Botulinum toxin a injection of the obturator internus muscle for chronic perineal pain.
نویسنده
چکیده
UNLABELLED Chronic perineal pain is often a difficult condition to manage. Current treatments include pudendal nerve injections and pudendal nerve release surgery. The obturator internus muscle has a close relationship to the pudendal nerve and might be a potential target for therapeutic intervention. PERSPECTIVE A case is presented of refractory perineal pain that was successfully treated by injecting the obturator internus muscle with botulinum toxin A.
منابع مشابه
Simplified technique for injection of Botulinum Toxin to Obturator Internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain
Botulinum toxin (BoNT) injections have been used to reduce muscle spasm in the presence of severe pelvic pain. However, while pubococcygeus is easily accessed vaginally, injection to obturator internus is more complex - with variation in operative technique and needle placement confounding the ability to assess outcomes. We describe a simplified technique for BoNT injection to obturator internu...
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The obturator internus (OI) muscle is important in adult chronic noninfectious pelvic, perineal, gluteal, and retrotrochanteric pain syndromes. Evaluation and management of these patients' pain can be challenging because of the complex anatomy of this region, broad differential diagnosis, and lack of specific physical examination findings. Consequently, several clinicians have advocated the use...
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ورودعنوان ژورنال:
- The journal of pain : official journal of the American Pain Society
دوره 6 5 شماره
صفحات -
تاریخ انتشار 2005