Chronic Pelvic Pain and Myofascial Trigger Points
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چکیده
INTRODUCTION The additive effect of tense pelvic-floor holding patterns, trauma, inflammation, or pelvic organ disease can overload the muscles, stimulating the development of myofascial trigger points and pelvic floor hypertonus. The increased tenderness and tension in these muscles may refer pain into the lower back, abdomen, or perineum, or it may cause urethral, vaginal, or anal symptoms by compression. The noxious stimuli created by this self-perpetuating process can alter the central nervous symptom in a manner that magnifies and spreads the symptoms. A stimulus-free period has been shown to reverse central sensitization, and thus all noxious input entering the relevant sacral spinal cord region must be eradicated. Therefore, a comprehensive approach must be followed, with attention paid to the skin, viscera, myofascial structures, the stressed or depressed mind, hormonal imbalances, poor nutrition, and sleep disturbances.
منابع مشابه
Urologic myofascial pain syndromes.
Treatment of pain of urogenital origin, chronic pelvic pain syndrome, can be frustrating for patients and physicians. The usual approaches do not always produce the desired results. Visceral pain from pelvic organs and myofascial pain from muscle trigger points share common characteristics. Referred pain from myofascial trigger points can mimic visceral pain syndromes and visceral pain syndrome...
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تاریخ انتشار 2006