Musculoskeletal Insights and Team-based Solutions for Chronic Pelvic Pain

E T Carey, Christine M. Chu, Lauren Schiff, Asha McClurg, Noor Dasouki Abu-Alnadi, Ingrid Harm-Ernandes, Colleen M. Fitzgerald
In: Clinical Obstetrics & Gynecology · 2026 · doi:10.1097/grf.0000000000001031 · W7164018782
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Abstract

Chronic pelvic pain (CPP) affects up to 24% of women worldwide, with musculoskeletal pain and dysfunction present in most cases yet often overlooked in traditional organ-focused approaches. Comprehensive musculoskeletal assessment, including movement pattern analysis, pelvic floor examination, and evaluation of hip, spine, and abdominal wall pathology is essential for accurate diagnosis. First-line treatment with pelvic floor physical therapy demonstrates significant efficacy, though multidisciplinary team-based care optimizes outcomes through coordinated treatment plans. Despite evidence supporting this integrated approach, barriers including insurance coverage gaps, limited specialists, and insufficient musculoskeletal education prevent widespread implementation, necessitating advocacy, curriculum expansion, and systematic changes prioritizing comprehensive patient-centered care.

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