Abdominal Pain

Abdominal pain or abdominal muscle strain occurs when muscles of the abdominal wall are stretched or torn as a result of forceful activity. The abdominal wall muscles include rectus abdominis, external and internal obliques and the transverses abdominis. The strains usually have a huge impact on the rectus abdominis that run down the middle of the abdomen from the ribs to the pelvis.

Doctors often classify abdominal injuries by the structure that is damaged or the manner in which the injury occurred. The types of structures include:

  • Abdominal wall
  • Solid Organs (that is liver, spleen, pancreas or kidneys)
  • Hollow organs (that is, stomach, small intestine, colon, ureters, or bladder)
  • Blood Vessels

The injuries can also be classified as whether the injury is:

  • Blunt or
  • Penetrating

Blunt trauma may be because of the following reasons:

  • A direct blow, a kick
  • Impact with an object (for instance falling onto bicycle handlebars)
  • A sudden decrease in speed for instance falling from height or a motor vehicle crash)

Penetrating injuries occur because of the following reasons

Penetrating injuries are seen when an object breaks the skin (for example, in result of a gunshot or stabbing). Some injuries affect only the fat and muscles under the skin. The gunshots that enter abdominal activity cause significant amount of damage. The above blunt and penetrating injuries affect the abdominal organs and/or blood vessels greatly.

Sometimes pain is also experienced after surgeries at the site of incisions. In fact going through abdominal surgeries one can also fall prey to abdominal adhesions which causes tissues and organs to stick together.

Treatment options

Abdominal pain due to cancer or to treat chronic non-cancer abdominal pain, an x-ray guided injection known as celiac plexus blockade is used.

To treat pain in perineum, pelvic, testicular and groin areas, another x-ray guided needle injection is used known as ganglion impar blockade.