(Abstracted from Am J Obstet Gynecol 2019;220:255.e1–255.e9)
Myofascial pain, a common chronic pain disorder, is characterized by tenderness to palpation of muscles and connective tissue, causing both local and referred pain. The primary pelvic floor muscles affected by myofascial pain in both men and women include levator ani and internal hip (obturator internus).
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics & Gynecology (M.R.M., C.G., C.M.C., J.L.L.), Division of Public Health Sciences, Department of Surgery (S.S.), Department of Physical Therapy (T.S.), and Division of Infectious Diseases, Department of Internal Medicine (D.K.W.), Washington University, St Louis, MO