Myofascial Trigger Points and Central Sensitization in Chronic Pelvic Pain and Endometriosis: New Research Approaches
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Reduction of blood nitric oxide levels is associated with clinical improvement of the chronic pelvic pain related to endometriosis
The objective of this prospective study was to determine the plasma levels of nitric oxide (NO) in women with chronic pelvic pain secondary to endometriosis (n=24) and abdominal myofascial pain syndrome (n=16). NO levels were measured in plasma collected before and 1 month after treatment. Pretreatment NO levels (μM) were lower in healthy volunteers (47.0±12.7) than in women with myofascial pai...
متن کاملChronic Pelvic Pain and Myofascial Trigger Points
INTRODUCTION The additive effect of tense pelvic-floor holding patterns, trauma, inflammation, or pelvic organ disease can overload the muscles, stimulating the development of myofascial trigger points and pelvic floor hypertonus. The increased tenderness and tension in these muscles may refer pain into the lower back, abdomen, or perineum, or it may cause urethral, vaginal, or anal symptoms by...
متن کاملUrologic myofascial pain syndromes.
Treatment of pain of urogenital origin, chronic pelvic pain syndrome, can be frustrating for patients and physicians. The usual approaches do not always produce the desired results. Visceral pain from pelvic organs and myofascial pain from muscle trigger points share common characteristics. Referred pain from myofascial trigger points can mimic visceral pain syndromes and visceral pain syndrome...
متن کاملMyofascial trigger points: spontaneous electrical activity and its consequences for pain induction and propagation
Active myofascial trigger points are one of the major peripheral pain generators for regional and generalized musculoskeletal pain conditions. Myofascial trigger points are also the targets for acupuncture and/or dry needling therapies. Recent evidence in the understanding of the pathophysiology of myofascial trigger points supports The Integrated Hypothesis for the trigger point formation; how...
متن کاملPersistent myalgia following whiplash.
Persistent myalgia following whiplash is commonly considered the result of poor psychosocial status, illness behavior, or failing coping skills. However, there is much evidence that persistent myalgia may be due to neurophysiologic mechanisms involving peripheral and central sensitization. Myofascial trigger points may play a crucial role in maintaining sensitization. Recent research suggests t...
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تاریخ انتشار 2010