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In this review article, we discuss myofascial-related chronic pelvic pain, pathophysiology, symptomology, and management options. Despite high prevalence of myofascial pelvic pain, screening is not routinely performed by providers. Treatment modalities include pelvic floor physical therapy, pelvic floor trigger point injections with anesthetics or botulinum toxin A and cryotherapy. Other adjunct modalities, such as muscle relaxants and intravaginal benzodiazepines, are used, but data regarding their effectiveness is sparse. Myofascial pelvic pain is an important, though overlooked component of chronic pelvic pain. Multimodal, multidisciplinary approach including patient education, pelvic floor physical therapy, and trigger point injections is the mainstay of the management of myofascial pelvic pain. Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

Citation

Golnaz Namazi, Navya Chauhan, Stephanie Handler. Myofascial pelvic pain: the forgotten player in chronic pelvic pain. Current opinion in obstetrics & gynecology. 2024 Aug 01;36(4):273-281

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PMID: 38837702

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