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Myofascial Pelvic Pain: Best Orientation and Clinical Practice. Position of the European Association of Urology Guidelines Panel on Chronic Pelvic Pain
Department of Urology, Centro Hospitalar Universitário do São João, Porto, Portugal.
National Hospital for Neurology and Neurosurgery, University College London Hospitals Foundation Trust, University College London, London, UK.
Pelvic Care Centre Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
Department of Gastroenterology/Hepatology, School of Medicine, Cantonal Hospital of St. Gallen, University of St. Gallen, St. Gallen, Switzerland.
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2023 (English)In: European Urology Focus, E-ISSN 2405-4569, Vol. 9, no 1, p. 172-177Article in journal (Refereed) Published
Abstract [en]

CONTEXT: Despite the high prevalence of a myofascial pain component in chronic pelvic pain (CPP) syndromes, awareness and management of this component are lacking among health care providers.

OBJECTIVE: To summarize the current state of the art for the management of myofascial pain in chronic primary pelvic pain syndromes (CPPPS) according to scientific research and input from experts from the European Association of Urology (EAU) guidelines panel on CPP.

EVIDENCE ACQUISITION: A narrative review was undertaken using three sources: (1) information in the EAU guidelines on CPP; (2) information retrieved from the literature on research published in the past 3 yr on myofascial pelvic pain; and (3) expert opinion from panel members.

EVIDENCE SYNTHESIS: Studies confirm a high prevalence of a myofascial pain component in CPPPS. Examination of the pelvic floor muscles should follow published recommendations to standardize findings and disseminate the procedure. Treatment of pelvic floor muscle dysfunction and pain in the context of CPP was found to contribute to CPP control and is feasible via different physiotherapy techniques. A multidisciplinary approach is the most effective.

CONCLUSIONS: Despite its high prevalence, the myofascial component of CPP has been underevaluated and undertreated to date. Myofascial pain must be assessed in all patients with CPPPS. Treatment of the myofascial pain component is relevant for global treatment success. Further studies are imperative to reinforce and better define the role of each physiotherapy technique in CPPPS.

PATIENT SUMMARY: Pain and inflammation of the body's muscle and soft tissues (myofascial pain) frequently occurs in pelvic pain syndromes. Its presence must be evaluated to optimize management for each patient. If diagnosed, myofascial pain should be treated.

Place, publisher, year, edition, pages
Elsevier, 2023. Vol. 9, no 1, p. 172-177
Keywords [en]
Myofascial pain, Pelvic pain, Physical therapy, Therapy
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:oru:diva-100618DOI: 10.1016/j.euf.2022.07.007ISI: 000991306500001PubMedID: 35945131Scopus ID: 2-s2.0-85135531775OAI: oai:DiVA.org:oru-100618DiVA, id: diva2:1687476
Available from: 2022-08-15 Created: 2022-08-15 Last updated: 2023-06-13Bibliographically approved

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