Myofascial Pelvic Pain: An Overlooked and Treatable Cause of Chronic Pelvic Pain

Vanessa Ross, Carly Detterman, Detterman C, Anastasia Hallisey, Hallisey A
Journal of midwifery & women's health · 2021 · vol. 66(2) , pp. 148–160 · doi:10.1111/jmwh.13224 · PMID:33788379 · W3152114885
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This review discusses myofascial pelvic pain, a musculoskeletal disorder involving trigger points, as a frequent, treatable cause of chronic pelvic pain, focusing on its pathophysiology, assessment, and trigger point injection treatments.

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Abstract

Myofascial pelvic pain is a common, nonarticular musculoskeletal disorder characterized by the presence of myofascial trigger points in the lower abdominal wall and/or pelvic floor muscles. Myofascial pelvic pain is involved in an estimated 22% to 94% of cases of chronic pelvic pain, which is one of the most common gynecologic conditions in the United States. Myofascial pelvic pain may exist independently or in conjunction with disorders such as vaginismus, dysmenorrhea, and endometriosis and is frequently a causative factor in sexual pain or dyspareunia. This article reviews the pathophysiology, assessment, and treatment options for myofascial pelvic pain, with a particular focus on trigger point injections. Increased recognition and treatment of this commonly overlooked diagnosis has the potential to improve care and outcomes for many patients suffering from chronic pelvic pain.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_paindyspareunia

MeSH descriptors

Chronic Pain Chronic Pain Chronic Pain Chronic Pain Endometriosis Endometriosis Myofascial Pain Syndromes Myofascial Pain Syndromes Myofascial Pain Syndromes Myofascial Pain Syndromes Myofascial Pain Syndromes Dysmenorrhea Dysmenorrhea Dysmenorrhea Dysmenorrhea Female Female Humans Humans Pelvic Pain

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