Chronic pelvic pain syndrome
ICD-10 R10.2 · ICD-11 MG30.00

Treatment of Chronic Pelvic Pain Syndrome with Pelvic Floor Muscle Overactivity or Trigger Points and No Defined Local Pathology

Clinical Scenario

This protocol addresses patients with persistent or recurrent episodic pelvic floor pain in whom pelvic floor muscle overactivity or trigger points within the pelvic floor muscles are identified, and in whom no proven well-defined local pathology accounts for the symptoms.

Condition

Primary pelvic floor muscle pain syndrome is defined by the occurrence of persistent or recurrent episodic pelvic floor pain with no proven well-defined local pathology. The syndrome may be associated with over-activity of, or trigger points within, the pelvic floor muscles.

First-Line Approach

A specialised physical therapy directed at the myofascial component of pain is the recommended first-line intervention — the complete structured regimen details the specific approach and its elements.

Instant Access to Structured Evidence-Based Regimens

References

  1. Primary pelvic floor muscle pain syndrome is the occurrence of persistent or recurrent episodic pelvic floor pain.
  2. There is no proven well-defined local pathology.
  3. This syndrome may be associated with over-activity of, or trigger points within, the pelvic floor muscles.
  4. Apply myofascial treatment as first-line treatment.
  5. Myofascial treatment is effective.
  6. For patients with chronic pelvic pain and dysfunction of the pelvic floor muscles, it is very helpful to learn how to relax the muscles when the pain starts.
  7. In the case of shortened muscles, relaxation alone is not enough.
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