[Etiological, diagnostic and therapeutic consideration of the myofascial component in chronic pelvic pain]

E Díaz-Mohedo, Esther Díaz-Mohedo, F J Barón-López, Francisco Javier Barón-López, Consolación Pineda Galán, C. Pineda-Galán
Actas urologicas espanolas · 2011 · vol. 35(10) , pp. 610–614 · doi:10.1016/j.acuroe.2012.01.005 · PMID:21917358 · W1977075555
Systematic review / meta-analysis OA: closed CC0
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This paper reviews the role of the myofascial component in chronic pelvic pain, discussing its causes, diagnostic methods, and therapeutic approaches.

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Abstract

CONTEXT: Chronic pelvic pain is localized in the lower abdomen or pelvis and persists for at least 6 months. It may be continuous or intermittent, without association to a cyclic menstrual condition or to maintaining sexual relationships. OBJECTIVE: To justify the important role played by the myofascial component in the etiology and clinical manifestation of Chronic Pelvic Pain and encourage the consideration of a therapeutic approach to such component in the intervention protocols. ACQUIRING OF EVIDENCE: A systematic review was made in PubMed and Cochrane Library (2000-2009) that included previous reviews, randomized controlled clinical studies, cohort studies and case studies with patients suffering chronic pelvic pain. SYNTHESIS OF EVIDENCE: Chronic pelvic pain and the different conditions associated to it occur with myofascial alterations that may be responsible for the perpetuation of the body symptoms and lack of evolutive resolution of the condition when said component is not approached in a specific way. CONCLUSION: This is a clinical situation with elevated prevalence and incidence with significant impact in terms of quality of life and financial cost.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Myofascial Pain Syndromes Myofascial Pain Syndromes Myofascial Pain Syndromes Myofascial Pain Syndromes Myofascial Pain Syndromes Myofascial Pain Syndromes Pelvic Pain Pelvic Pain Pelvic Pain Pelvic Pain Pelvic Pain Pelvic Pain Adolescent Adult Case-Control Studies Cohort Studies Comorbidity Female Humans Incidence

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References (33)

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