Chronic pelvic pain arising from dysfunctional stabilizing muscles of the hip joint and pelvis

Korean J Pain. 2016 Oct;29(4):274-276. doi: 10.3344/kjp.2016.29.4.274. Epub 2016 Sep 29.

Abstract

Chronic pelvic pain in women is a very annoying condition that is responsible for substantial suffering and medical expense. But dealing with this pain can be tough, because there are numerous possible causes for the pelvic pain such as urologic, gynecologic, gastrointestinal, neurologic, or musculoskeletal problems. Of these, musculoskeletal problem may be a primary cause of chronic pelvic pain in patients with a preceding trauma to the low back, pelvis, or lower extremities. Here, we report the case of a 54-year-old female patient with severe chronic pelvic pain after a transcutaneous electrical nerve stimulation (TENS) accident that was successfully managed with image-guided trigger point injections on several pelvic stabilizing muscles.

Keywords: Chronic pelvic pain; Gluteus minimus; Iliopsoas; Obturator externus; Pectineus; Piriformis; TPI.