Pelvic Floor Myofascial Pain and Dysfunction: Etiologies, Associated Symptoms, and Strategies for Assessment-Pelvic Floor Myofascial Pain and Dysfunction: Etiologies, Associated Symptoms, and Strategies for Assessment

Pelvic Floor Myofascial Pain and Dysfunction: Etiologies, Associated Symptoms, and Strategies for Assessment

Video Transcription

Video Summary

The video content discussed pelvic floor myofascial pain and dysfunction. It was presented by Dr. Melanie Meister and Dr. Jerry Lauder. They discussed the anatomy and function of the muscles of the pelvic floor, the pathophysiology and development of myofascial dysfunction and pain, the etiology and prevalence of pelvic floor myofascial pain, and the pelvic floor symptoms associated with and related to underlying pelvic floor myofascial pain. They also introduced a standardized screening pelvic floor myofascial examination for clinical use. Treatment strategies mentioned included pelvic floor physical therapy, vaginal cryotherapy, pharmacotherapy, trigger point injections, botulinum toxin, and other modalities. The presenters also mentioned the correlation between levator ani evulsion as a result of vaginal delivery and the development of myofascial pain. They also discussed the use of transvaginal mesh and its association with myofascial pain and mesh contraction. The presenters mentioned that patients with low estrogen states like early menopause or chronic progesterone use may have an increased risk of high-tone pelvic floor dysfunction. They also discussed the potential correlation between transvaginal sling procedures and myofascial pain. The presenters mentioned that patients with mesh complications often have myofascial pain on examination. They also mentioned that gabapentin and baclofen suppositories have shown some success in the treatment of myofascial pain.

Asset Subtitle

Jerry Lowder, MD and Melanie Meister, MD

Keywords

pelvic floor myofascial pain

pelvic floor dysfunction

Dr. Melanie Meister

Dr. Jerry Lauder

muscles of the pelvic floor

myofascial dysfunction

etiology of pelvic floor pain

prevalence of pelvic floor myofascial pain

screening pelvic floor myofascial examination

treatment strategies for myofascial pain