More Information About Myofascial Pain Syndrome

>> Thursday, September 15, 2011

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It is very difficult to diagnose the origin of chronic pelvic pain. Many of you have visited the gynecologist’s office several times and continue to struggle with the same pain.

Myofascial pain syndrome (or MFP) can mimic other types of pelvic pains, and many doctors may not even think of it. MFP originates from the myofascial trigger points in skeletal muscle that, when pushed on or compressed, causes local or referred pain. The underlying causes are trauma to the area, overload, inflammatory conditions, extremes of exercise, generalized fatigue, lack of sleep, emotional stress, myocardial ischemia, hormone deficiencies and nutritional deficiencies.

The muscles of the abdominal wall include rectus abdominis, pyramidalis, external oblique, internal oblique, transverses abdominis. To assist in the evaluation the patient should lift her head or feet a few inches off the table. This allows for evaluation and isolation of muscle groups to identify origin of pain.

It is unknown why some women are more sensitive than others when it comes to this, but it is important to have this evaluated for the purposes of appropriate treatment. They usually inject trigger points or work with physical therapy for stretching and acupressure techniques.
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