AUGS FPMRS Webinar: Pelvic Floor Myofascial Pain and Dysfunction: Etiologies, Associated Symptoms, and Strategies for Assessment
Speaker: Melanie Meister, MD, MSc & Jerry Lowder, MD, MSc
Overview: Myofascial pain is a chronic musculoskeletal pain disorder characterized by the presence of contracted bands of skeletal muscle that often contain trigger points. In the pelvic floor, myofascial pain has been described arising within the muscles of the levator ani (puborectalis, pubococcygeus, and iliococcygeus) and internal hip (obturator internus). Unfortunately, pelvic floor myofascial pain is infrequently considered among the differential diagnoses for patients with pelvic floor symptoms, despite growing recognition of an underlying association. In addition, until recently a validated pelvic floor myofascial examination did not exist. In this course, we will review the anatomy and function of the pelvic floor musculature. Through a review of the literature, we will discuss the pathophysiology and development of myofascial pain in these muscles and explore the prevalence of pelvic floor myofascial pain in various patient populations, including patients with other pelvic floor symptoms. We will describe and demonstrate a validatedpelvic floor myofascial examination.