Myofascial trigger points of the pelvic floor: associations with urological pain syndromes and treatment strategies including injection therapy.
Myofascial trigger points (MTrP), or muscle "contraction knots," of the pelvic floor may be identified in as many as 85 % of patients suffering from urological, colorectal and gynecological pelvic pain syndromes; and can be responsible for some, if not all, symptoms related to these syndromes. Identification and conservative treatment of MTrPs in these populations has often been associated with impressive clinical improvements. In refractory cases, more "aggressive" therapy with varied trigger point needling techniques, including dry needling, anesthetic injections, or onabotulinumtoxinA injections, may be used, in combination with conservative therapies.
Hofstra North Shore-LIJ School of Medicine, Pelvic Pain Treatment Center, The Arthur Smith Institute for Urology, North Shore-LIJ Healthcare System, 450 Lakeville Road, Suite M41, New Hyde Park, NY, 11040, USA, RMoldwin@gmail.com.
Robert M
RM
Moldwin
Jennifer Yonaitis
JY
Fariello
D015670:Acupuncture Therapy / Q000379:methods / Q000592:standards*; D004576:Electromyography; D006801:Humans; D007267:Injections; D009209:Myofascial Pain Syndromes / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D010147:Pain Measurement / Q000379:methods*; D017773:Pelvic Floor / Q000503:physiopathology*; D059952:Pelvic Floor Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D017410:Practice Guidelines as Topic; D013577:Syndrome; D061028:Trigger Points