Article: Diagnosis can be elusive: piriformis and levator ani tenderness are prevalent in chronic pelvic pain patients.(Gynecology)

CHICAGO -- Up to a fourth of women with chronic pelvic pain also have piriformis or levator ani tenderness, according to a study presented by Dr. Frank Tu at a meeting sponsored by the International Pelvic Pain Society.

Musculoskeletal dysfunction--including tenderness and spasms of the levator ani and piriformis--has been reported as a treatable cause of chronic pelvic pain. The efficacy of treatments such as manual therapies, electrical stimulation, injected medications, and surgeries ranges from 20% to 90%, according to the literature, which is mostly composed of case studies.

"Although musculoskeletal dysfunction is increasingly implicated as a ...

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