also be constant or paroxysmal, aching, pulling, shooting, sharp or sharp. By localization: unilateral, bilateral, surrounding or radiating to other parts of the body.

Based on the nature of the pain, the doctor can guess the root cause.

Drawing-aching pain

It occurs as a result of sluggish inflammatory processes in the organs of the genitourinary system, gastrointestinal tract, spinal column, muscles, as well as due to prolonged exposure to an uncomfortable position.

Aching pain with lumbago is typical for women during menstruation, with adhesions in the pelvis, and with endometriosis. Pulling sensations in the lower back appear before childbirth.

Sharp and sharp pain

Acute pain syndrome manifests itself in surgical pathologies:

• ovarian rupture;
• ectopic pregnancy;
• torsion of the pedicle of an ovarian cyst;
• appendicitis;
• stone obstruction of the urinary ducts;
• hernia and other pathologies of the spine leading to pinched nerve roots;
• late stages of cancer.

Sharp pain that interferes with breathing and movement appears after excessive physical exertion in women with osteochondrosis.

Acute pain in the lower back with existing diseases of the spine can occur even after careless or sudden movement

Also, this type of pain is inherent in patients with kidney disease, renal colic, exacerbation of stomach or duodenal ulcers.

Shpidonov Gennady Stanislavovich

Neurologist

Rostov State Medical University (neurology)

10 years of experience

Girdle pain

It covers the lower abdomen and lower back, forming a belt. It is a manifestation of inflammatory diseases of the kidneys, bladder, and intestines. Additional symptoms associated with the underlying pathology are sure to arise.

Pelvic pain in women

Pelvic pain in women

- a common phenomenon. Between the ages of 18 and 50, it affects 5 to 15% of the fair half of humanity. The percentage increases to 20 when it comes to patients who have suffered inflammatory diseases of the reproductive system.

The causes of pain in the pelvic area can be different, but most often they are associated with changes in the organs of the reproductive system. Chronic pain symptoms are vague and can lead to a variety of other problems, which ultimately have a negative impact on quality of life. The table below shows the main pathologies of the internal organs of the woman’s reproductive system, one of the manifestations of which is pain in the pelvic area.

Pelvic pain

may occur
during pregnancy
due to natural changes in the pubic and sacroiliac joints. During this period, the pelvis is prepared for childbirth and “stretched.” As a rule, they appear in those expectant mothers who previously had diseases of the musculoskeletal system. If the pain lasts a long time and is intense, you should urgently seek professional medical help.

If the intrauterine device is selected or installed incorrectly, pain in the pelvic area may also occur. They arise as a result of inflammatory processes and are accompanied by rejection of the coil and intense bleeding. Menstruation, accompanied by intense pain in the pelvic area, is a consequence of neurological disorders and a number of diseases of the female reproductive system. They are accompanied by weakness, cramping attacks of pain, a feeling of weakness and can be eliminated by taking analgesics, NSAIDs, and hormonal drugs.

Why does the lower abdomen hurt: causes and treatment

Pain in the lower abdomen is a common symptom that is associated with gynecological problems, diseases of the intestines and genitourinary system. Sometimes such pain is not dangerous and quickly goes away on its own: for example, if it is caused by mild food intoxication or muscle strain. But the causes of pain can be serious, and it is important to know about them in order to seek help from a doctor in time.

You can get specialist advice or undergo examination using high-precision equipment at the MedEx clinic.

Nature of pain in the lower abdomen

To quickly find the problem, it is important to tell the doctor at the appointment about the nature of the pain. Therefore, be sure to pay attention to exactly where and how your lower abdomen hurts.

What might the sensations be like:

• By intensity: weak or strong, sharp pain;
• By localization: pain at a specific point or distributed (when it is not clear where it hurts);
• Generally speaking: aching, stabbing, dull, throbbing or nagging pain in the lower abdomen;
• By regularity: pain occurs for the first time or is it chronic pain that returns periodically.

