Individualized multimodal pain management for chronic perineal pain: A case report.

Abstract

Rationale

Persistent perineal pain is a challenging clinical condition that may substantially impair sleep, urination, daily activities, and psychological well-being. Accurate assessment and individualized multimodal management are essential for improving symptom control and patient participation in care.Patient concerns

A 68-year-old woman presented with chronic perineal pain and tenderness that had persisted for 3 years. The pain significantly interfered with her sleep, urination, and daily activities.Diagnoses

Clinical assessment suggested chronic perineal pain with neuropathic involvement of the pudendal nerve and lumbosacral or sacral nerve roots. The diagnosis was established based on the patient's clinical manifestations, physical examination findings, and comprehensive evaluation.Interventions

The patient received a multimodal pain management approach, including oral pregabalin, computed tomography-guided sacral canal catheterization with targeted nerve-root adhesiolysis and ozone injection, continuous pain assessment, psychological support, pelvic floor muscle training, and individualized rehabilitation guidance.Outcomes

At the two-week follow-up, the visual analog scale score decreased from 8/10 to 3/10, and the pain no longer interfered with sleep. Approximately 3 weeks after discharge, the pain temporarily increased to 5/10 and subsequently stabilized at 4/10 at the one-month follow-up while the patient continued oral pregabalin.Lessons

Individualized multimodal pain management may effectively reduce pain intensity and improve sleep and daily functioning in patients with persistent perineal pain. Continuous assessment, patient participation, psychological support, and rehabilitation strategies are important components of comprehensive pain management.

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Cite

BibTeX RIS

BibTeX

@article{ren2026individualized,
  title = {{Individualized multimodal pain management for chronic perineal pain: A case report.}},
  author = {Xuemeng Ren and Lixin Cong},
  journal = {Medicine},
  year = {2026},
  month = oct,
  doi = {10.1097/md.0000000000051175},
  url = {https://europepmc.org/article/MED/42888562},
  note = {CC BY},
}

RIS

TY  - JOUR
TI  - Individualized multimodal pain management for chronic perineal pain: A case report.
AU  - Xuemeng Ren
AU  - Lixin Cong
PY  - 2026
DA  - 2026/10/01
JO  - Medicine
DO  - 10.1097/md.0000000000051175
UR  - https://europepmc.org/article/MED/42888562
AB  - Rationale  Persistent perineal pain is a challenging clinical condition that may substantially impair sleep, urination, daily activities, and psychological well-being. Accurate assessment and individualized multimodal management are essential for improving symptom control and patient participation in care.Patient concerns  A 68-year-old woman presented with chronic perineal pain and tenderness that had persisted for 3 years. The pain significantly interfered with her sleep, urination, and daily activities.Diagnoses  Clinical assessment suggested chronic perineal pain with neuropathic involvement of the pudendal nerve and lumbosacral or sacral nerve roots. The diagnosis was established based on the patient's clinical manifestations, physical examination findings, and comprehensive evaluation.Interventions  The patient received a multimodal pain management approach, including oral pregabalin, computed tomography-guided sacral canal catheterization with targeted nerve-root adhesiolysis and ozone injection, continuous pain assessment, psychological support, pelvic floor muscle training, and individualized rehabilitation guidance.Outcomes  At the two-week follow-up, the visual analog scale score decreased from 8/10 to 3/10, and the pain no longer interfered with sleep. Approximately 3 weeks after discharge, the pain temporarily increased to 5/10 and subsequently stabilized at 4/10 at the one-month follow-up while the patient continued oral pregabalin.Lessons  Individualized multimodal pain management may effectively reduce pain intensity and improve sleep and daily functioning in patients with persistent perineal pain. Continuous assessment, patient participation, psychological support, and rehabilitation strategies are important components of comprehensive pain management.
SN  - 0304-5412
SN  - 1536-5964
ER  -

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