Abdominal Pain

Abdominal pain refers to discomfort or pain primarily in the belly or pelvis (hip area).
Learn more about some of the common causes of abdominal pain that we treat at our office in The Woodlands.
The pelvic region of the body is located between the abdomen and the thighs (below the belly button and above the legs.) The pelvis protects internal organs including the bladder, intestines, and reproductive organs and supports the hip joints.

Chronic abdominal pain is noticeable but not crippling pain that lasts for more than a few days. It may also appear on and off over the course of several months. This type of persistent, nagging abdominal pain may be caused by a condition that needs to be treated, but is not an emergency and won’t go away on its own.

Reproductive Conditions
Chronic pelvic pain in women may be caused by:

  • Endometriosis – when uterine tissue grows in other parts of the body, including the pelvis, causing pain and scarring
  • Fibroid tumors – non-cancerous growths in or on the uterus

In men, it may be caused by prostatitis (inflammation of the prostate).

In men or women, chronic pelvic pain may be due to irritable bowel syndrome (IBS), interstitial cystitis (a common bladder problem) or another condition of the digestive tract.

Pudendal Neuralgia
The pudendal nerve is the main nerve in the pelvis that supplies sensation to the lower buttocks, anal region, and genital region of both men and women. Pudendal neuralgia is a condition that occurs when this nerve is damaged or irritated. Symptoms of pudendal neuralgia include pelvic pain that feels like a burning, shooting, or prickling sensation. Pain may develop suddenly or gradually and may be constant but worse while sitting down. Other symptoms may include numbness in the pelvic region, pain during sex, and feeling a swelling sensation in your buttocks and genital regions.
Tailbone Pain
The tailbone, also known as the coccyx, is the small, triangular bone at the bottom of the spine. Tailbone pain is usually caused by trauma to the area resulting from

  • a fall
  • a blow to the area
  • repetitive friction in the area – from bicycling, for example
  • prolonged sitting on a hard surface
  • joint degeneration
  • injury to a woman’s tailbone during childbirth

Symptoms of tailbone injury include severe, localized pain and tenderness and possibly bruising.

Abdominal Pain Treatment
Abdominal pain can significantly limit your ability to perform routine daily functions and participate in activities you enjoy. Fortunately, treatment is often available and can take effect very quickly.. The most effective abdominal pain treatment approaches will depend on the exact location, cause and severity of pain. Treatment for abdominal pain caused by medical conditions may include prescription medications, physical therapy and massage, lifestyle changes, spinal cord stimulation, trigger-point injections, and surgery.
Abdominal pain caused by more complex conditions usually require treatment by a pain specialist. Our treatments include:
These and other non-narcotic options for abdominal pain treatment are available at
Pain Management Center of Houston located in The Woodlands.