The intensity of pain and sensations may change with movement or depending on the position of the body - this is also important to note and inform the doctor so that the diagnosis is more accurate and quick. If other unpleasant symptoms appear against the background of pain, be sure to tell us about them at your appointment.

Causes of pain in women

Sometimes the source of abdominal pain is associated with the female reproductive system - in this case, an obstetrician-gynecologist is involved in diagnosis and treatment. Pain associated with gynecological problems is felt on the left, right or center, in the suprapubic region, depending on which organ the source of pain is associated with.

Lower abdominal pain in women can be caused by:

• Spasms of the uterus during menstruation. This is a natural, physiological pain that many women experience. But if the pain is too intense, is accompanied by digestive upset and interferes with normal life, consult a gynecologist - the doctor can prescribe maintenance therapy to alleviate the condition.
• Diseases of the uterus and ovaries. If the lower abdomen feels tight regardless of menstruation, this may be a symptom of endometriosis, inflammatory processes, cysts and other pathologies. In addition, against the background of diseases, menstruation can become especially painful and prolonged, and this also cannot be ignored.
• Ectopic pregnancy. This is an extremely dangerous variant of pregnancy when the embryo is located in the oviduct, ovary or cervix. It is important to start monitoring with an obstetrician-gynecologist at the earliest stages and consult a doctor if there is any suspicious nagging pain during pregnancy - this is the only way to insure yourself against a pathology detected too late.

To determine the cause of the pain, the obstetrician-gynecologist will recommend an ultrasound of the pelvic organs or tests. In addition, at the MedEx clinic you can undergo a comprehensive examination for women under the “Women’s Health” program: such a check-up will allow you to assess the condition of the reproductive system as a whole. It is recommended to repeat it regularly for preventive purposes or if discomfort occurs in the lower abdomen.

Pain in the lower abdomen in men

In men, pain in the lower abdomen can also be caused by specific diseases of the reproductive system.

Aching or nagging pain is a symptom of:

• Vesiculitis – inflammation of the seminal vesicles;
• Acute or chronic prostatitis – inflammation of the prostate gland;
• Prostate adenomas;
• Sometimes – neoplasms in the reproductive organs.

A urologist can help solve the listed health problems in men. This is the doctor you should contact if pain in the lower abdomen radiates to the groin area or is accompanied by difficulty urinating.

To diagnose pathologies of men's health, the doctor may prescribe laboratory tests or ultrasound of the pelvic organs. It is important to undergo an examination using modern equipment: only in this case the results will be accurate, without noise or interference, and your doctor will clearly see the full picture. At the MedEx clinic, ultrasound is performed using an expert-class Siemens ACUSON S 1000 device, which meets all accuracy requirements.

Pain due to intestinal diseases

Diseases and structural changes in the intestines can also make themselves felt by pain in the lower abdomen on the left, right or center.

Acute or constant pain of varying intensity appears when:

• Irritable bowel syndrome, constipation and other chronic disorders of the digestive tract;
• Intestinal colic. They can be caused, for example, by increased gas formation due to dysbiosis, when the balance of microflora in the intestines is disturbed. A doctor will help solve the problem of stabbing pain of this kind;
• Inflammation of the intestinal mucosa. Such inflammation can occur due to food or alcohol poisoning, due to an intestinal infection, after a course of antibiotic treatment, or against the background of chronic gastrointestinal diseases. Accompanied by pain and indigestion;
• Appendicitis – rupture of the appendix. Severe nagging pain occurs in the navel area or immediately moves to the right iliac region, accompanied by an increase in body temperature and nausea. This is an acute condition that requires emergency medical attention and, most often, hospitalization;
• Inflammation of the sigmoid colon (also called sigmoiditis). The pain in this case is usually localized on the left side of the abdomen below the navel;
• Neoplasms in the intestines. This kind of pain is usually not too intense, dull or aching, but is repeated regularly. To eliminate the risk of cancer or detect the disease at an early stage, it is important to consult a doctor in time.

