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A study conducted by researchers at Washington University in St. Louis found that myofascial pain in the pelvic floor and obturator internus (OI) muscles may be correlated with the severity of lower urinary tract symptoms (LUTS) in women. The study included a total of 912 new patients who presented with LUTS between January 2014 and April 2016. A pelvic floor and OI myofascial examination was performed on all patients, and pain scores were recorded on an 11-point rating scale. The patients also completed the urinary distress inventory short form (UDI-6) to measure the severity of their LUTS.<br /><br />The study found that 93.4% of patients had some degree of pelvic floor and OI myofascial pain, with 68.8% reporting severe pain. The researchers observed a significant correlation between myofascial pain scores and UDI-6 scores. Specifically, myofascial pain in the OI muscles tended to have a stronger correlation with LUTS than pain in the levator ani (LA) muscles.<br /><br />The results of this study suggest that myofascial pain in the pelvic floor and OI muscles may contribute to the development and severity of LUTS in women. The findings highlight the importance of considering myofascial pain as a possible cause of pelvic floor disorder symptoms, rather than solely attributing them to the bladder. The researchers recommend further investigation into myofascial pain-directed therapies as potential treatment options for LUTS.<br /><br />Overall, this study highlights the high prevalence of pelvic floor and OI myofascial pain in women with LUTS and suggests a strong correlation between myofascial pain and symptom severity. The findings have implications for the development of new treatment modalities for LUTS that target myofascial pain in the pelvic floor and hip muscles.
Keywords
Washington University in St. Louis
myofascial pain
pelvic floor
obturator internus
lower urinary tract symptoms
LUTS
patients
pain scores
urinary distress inventory
myofascial pain-directed therapies
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