Symptoms
Period pain with muscular component
Menstrual pain can be aggravated by abdominal wall and pelvic muscle trigger points.
Overview
Menstrual pain can be aggravated by abdominal wall and pelvic muscle trigger points. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Coordinate with gynecology. Address the muscular contributor alongside primary care.
Red flags — when to refer
Severe acute pain, fever, abnormal bleeding — refer.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction