Symposium

Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

Pain Rehabilitation

Trauma

Lower Trunk & Groin Pain: Causes and Cures

Friday, November 11, 2022

11:00 AM – 12:15 PM

Presenter(s)

Andrew i. Elkwood, MD, FACS

Plastic and Reconstructive Surgeon
The Institute for Advanced Reconstruction
Shrewsbury, New Jersey, United States
Nicole Ferro, DO

Physical Medicine & Rehabilitation Physician
The Institute for Advanced Reconstruction
Shrewsbury, New Jersey, United States

Slides
Adam Saad, MD, FACS

Plastic & Reconstructive Surgeon
The Institute for Advanced Reconstruction, United States

Pain syndromes affecting the lower trunk/groin area are often misdiagnosed and undertreated by a variety of medical specialists, often because providers do not have the appropriate tools for diagnosis or treatment. The goal of this presentation is to help clinicians feel more informed and confident with the assessment and management of pudendal neuralgia and athletic pubalgia. We will review the clinical presentations and highlight the key symptoms of each. Diagnostic studies and interventions will be reviewed as they relate to the pelvic syndromes and other potential diagnoses. We will provide an overview of pelvic floor exercises and lifestyle modifications that may help to alleviate symptoms. Finally, we will discuss the current literature regarding surgical treatment options to ameliorate pain and restore quality of life.

Learning Objectives:

Upon completion, participant will be able to describe the causes and symptoms associated with pudendal neuralgia and athletic pubalgia.
Upon completion, participant will be able to discuss initial workup for lower trunk/groin pain and recognize when a referral for a diagnostic nerve block is appropriate.
Upon completion, participant will be able to explain the different interventional and therapeutic techniques utilized in the management of chronic lower trunk/groin pain.
Upon completion, participant will be able to discuss surgical and non-surgical treatment options for patients with pudendal neuralgia and athletic pubalgia.