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What do women with pain of the bones of the pelvis
According to international statistics, almost half of women suffer pain in the pelvic area. Sometimes to locate them very difficult. The symptoms can be so that have to apply to specialists – a gynecologist, urologist, neurologist, chiropractor, oncologist, trauma surgeon, rheumatologist, hematologist, surgeon. Pain in the pelvis is both direct and indirect (consequences of certain diseases). To establish an accurate diagnosis is not possible.
So why suffer pelvic bones in women? The causes of pathology in this area have different origins:
- gynaecology
- diseases of the urinary system;
- disruption of the gastrointestinal tract;
- diseases and pathology of skeletal-muscular apparatus;
- diseases of the peripheral nervous system;
- neoplasm
- injuries
- infection.
Acute and chronic pelvic pain
discomfort in the pelvic division of the musculoskeletal system can have various character:
- acute (short-term sensory reaction activity disorders of the organism)
- chronic (persistent, recurrent).
Causes of acute pelvic pain in women could be gynecological and non-gynecological in nature (for example, diseases of the urinary system, gastrointestinal tract). She could suddenly appear and lasts about an hour or the whole day. Accompanied by fever, nausea, vomiting, and internal and external bleeding. When such pain is an emergency.
Chronic pelvic pain can have the same cause as acute. They last beyond the normal healing period (at least 6 months), associated with impaired activity of nerve pathways and centers that control the flow of pain impulses. Accompanied by heaviness, burning, nagging, tingling, sharp. For women with chronic pain in the pelvis characterized by such symptoms:
- increasing discomfort in the lumbar region, groin, lower abdomen, which is increased by heavy physical, mental and emotional stress, the chill; during the menstrual cycle;
- dyspareunia (discomfort during coitus).
Causes and symptoms pain in the bones of the pelvis (table 1)
| Reasons | Manifestations | Symptomatology |
| gynecological Diseases: | ||
| Ovulatory pain | Menstrual cycle, the ovulation process | Bloating and pressure in lower abdomen |
| Dysmenorrhea | Before menstruation and the start of | Painful manifestations in the lower division of the pelvis |
| Follicular cyst | the Egg never leaves the Mature follicle during ovulation | Acute discomfort in the right and left area in the abdomen that may be accompanied by bleeding |
| Uterine pregnancy | Stretching visceral peritoneum, the capsule of the ovary, uterine contractions, the threat of miscarriage | Painful manifestations in the abdomen |
| Ectopic pregnancy | Before and after the rupture of the fallopian tube | Acute pelvic pain |
| Pelvic infections (gonorrhea, chlamydia) | Inflammation of the ovaries and fallopian tubes | Acute and chronic painful symptoms in the pelvic area |
| Tumors of the cervix | Stretching of the peritoneum of the uterus, necrosis | Unpleasant sensations in the lower pelvis |
| ovarian Tumors | Distortion, rupture, necrosis, hemorrhage | variable Increasing or severe pain, nausea, abdominal enlargement, vomiting, unilateral edema of lower extremities |
| Distortion of the uterus | Stop venous blood flow, appears edema, necrosis | variable Acute growing pain, irritation of the peritoneum, utero bleeding |
| Endometriosis | Cells of the inner layer of the uterus grow outside | pain throughout the menstrual cycle, during sexual intercourse, infertility |
| Endometritis | inflammation of the inner lining of the uterus | Chills, unpleasant discharge, pain in the pelvic area |
| Salpingitis | Inflammation of fallopian tubes | Dull, aching pain in the groin, in the vagina |
| non-gynecologic diseases of the urinary system: | ||
| urinary tract Infections (cystitis, pyelonephritis) | inflammation of the bladder, lesions of the kidney, pelvis and calyx | discomfort in the lower abdomen or lower back, fever, frequenturination |
| ureteral Obstruction | Mochetocniki stone, clot, tumor | pain spread to the groin, side, flank |
| Paranephric abscess | Pockets of pus around one or both kidneys | Fever, unilateral manifestation of pain |
| non-gynecologic diseases of the gastrointestinal tract | ||
| Acute appendicitis | stretching of the cavity of the Appendix, necrosis | Acute pain - depending on the localization of the Appendix |
| Diverticulitis | Inflammatory bowel disease | Sharp, intensifying pain, nausea |
| bowel Obstruction | Hematoma of wall, bowel, hernia, gall stones | Colic, vomiting, constipation |
| Inguinal, femoral, umbilical hernia | Dropping bodies from a cavity | Sharp, stabbing, dragging pain in the pelvic area |
| irritable bowel Syndrome | Intestinal spasms, diarrhea, constipation | Morbid manifestations akin gynecological diseases |
Pain in hip joints
Often in women discomfort in the hips, extending to the bones of the pelvis, associated with various diseases of the musculoskeletal system.
