This procedure can help the physician, the patient and her family better understand the cause of her pain. This nerve can become damaged or entrapped as a result of previous surgery or even pregnancy. Patients usually come in saying that their ovaries hurt. It is difficult for the patient and physician alike to tell the difference between ovarian pain and pain caused by this nerve. This nerve pain can be blocked.
Surgical staples can cause pain.
Every time I pushed on the staples, it duplicated her pain. I removed the staples and her pain resolved. PAL has increased our understanding of endometriosis and pelvic pain. Endometriosis has many visual appearances. We have also learned that the pain associated with endometriosis extends out beyond the border of the visible lesions of endometriosis.