Double Board Certified Interventional Pain Medicine and Rehabilitation Physician in Jasper, Ga
Chronic Pelvic Pain
Dr. Jordan Tate has a particular interest and passion for treating Pelvic Pain.
Chronic pelvic pain (CPP) is continuous or intermittent pain in the lower abdomen or pelvis lasting at least 6 months that impairs patient functioning and quality of life. Affecting about 15% of women in both the United Kingdom and United States. CPP is overall less prevalent in men. The most common causes of CPP are endometriosis, pudendal neuralgia, coccydynia, prostadynia, vulvodynia, and painful bladder syndrome, previously called Interstitial Cystitis (IC). Post-surgical pain or pelvic pain after pelvic mesh placement or erosion is also very common. Cancer and its treatments will often lead to severe CPP.
Pharmacologic treatments are the primary clinical intervention used for CPP and include tricyclic antidepressants, anticonvulsants, opioids, muscle relaxants, antibiotics, a-blockers, and pentosan polysulfate. However, there is little evidence showing these agents are superior to placebo, and many are associated with undesirable side effects. Surgery can also be used to address some cases of CPP, but often there is not surgical correction or cure for chronic neuropathic pain. Emphasis on minimally invasive interventions combined with physical therapy has been shown to be the most effective treatment strategy for many sufferers of CPP. Recent advances in neuromodulation are garnering attention as new alternative for recalcitrant pain.
Many pain medicine specialists are not trained in the interventional techniques that treat CPP and often will not even schedule consultations with patients for Chronic Pelvic Pain. Dr. Jordan Tate is specially trained in evaluation and treatment of CPP. As a member of the International Pelvic Pain Society (IPPS), Dr. Tate stays up-to-date with current treatment options.
Interventional Treatments
Superior Hypogastric Block
Ganglion Impar Block
Pudendal Nerve Block
Trigger Point Injection
Botulinum Toxin Injection
Caudal Epidural Injection
Sacral Transforaminal Injection
Anterior Cutaneous Nerve Block
Genitofemoral Nerve Block
TAP Block
Ilioinguinal Nerve Block
High Frequency Spinal Cord Stimulation
Dorsal Root Ganglion Stimulation
Peripheral Nerve Stimulation
High Frequency Stimulation
Chronic Pelvic Pain is difficult treat, mostly due to the very limited research performed in the field to guide evidence based treatments. Dr. Tate feels this patient population deserves more attention and resources. Along with her amazing research team and in conjunction with Drs. Sean Li and Thomas Stauss, Dr. Tate authored novel research of the use of high frequency stimulation for treatment of CPP. The results were phenomenally impressive and have been published in peer-reviewed literature. This groundbreaking paper, A Prospective, Multi-Center, Clinical Trial of a 10-kHz Spinal Cord Stimulation System in the Treatment of Chronic Pelvic Pain by Tate et al, has been presented at international conferences including North American Neuromodulation Society (NANS) and the International Pelvic Pain Society annual (IPPS) meetings.
High frequency stimulation studied in this research project is only available from Nevro HFX.
Dorsal Root Ganglion Stimulation
Dorsal root ganglion (DRG) stimulation provides more specific and targeted pain coverage. DRG stimulation at L1 and S2 allows for targeted coverage of pelvic pain and referred pain commonly felt into the lower back and groin areas. DRG stimulation has limited coverage by insurance carriers. The most studied device on the market is provided by Abbott.
