Musculoskeletal Causes of Chronic Pelvic Pain

Chris R. Abrecht, Lesley E. Bobb and Assia T. Valovska

in Pelvic Pain Management

Published on behalf of Oxford University Press

Published in print May 2016 | ISBN: 9780199393039
Published online July 2016 | e-ISBN: 9780199393053 | DOI:
Musculoskeletal Causes of Chronic Pelvic Pain

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Musculoskeletal disorders should be considered in all patients presenting with chronic pelvic pain. It should also be considered as a possible comorbid condition in patients with known causes of pelvic pain, such as endometriosis, ovarian cysts, or pregnancy. Musculoskeletal disorders are also a frequent cause of pelvic pain. After obtaining a detailed medical history, including a history of trauma or athletic injuries, a thorough physical exam must be performed, and should include the following: observing the patient’s gait and posture while seated, visualizing and palpating the spine and pelvic joint, and testing muscle strength, sensation, and reflexes. Additional imaging studies such as ultrasound, CT scans, and MRIs are often not required to make the diagnosis of most musculoskeletal disorders. This chapter provides a brief overview of some of the common musculoskeletal disorders causing pelvic pain. It emphasizes presenting symptoms, physical exam findings, and treatment “pearls.”

Chapter.  3230 words.  Illustrated.

Subjects: Pain Medicine

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