Treatment and diagnosis of such diseases is usually coordinated by a general practitioner. He will give recommendations on how to alleviate the condition and eliminate the cause of pain, and, if necessary, refer you to a highly specialized specialist.

Abdominal pain due to kidney and bladder diseases

Diseases of the urinary tract and kidneys are another group of reasons that cause pain in the lower abdomen.

What pathologies may be accompanied by pain:

• Pyelonephritis is inflammation of the kidneys. With this disease, pain can be felt not only in the lower abdomen, but also in the side, lower back on one or both sides.
• Urolithiasis disease. The movement of stones causes renal colic - an acute, cramping pain that sometimes radiates to the lower third of the abdomen.
• Urinary tract infections, as well as cystitis - inflammation of the bladder. These acute conditions are manifested by cutting pain in the lower abdomen and problems with urination.

If you suspect that the pain is caused by problems with the urinary system, consult a urologist.

Other causes of pain in the lower abdomen

Sometimes it’s not the internal organs that hurt, but the muscles. Muscle pain, or myalgia, usually occurs due to overexertion of the lower abs after intense training and heavy physical work. In this case, the discomfort goes away after a couple of days, and the help of a doctor is not required.

But be careful: if the muscles ache not due to increased load, the pain may indicate inflammation (myositis). A therapist will help you find out the cause of the pain.

In addition, sometimes painful sensations accompany varicose veins in the pelvic area (usually diagnosed in women). This pain often worsens after exercise or during PMS.

In what cases should you consult a doctor with pain in the lower abdomen?

Any discomfort in the lower third of the abdomen may be a reason to consult a doctor and undergo a preventive examination, especially in adulthood. But there are situations when diagnostics becomes not just desirable, but necessary.

You should make an appointment with your doctor as soon as possible if:

• Mild pain and discomfort does not go away within a week;
• For more than 1-2 days, intense pain constantly returns and interferes with daily life;
• The pain is accompanied by nausea and vomiting;
• Along with the pain, a burning sensation appeared during urination and frequent urges;
• You feel severe muscle pain, but you definitely haven’t overexerted your abdominal muscles in the previous days;
• Pain in the lower abdomen occurred during pregnancy.

There are a number of acute symptoms, if they occur, you need to call an ambulance. If the pain in the lower abdomen is accompanied by uterine bleeding (in women), an increase in body temperature above 38.8°C and becomes unbearably strong, as with appendicitis, the condition is dangerous and urgent help is required.

Make an appointment with a doctor in Moscow for lower abdominal pain

Only a doctor can determine the cause of pain in the lower abdomen and prescribe treatment. Therefore, the right tactic is not to hope that the pain will go away, and not to try to relieve it with painkillers, but to make an appointment with a therapist, urologist or gynecologist.

At MedEx Clinic, we take a personalized approach to medicine. At your appointment, the doctor takes into account not only your complaints, but also the full picture of your life: your overall health status, habits, genetics. You are insured against conflicting recommendations from different specialists, because within our multidisciplinary clinic there is established communication between the doctors who are involved in solving your problem.

To make an appointment on any weekday, call us, write to chat or leave your phone number in a special window on the website.

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Dzhgarkava Tea Gochaevna

Therapist-cardiologist

Experience: 5 years
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Pelvic pain in men

Pain in the pelvic area in men does not have a clear localization. Most often they are felt in the area near the navel and spread to the lower abdomen, as well as to the perineum, back, and rectum. The causes that cause them are represented by diseases of the reproductive system, which are presented in our table below.

What to do if pain occurs for the first time

Dull, aching pain in the heart area occurs spontaneously when a person is not ready to take surgical measures. Then he asks the question: are these the first signs of an organ disease, or a short-term failure? What should I do to relieve the pain and return to normal life? The main rule is not to use serious medications without a doctor’s prescription! This causes undesirable consequences, complications or provokes side effects.

First emergency aid:

• drink 20-30 drops of Corvalol or Valocordin. At the same time, provide the patient with a flow of fresh air and remove everything that interferes with breathing;
• Additionally, chew an Aspirin tablet with a small amount of water.