Causes and symptoms pain in the hip joints (table 2)
| Reason | Manifestation | Symptomatology |
| Arthritis | inflammation of the joints | pain in groin, thigh, worse when walking |
| Arthritis infectious character | Triggered by influenza, Staphylococcus, Streptococcus | Initially minor discomfort in the hip joint, then swelling, immobilization |
| Coxarthrosis (arthrosis deformans) | joint disease | Pain in the joints, in the groin, aggravated when walking |
| Osteoarthritis | Collapse all components of the joint: cartilage, subchondral area of bone, synovium, ligaments, capsule, periarticular muscle | pain in groin, outer and inner thigh area, lower back pain, gait disorders, the restriction of movement |
| Osteonecrosis | Necrosis of the femoral head | Pain in the groin, the gluteal area |
| Bursitis | Inflammation of periarticular bags | Aching or sharp sensations in the joint, worse at rest, swelling of |
| Tendonitis | inflammation of the tendon | Limited movement, sharp pain in gluteal, hip region |
| neoplasms of bone and muscle tissues | Malignant, benign | Painful depending on the location of tumor |
| Injury | Fractures, dislocations, sprain | Sharp pain in hip joints |
The cause of pelvic pain is dysfunction of the sacroiliac joint. It is broken in biomechanics and mobility. Manifests itself in pregnant women.
Frequent causes sharp, burning pain, the occurrence of muscle cramps, numbness, tingling in the hips and the pelvis – peripheral nerve (neuralgia).
survey Methods
The Symptoms of various pelvic pathologies are similar, and it is difficult to establish an accurate diagnosis. For this purpose, modern methods of diagnostics:
- computed tomography
- magnetic resonance imaging
- x-ray
- electrocardiography
- ultrasound
- common laboratory tests.
Appoint additional methods of research, if found:
- diseases of the uterus:
- laparoscopy (make an incision below the navel, move the camera and display the image on the screen that allows you to do a review of the pelvis);
- hysteroscopy (hysteroscope examine the uterine cavity, take tissue biopsy, identify and address pathology)
- hysterosalpingography (radiographic study of the uterine tubes, allows to detect endometriosis, fibroids, polyps);
- disruption of the urinary system:
- excretory urography (x-ray and a blood contrast agent diagnose kidneys, which can detect the presence of stones, tumors);
- is an retrograde (through a catheter in the bladder is injected with a contrast medium and take a picture so you can examine the organ, ureters, kidneys);
- cystoscopy (diagnosis of bladder with cystoscope);
- radioisotope studies (radiodiagnostic are administered the drug intravenously and study its passage through the vessels of the kidneys, which can detect tumors);
- disease of the gastrointestinal tract:
- endoscopy (examining the bowel with an endoscope that allows us to identify thepathology)
- sigmoidoscopy (through the anus the proctoscope is introduced that allows to study the intestinal mucosa);
- rectosigmoidoscopy (with the help of a special device to more carefully examine the intestine and take a special material for analysis).
Thanks to these techniques it is possible to accurately determine the cause of pain, to differentiate the symptoms. Knowing the exact diagnosis, the doctor prescribes treatment.
what doctor to go
At first uncomfortable sensations in the pelvic area you need to go to the therapist. He will prescribe the investigation and if necessary will send you to a specialist.
If the pain in the pelvis accompanied by loss of mobility, giving the knee, the hips do not bend, there is a feeling of stiffness, you should consult a rheumatologist, an orthopedist. If necessary, the physiotherapist, neurologist. When an obvious injury of the hip joint – to the traumatologist.
If the pain is localized below the navel, you experience bleeding, suspicious discharge, fever, nausea, abdominal enlargement, you should visit the gynecologist.
Dull, aching pain in the lower part of the peritoneum may be induced through the pancreatitis, a malfunction of the spleen (magnification, rupture). If localization is on the right, it is connected with liver diseases. You should enlist the help of a gastroenterologist.
Pulling to the left cutting pains with frequent urination – kidney stones, pyelonephritis, should go to a nephrologist.
With the appearance of constant weakness, fatigue, detection of neoplasms in any of the organs of the pelvis is required oncologist.
It is Important not to ignore pain in the bones of the pelvis, and in time to discover the cause, because it is easier to prevent a serious disease than to treat it.
Sources:
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- international statistical classification of diseases and related problems health (obstetrics, gynecology and Perinatology) — X revision, world health organization, 2004.
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