Trigger Point Injections for Pelvic Pain

In: Office-Based Gynecologic Surgical Procedures · 2014 · pp. 179–189 · doi:10.1007/978-1-4939-1414-2_14 · W139202450
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This chapter reviews trigger point injections for chronic pelvic pain, summarizing evidence and describing their role in treating conditions like vaginismus, levator ani hypertonicity, and vulvodynia.

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This textbook chapter reviews office-based trigger point injection approaches for chronic pelvic pain, describing different injection types and the clinical contexts in which they have been used, including vaginismus, levator ani hypertonicity, vulvodynia, and pudendal or ilioinguinal/iliohypogastric neuralgia. Across the literature, the chapter summarizes evidence intended to support these procedures and outlines their proposed role as part of multimodal pelvic pain management in a subset of patients. A major limitation explicitly acknowledged at the level of the chapter’s scope is that it is a narrative review of varied indications rather than a single controlled study with uniform outcomes. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Chronic pelvic pain is one of the most challenging problems gynecologists encounter in clinical practice. Although management often involves a combination of medical, physical, cognitive, and behavioral therapies, trigger point injections offer an additional option for treatment in a subset of patients. This office-based procedure has been used to improve pain associated with vaginismus, levator ani hypertonicity, vulvodynia, pudendal and ilioinguinal/iliohypogastric neuralgia. In this textbook chapter we review various injections used to treat pelvic pain, summarize the evidence for their use, and describe their role in treatment. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2015 Springer Science+Business Media New York About this chapter Cite this chapter Miranne, J.M., Park, A.J. (2015). Trigger Point Injections for Pelvic Pain. In: Emery, J., Paraiso, M. (eds) Office-Based Gynecologic Surgical Procedures. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1414-2_14 Download citation DOI: https://doi.org/10.1007/978-1-4939-1414-2_14 Published: Publisher Name: Springer, New York, NY Print ISBN: 978-1-4939-1413-5 Online ISBN: 978-1-4939-1414-2 eBook Packages: MedicineMedicine (R0)

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