These medications should be in every home, even if the owners do not have heart problems (an attack affects both the owner and the guest). Such tablets are stored in the car and at the dacha to be prepared for anything.

Treatment of pelvic pain in men

Treatment methods directly depend on the cause that caused them. In any case, it is carried out comprehensively. Thus, for prostate tuberculosis, anti-tuberculosis medications “Salyuzida”, “Metazid” are prescribed, and therapeutic methods are used. If there are indications, they resort to surgery - cavernotomy.

In prostate fibrosis, efforts are directed toward eliminating prostate sclerosis, for which surgical intervention is used to eliminate the affected areas and restore patency of the urinary tract. In addition, treatment of pelvic pain in men

may include physiotherapeutic and local procedures, exercise therapy aimed at stimulating blood flow in the legs. Drinking alcohol, smoking tobacco, and consuming spicy foods is not recommended.

Treatment

Pre-hospital assistance

A woman with a suspected pelvic fracture should be placed on a backboard with her legs bent and a pillow placed under them. The pelvic bones should be secured by wrapping a scarf or sheet. To prevent traumatic shock, it is recommended to warm up with a blanket, drink plenty of warm drinks, and take an anesthetic. Fractures and suspicion of an interrupted tubal pregnancy are indications for immediately calling an ambulance.

Conservative therapy

Therapeutic tactics are determined by the cause of the development of pain in the pubis:

• Injuries.
  Upon admission, intrapelvic anesthesia is administered; in the case of isolated pubic bone fractures, local anesthetic administration is possible. The fixation option is chosen taking into account the type of injury; a shield or a hammock is used, or in severe cases, skeletal traction. Painkillers are used, and antibiotics are prescribed for open injuries. During the rehabilitation period, patients are referred to exercise therapy, massage and physiotherapy.
• Osteomyelitis.
  The basis of therapy is antibiotics, which are selected taking into account the sensitivity of the pathogen and administered intramuscularly or intravenously. Analgesics are used. In case of severe intoxication, infusion therapy is carried out. Dressings are carried out, the wound is washed and drained.
• Symphysitis.
  To eliminate hypocalcemia, calcium supplements are prescribed, and vitamin D and magnesium supplements are used to improve the absorption of the microelement. To eliminate aseptic inflammation, NSAIDs are recommended. Non-drug methods include magnetic therapy, wearing a bandage, and special exercise therapy complexes. An adequate choice of obstetric care tactics is required, taking into account the severity of the pathology.
• Endometritis.
  The first priority is to fight the infection with antibacterial agents. In case of severe intoxication, protein and saline solutions are administered intravenously. Immunomodulators, antihistamines, and multivitamin complexes are prescribed. To eliminate bleeding and reduce pain in the acute period, cold and hormonal drugs are used. After the condition improves, medicinal electrophoresis, UHF, magnetic therapy, and ultrasound therapy are useful.
• Endometriosis.
  Conservative treatment is carried out in case of asymptomatic or mild symptoms during premenopause, if it is necessary to restore or preserve reproductive function. Hormone therapy is carried out with combined estrogen-progestogen agents, gestagens, antigonadotropic drugs, gonadotropic releasing hormone agonists.
• Cystitis.
  The treatment regimen includes antibiotics from the groups of fluoroquinolones, nitrofurans, macrolides, cephalosporins and non-fluorinated quinolones. Uroseptics, NSAIDs, and combined herbal remedies are used. Intravesical instillations are performed. Inductothermy, UHF, and iontophoresis are performed.
• Detrusor tuberculosis.
  Treatment is carried out with anti-tuberculosis drugs and fluoroquinolones. Additionally, NSAIDs and angioprotectors are prescribed to reduce the severity of inflammation and prevent cicatricial changes in the urinary tract.

For adnexitis and salpingitis, antibiotics, anti-inflammatory drugs, and physiotherapy are used. For oncological lesions alone or as part of combination therapy, including radiation therapy and chemotherapy in the pre- and postoperative period.

