Pelvic musculoskeletal dysfunctions in women with and without chronic pelvic pain

J Bodyw Mov Ther. 2018 Jan;22(1):92-96. doi: 10.1016/j.jbmt.2017.05.001. Epub 2017 May 3.


Aim: This study aimed to compare the prevalence of pelvic musculoskeletal dysfunctions in women with and without Chronic Pelvic Pain (CPP).

Materials &methods: A total of 84 women with and without CPP (42 in each group), participated in this cross-sectional analytical study. After collecting demographic information, clinical examinations were carried out to compare pelvic musculoskeletal dysfunctions between two groups. Kolmogorov-Smirnov (K-S) goodness-of-fit, Independent t, X2 and Pearson correlation tests were used for data analysis. Values of p < 0.05 were considered statistically significant.

Findings: Significant differences were found in the asymmetric iliac crest and pubic symphysis height (45.2% vs 9.5%), positive sacroiliac provocation and positive Carnett's tests (50% vs 4.8%), (p < 0.05). CPP Patients exhibited more tenderness at Levator ani, Piriformis, and Obturator Internus muscles, also higher degrees of pelvic inclination (p < 0.05).

Conclusion: Higher frequency of pelvic musculoskeletal dysfunctions in women with CPP suggests the value of routine musculoskeletal examinations for earlier diagnosis of musculoskeletal originated CPP and effective management of these patients.

Keywords: Chronic pelvic pain; Pelvic musculoskeletal dysfunction; Women.

MeSH terms

  • Adult
  • Chronic Pain / epidemiology
  • Chronic Pain / physiopathology*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Ilium / physiopathology
  • Middle Aged
  • Musculoskeletal Diseases / epidemiology
  • Musculoskeletal Diseases / physiopathology*
  • Pain Measurement
  • Pelvic Floor / physiopathology
  • Pelvic Pain / epidemiology
  • Pelvic Pain / physiopathology*
  • Pubic Bone / physiopathology
  • Young Adult