treatment of myofascial trigger points of pelvic floor with physiotherapeutic package: a case report

background: there are various factors that may cause pain and dysfunction in the pelvic region. myofascial trigger points can likewise contribute in pelvic pain. common treatments for myofascial trigger points include electrotherapy, laser therapy, massage, ischemic compression, dry-needling, stretch, icing, heating, and biofeedback. case report: a 26 year old man with an exertion-related pain that lasted 5 months was referred for physiotherapy consultation. he had no pain at rest but reported a referral pain from perineal region to the anus and muscular stiffness following a bout of physical activity. on palpation there was a trigger point in the perineal region with referral pain to anus.  at the beginning of the treatment, the patient was asked to stop his physical activities. the patient received a treatment package which was useful in the management of trigger points. after 7 sessions of treatment the pain was diminished and there was no exercise induced stiffness. the patient was followed for 10 months later and no pain and stiffness was reported. conclusion: the application of heat, friction massage, stretching, combined with endurance exercise could be an effective treatment for reliving the pain and muscular stiffness caused by trigger points.