Myofascial pain is a chronic musculoskeletal pain disorder characterized by the presence of contracted bands of skeletal muscle that often contain trigger points. In the pelvic floor, myofascial pain has been described arising within the muscles of the levator ani (puborectalis, pubococcygeus, and iliococcygeus) and internal hip (obturator internus). Unfortunately, pelvic floor myofascial pain is infrequently considered among the differential diagnoses for patients with pelvic floor symptoms, despite growing recognition of an underlying association. In addition, until recently a validated pelvic floor myofascial examination did not exist. In this course, we will review the anatomy and function of the pelvic floor musculature. Through a review of the literature, we will discuss the pathophysiology and development of myofascial pain in these muscles and explore the prevalence of pelvic floor myofascial pain in various patient populations, including patients with other pelvic floor symptoms. We will describe and demonstrate a validatedpelvic floor myofascial examination.
To review the anatomy and function of the muscles of the pelvic floor
To discuss the pathophysiology and development of myofascial dysfunction and pain within the pelvic floor muscles
To describe the etiology and prevalence of pelvic floor myofascial pain through review of the current literature on the topic
To discuss pelvic floor symptoms associated with and related to underlying pelvic floor myofascial dysfunction/pain
To describe and demonstrate a standardized 65t screening pelvic floor myofascial examination for clinical use
Associate Professor, Director, Division of Female Pelvic Medicine & reconstructive surgery,
Washington University in St. Louis School of Medicine
Assistant Professor, Femalee Pelvic Medicine & Reconstructive Surgery,
University of Kansas School of Medicine
Credits: None available.
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