Minimally Invasive Gynecologic Surgery, University of California Riverside.
University of California Riverside School of Medicine.
Curr Opin Obstet Gynecol. 2024 Aug 1;36(4):273-281. doi: 10.1097/GCO.0000000000000966. Epub 2024 May 21.
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.
在这篇综述文章中，我们讨论了与筋膜相关的慢性盆腔疼痛、病理生理学、症状学和管理选择。
尽管肌筋膜性盆腔疼痛的患病率很高，但提供者通常不进行常规筛查。治疗方法包括盆底物理治疗、用麻醉剂或肉毒毒素 A 进行盆底触发点注射以及冷冻疗法。其他辅助治疗方法，如肌肉松弛剂和阴道内苯二氮䓬类药物，也有使用，但关于其疗效的数据很少。
肌筋膜性盆腔疼痛是慢性盆腔疼痛的一个重要但被忽视的组成部分。多模式、多学科的方法，包括患者教育、盆底物理治疗和触发点注射，是肌筋膜性盆腔疼痛管理的主要方法。
