Myofascial Pelvic Pain and Related Disorders

Jaclyn H Bonder; Michelle Chi; Leia Rispoli

doi:10.1016/j.pmr.2017.03.005

Myofascial Pelvic Pain and Related Disorders

Phys Med Rehabil Clin N Am. 2017 Aug;28(3):501-515. doi: 10.1016/j.pmr.2017.03.005.

Authors

Jaclyn H Bonder¹, Michelle Chi², Leia Rispoli²

Affiliations

¹ Department of Rehabilitation Medicine, New York Presbyterian Hospital, Weill Cornell Medical College, 525 East 68th Street, Baker Pavilion 16th Floor, New York, NY 10065, USA. Electronic address: jab9155@med.cornell.edu.
² PGY 3, Department of Rehabilitation Medicine, New York Presbyterian Hospital, 525 East 68th Street, Baker Pavilion 16th Floor, New York, NY 10065, USA.

PMID: 28676361
DOI: 10.1016/j.pmr.2017.03.005

Abstract

Myofascial pelvic pain refers to pain in the pelvic floor muscles, the pelvic floor connective tissue, and the surrounding fascia. The cause is often multifactorial and requires treatment that encompasses multiple modalities. This type of pain is often associated with other abdominopelvic disorders, so providers in these specialties need to be aware of these connections. A comprehensive musculoskeletal examination, including evaluation of the pelvic floor muscles, and history are key to diagnosing myofascial pelvic pain. Treatments include physical therapy, muscle relaxers, oral neuromodulators, cognitive-behavioral therapy, and pelvic floor muscle injections.

Keywords: Bladder pain; Constipation; Myofascial pain; Pelvic pain; Physical therapy; Trigger points; Vulvodynia.

Publication types

Review

MeSH terms

Humans
Myofascial Pain Syndromes / diagnosis*
Myofascial Pain Syndromes / therapy
Pelvic Floor
Pelvic Pain / diagnosis*
Pelvic Pain / therapy
Physical Examination
Physical Therapy Modalities