A preliminary report of musculoskeletal dysfunction in female chronic pelvic pain: a blinded study of examination findings

Non-randomised trial OA: closed CC0 ⤵ 9 in-corpus citations
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This preliminary study utilized blinded examination to identify musculoskeletal dysfunctions in female patients experiencing chronic pelvic pain.

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Abstract

INTRODUCTION AND HYPOTHESIS: Female chronic pelvic pain is prevalent and causes disability. Can women with self-reported chronic pelvic pain (CPP) be distinguished from pain-free women by demonstrating a greater number of abnormal musculoskeletal findings on examination? METHODS: In this cross-sectional study, blinded examiners performed 9 physical exam maneuvers on 48 participants; 19 with CPP, and 29 pain-free. Frequency of positive findings between groups, total number of positive exam findings, cluster analysis, and sensitivity - specificity analyses were performed. RESULTS: Women with CPP presented with significantly more abnormal findings than pain-free women. By using two examination maneuvers, examiners correctly classified women with self-reported CPP from pain-free women 85% of the time. CONCLUSIONS: Abnormal findings on musculoskeletal exam are more common in women with self-reported CPP. Women with CPP might benefit from a faster time to diagnosis and improved treatment outcomes if a musculoskeletal contribution to CPP was identified earlier.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Chronic Pain Musculoskeletal Diseases Pelvic Pain Physical Examination Adolescent Adult Chronic Pain Chronic Pain Cluster Analysis Cross-Sectional Studies Diagnosis, Differential Female Humans Middle Aged Musculoskeletal Diseases Musculoskeletal Diseases Pelvic Pain Pelvic Pain Physical Examination Pilot Projects

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openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
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License: CC0 · commercial use OK