Pain signal is sent from tissue to the brain. Once in the brain, the signal causes pain. At each stage of its transmission, pain signals are modified and interact with each other in the “pain signal network”. This network consists of 2 major components, in the body & in the brain.
Chronic abdominal pain and chronic pelvic pain often involve several of these signal pathways. While simultaneous treatment of the somatic & visceral pathways can be helpful, in practice most patients need comprehensive pain management that starts with physical therapy & psychology.