Symptoms
Chronic pelvic pain
Persistent pelvic pain frequently involves obturator internus, adductor magnus and pelvic floor muscle trigger points.
Overview
Persistent pelvic pain frequently involves obturator internus, adductor magnus and pelvic floor 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 pelvic floor physiotherapy and urogynecology.
Red flags — when to refer
Bleeding, fever, weight loss, neurological deficits — refer.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction