[Treatment of the musculoskeletal component of chronic pelvic and perineal pain].
OBJECTIVE
To describe muscle examination in patients with chronic pelvic and perineal pain and to determine the results that can be expected from specific treatments (physiotherapy and botulinum toxin).


METHODS
Review of the literature, especially the Medline indexed literature. Description of the physical rehabilitation techniques that can be used in this context.


RESULTS
The management of patients with chronic pelvic and perineal pain requires preliminary clinical analysis designed to identify trigger points responsible for myofascial pain, pelvic floor muscle tension, and lumbar-pelvic-hip instability. Physiotherapy must be initiated early in the course of the disease by therapists trained in these recent techniques. Botulinum toxin injections have been shown to be effective in piriformis syndrome, but a review of the literature indicates more controversial results in the other chronic pelvic and perineal pain syndromes.
Centre fédératif de pelvipérinéologie et kinésithérapie, CHU de Nantes, Nantes, France.
M
M
Guerineau
J-J
JJ
Labat
L
L
Sibert
D
D
Delavierre
J
J
Rigaud
D002908:Chronic Disease; D006801:Humans; D009140:Musculoskeletal Diseases / Q000150:complications; D009141:Musculoskeletal System / Q000033:anatomy & histology; D017699:Pelvic Pain / Q000209:etiology / Q000628:therapy*; D010502:Perineum