Which doctor should I contact?

A visit to the doctor is simply necessary if the pain does not stop for a long time and is accompanied by fever, numbness of the lower extremities, nausea, or if it occurs as a result of injury. If you want to be sure that you will be correctly diagnosed and treated at a high quality level, contact the CELT clinic. In order to become our patient and get rid of pain, it is not necessary to have a Moscow residence permit. Contact your doctor, and depending on the nature of the pain, the cause of its occurrence and accompanying symptoms, you will be referred to one of our specialists:

• pain management specialist;
• traumatologist-orthopedist;
• rheumatologist;
• neurologist;
• oncologist;
• physiotherapist;
• gynecologist;
• to a urologist.

In what cases is emergency medical care necessary?

Emergency assistance is called if the patient is not sure of the measures being taken, or does not know what to do in the current situation. Calling a medical team is useful when pain does not disappear after taking medications. It is advisable that the patient during a heart attack be under the supervision of colleagues or relatives. In case of intense pain, it is recommended to take pills, call an ambulance and not refuse hospitalization, otherwise the next attack will end in a stroke, heart attack or death.

Painful sensation in the chest space is a symptom, therefore it is impossible to establish a diagnosis without the conclusion of the attending physician and determining the cause. If pain occurs for the first time, immediately take medication and be examined by a cardiologist. This prevents the development of pathology and reduces the risk of additional diseases. With regular heart pain, they switch to a calmer rhythm of life, avoid stressful situations and keep all the necessary medications with them in order to receive emergency care in a timely manner, regardless of where they are.

Why is it so important to see a doctor promptly?

Painful symptoms in the pelvic area can signal a number of diseases of the genitourinary and musculoskeletal systems, as well as the gastrointestinal tract. Taking painkillers will only temporarily eliminate the symptom, but the cause that caused it will not be eliminated - and the disease will continue to develop, which is dangerous for health and life. By consulting a doctor in a timely manner and undergoing a diagnostic test, the patient will find out the cause of the pain and, together with the doctor, will be able to direct efforts to eliminate it, avoiding much more serious consequences, irreversible processes, and sometimes even surgical intervention. Do not delay your visit to the doctor under any circumstances if:

• pain symptoms have an intense paroxysmal nature;
• an admixture of blood is found in the urine or stool;
• internal organs hurt;
• there is headache, nausea, high body temperature;
• Women experience uterine bleeding.

Ear pain: main causes

Ear diseases are not at all uncommon. Almost every person has encountered a painful sensation at least once in their life. There are many causes of ear pathologies. And every disease needs its own treatment. That is why it is very dangerous to independently diagnose the disease and begin therapy.

Pain in the outer ear: causes

Diseases of this department are usually associated with infection. Microorganisms can easily attack the outer ear. However, you should not be overly afraid of infections, because with a strong immune system, the body will give a worthy rebuff. Another common source of the problem is injury. Improper cleaning of the ear canal, various impacts and injuries can lead to an inflammatory process. The main symptoms of damage to the external part are the following:

• itching in the ear;
• pain (most often acute);
• jaw movement causes increased pain;
• touching the sink is accompanied by increased discomfort.

The following diseases can lead to pain in the outer ear:

1. Otitis externa. Most often this disease is bacterial in nature. However, there are other types of otitis (for example, fungal). The patient complains of pain, ringing in the ears, and a feeling of fullness. Possible hearing loss. In severe cases, otitis media is accompanied by fever and purulent discharge.
2. Furuncle. An abscess may form in the auricle. At the initial stage, it causes severe itching. Then the pain begins to appear. It can radiate to the head. The sensations intensify significantly when you press on the tragus. When palpated, a swelling is felt like a giant pimple.
3. Injuries. They can be obtained as a result of chipped, cut, thermal, gunshot, and chemical damage. Such injuries are usually clearly visible. If the ear canal is damaged, a person complains of severe ear congestion and pain. Sometimes bleeding may occur.

