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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.

Sep 16, 2020 07:00 PM in Eastern Time (US and Canada)

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Melanie Meister, MD, MSc
Assistant Professor, Female Pelvic Medicine & Reconstructive Surgery @University of Kansas School of Medicine
Melanie Meister completed her Obstetrics and Gynecology residency and Female Pelvic Medicine and Reconstructive Surgery fellowship at Washinton University in St. Louis. Dr. Meister completed her Masters of Science in Clinical Investigation as a fellow at Wash U. The focus of her masters thesis and bulk of her clinical research centerd on pelvic floor myofascial pain and dysfunction, its role in other pelvic floor disorder symptoms, and the development and standardization of a clinical examination to assess for pelvic floor myofascial pain/dysfunction in patients presenting with pelvic floor complaints. After fellowship, Dr. Meister joined the faculty at the University of Kansas School of Medicine where she is an Assistant Professor in the Department of Obstetrics and Gynecology
Jerry Lowder, MD, MSc
Associate Professor, Director, Division of Female Pelvic Medicine & Reconstructive Surgery @Washington University in St. Louis
Jerry Lowder is the Division Director of Female Pelvic Medicine and Reconstructive Surgery at Washington University in St Louis and Assistant Fellowship Director. He completed a three-year fellowship in Female Pelvic Medicine and Reconstructive surgery at the University of Pittsburgh in Pittsburgh, PA, as well as a master’s in clinical research. Dr. Lowder has had a clinical and research interest in pelvic floor myofascial dysfunction and pain throughout career and helped develop and validate the standardized pelvic floor myofascial examination.