Chronic Pelvic and Low Back Pain

A 51-year-old female with chronic pelvic complaints undiagnosed for many years. She was referred after her doctor saw a presentation I gave about pelvic venous disease in females. Workup of her pelvic pain using trans-vaginal and trans-abdominal ultrasound demonstrated an incompetent left internal iliac vein. CT venography was obtained, confirming severe compression of the left…

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30 Years of Pelvic Pain

62-year-old female correctly diagnosed over 15 years ago with pelvic congestion syndrome (PCS). The patient was offered a hysterectomy which is not the first line of treatment for this condition. She declined. The patient was identified by her chiropractor as have PCS and was referred for treatment. In this patient, the primary cause of PCS…

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