Síndromes miofasciais: causa comum e subdiagnosticada de dor pélvica crônica em mulheres
This paper investigates myofascial syndromes as a common, underdiagnosed cause of chronic pelvic pain in women.
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The paper discusses chronic pelvic pain in women, focusing on myofascial syndromes as a common but underdiagnosed contributor, particularly involving the pelvic floor and abdominal wall. It synthesizes a high-level pathophysiological model in which local and neurogenic inflammation and muscle spasm (including visceromuscular/reflex pathways) can generate persistent pain, with mention that 30–50% of women with chronic pelvic pain show bladder involvement and that the condition often overlaps with diagnoses such as irritable bowel syndrome and interstitial cystitis. A key caveat is that the article is largely narrative rather than presenting original patient data, and it emphasizes the need for multidisciplinary, longer-term management while warning against repeated surgeries aimed only at rapidly fixing presumed causes. Relevance to endometriosis: the paper states that hypertone pelvic-floor muscle dysfunction is present in a large proportion of patients with pelvic endometriosis, and it argues that chronic pelvic pain should be viewed as complex with etiologies beyond endometriosis and adhesions, though the paper’s main focus is myofascial syndrome as a contributor to chronic pelvic pain.
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References (14)
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