Myofascial Pelvic Floor Pain: Characterization and Treatment
<p id="p1">Chronic pelvic pain (CPP) affects about a quarter of women, imposing a significant financial burden on the US healthcare system. Myofascial pelvic pain (MFPP), often overlooked in CPP cases, involves tight pelvic floor muscles and trigger points, leading to symptoms like pain, urinary iss...
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| Autor principal: | |
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| Formato: | Capítulo de libro |
| Lenguaje: | inglés |
| Publicado: |
IntechOpen
2025
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| Materias: | |
| Acceso en línea: | https://www.intechopen.com/chapters/89787 |
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| Sumario: | <p id="p1">Chronic pelvic pain (CPP) affects about a quarter of women, imposing a significant financial burden on the US healthcare system. Myofascial pelvic pain (MFPP), often overlooked in CPP cases, involves tight pelvic floor muscles and trigger points, leading to symptoms like pain, urinary issues, and sexual discomfort. Despite its prevalence (23–78% in women with CPP), MFPP is frequently undiagnosed due to a lack of routine pelvic floor muscle examination. The pathogenesis involves neuromuscular microtrauma, metabolic imbalance, and centralization of pain. Symptom presentation varies, and diagnosis relies on a discriminated pelvic floor muscle examination. Effective management of MFPP requires a collaborative, multidisciplinary approach involving physical therapists, psychologists, clinical sexologists, and medical specialists. Pelvic floor physical therapy is integral to treatment, with the goal of elongating and relaxing pelvic floor muscles to relieve trigger points. Vaginal muscle relaxants, trigger point injections, and transvaginal electrical stimulation offer alternative options, each with its considerations and effectiveness. Follow-up involves educating patients on early flare detection and employing home therapies at first sign of symptom return.</p> |
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| ISBN: | 978-0-85014-093-4 |
| DOI: | 10.5772/intechopen.115611 |