Spitznagle Theresa Monaco, Robinson Caitlin McCurdy
Program in Physical Therapy, Washington University School of Medicine, 4444 Forest Park, Box 8502, St Louis, MO 63108-2212, USA.
Sullivan Physical Therapy, Austin, TX 78750, USA.
Obstet Gynecol Clin North Am. 2014 Sep;41(3):409-32. doi: 10.1016/j.ogc.2014.04.003. Epub 2014 Jul 9.
Individuals with pelvic pain commonly present with complaints of pain located anywhere below the umbilicus radiating to the top of their thighs or genital region. The somatovisceral convergence that occurs within the pelvic region exemplifies why examination of not only the organs but also the muscles, connective tissues (fascia), and neurologic input to the region should be performed for women with pelvic pain. The susceptibility of the pelvic floor musculature to the development of myofascial pain has been attributed to unique functional demands of this muscle. Conservative interventions should be considered to address the impairments found on physical examination.
患有盆腔疼痛的个体通常会主诉脐部以下任何部位疼痛,并放射至大腿上部或生殖器区域。盆腔区域发生的躯体 - 内脏汇聚现象,说明了为什么对于患有盆腔疼痛的女性,不仅要检查器官,还要检查该区域的肌肉、结缔组织(筋膜)和神经输入。盆底肌肉组织易发生肌筋膜疼痛,这归因于该肌肉独特的功能需求。应考虑采取保守干预措施来解决体格检查中发现的功能障碍。