Middle ear pain

This section communicates with the external ear and nasopharynx. Accordingly, diseases can “come” from both sides. Pathological processes developing in the middle ear can negatively affect the condition of other organs and tissues. For example, otitis media can be complicated by paresis of the facial nerve or provoke the development of meningitis. The following symptoms indicate pathology in the middle ear:

• shooting pain in the ear;
• sensation of pulsation;
• hearing loss in the affected ear;
• autophony (strong and unusual perception of one's own voice).

Ear pain may indicate the development of the following pathologies:

• acute inflammation of the middle ear (AOM);
• tumors in the area of ​​the tympanic cavity;
• injuries and perforations of the eardrum;
• dysfunction of the auditory tube.

Problems in the inner ear

When the inner ear is damaged, pain is extremely rare. Most often, such pathologies proceed rather silently. The following symptoms are typical for internal diseases:

• lack of coordination;
• difficulty maintaining balance;
• nausea;
• noise (or ringing) in the ears;
• headache;
• progressive hearing loss;
• dizziness.

Common diseases of the inner ear include:

• labyrinthitis (infectious-inflammatory process);
• sensorineural hearing loss (damage to the apparatus that perceives sound waves);
• Meniere's disease (increased pressure in the labyrinth as a result of increased labyrinthine fluid);
• otosclerosis (pathological bone growth).

When the ears are innocent

Sometimes excruciating pain can occur even without pathological processes in the auditory organs. For what reason do the ears hurt in this case? The pathological process can develop in neighboring organs. And the pain simply radiates to the ears. Doctors call this pathology secondary otalgia.

The sources of the problem may be:

• dental diseases;
• trigeminal neuralgia;
• inflammatory processes in the throat, nose or paranasal sinuses;
• tumors of the larynx, oral cavity, lower pharyngeal region;
• inflammation in distant organs (tonsils, thyroid gland, lymph nodes of the neck);
• diseases of the esophagus;
• cardiovascular pathologies (heart attack);
• degenerative pathologies of the cervical vertebrae.

Treatment of pelvic pain

Treatment of pelvic pain is determined by the reasons that caused it. Even if causes of pain associated with damage to internal organs are excluded, patients can be helped! Modern medicine offers a number of techniques that can help eliminate not only the pain syndrome, but also the disease that caused it. These include:

• drug treatment that involves taking medications;
• various types of therapy: tissue, vascular, microcirculatory;
• elimination of biomechanical disorders of the musculoskeletal system of the pelvis;
• correction of psychological state;
• surgical interventions if there are appropriate indications or if there is no effect when using conservative treatment methods.

Thanks to the advent of modern techniques associated with blockade of nerves, nerve plexuses, large joints, as well as modern radiofrequency nerve ablation techniques, patients with chronic pelvic pain syndrome have hope of returning to a normal lifestyle. To find out the cause of pelvic pain, as well as the possibilities of modern medicine to help cope with it, please make an appointment with a pain treatment specialist at our clinic!

Make an appointment through the application or by calling +7 +7 We work every day:

• Monday—Friday: 8.00—20.00
• Saturday: 8.00–18.00
• Sunday is a day off

The nearest metro and MCC stations to the clinic:

• Highway of Enthusiasts or Perovo
• Partisan
• Enthusiast Highway

Driving directions

What to do

People who constantly face heart pain syndrome know what to do in this situation. At a doctor’s appointment, they learn what medications they use to provide first aid, and under what circumstances certain treatment regimens are used:

1. If pain occurs during a hypertensive attack, medications that reduce intravascular parameters (Corinfar) are used. It is dissolved under the tongue, as a result of which the drug quickly penetrates the hematopoietic system, normalizes blood flow and eliminates pain.
2. For angina pectoris that provokes heart pain, you will always need Nitroglycerin or Isoket on hand. They act on the factors that cause an attack of pain and eliminate it.

It is useful to massage the affected area, this will speed up the relief of pain. When you feel better, you need to see your doctor and undergo an examination, especially if such phenomena occur regularly.