Chronic Pelvic pain of myofascial origin in a 53 year old patient | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 29, Issue 4, December 2016, Pages 236-239 | ||
| Authors | ||
| Patricia McWalter; Tarfah Al-Muammar; Kevin Hafez | ||
| Abstract | ||
| Chronic pelvic pain in women has a multifactorial etiology but pelvic musculoskeletal dysfunction is not routinely evaluated as a cause by gynaecologists. There is no gold standard diagnostic test for pelvic musculoskeletal problems. Our patient presented to a gynaecologist because of chronic pelvic pain. However no gynaecological cause was found for her symptoms. This patient enjoyed sport particularly horse riding. Imaging revealed osteitis pubis and an osteophyte of the sacro-ilium. It has been recognised in athletes that there can be an association between stress injuries to the pubic symphysis and degenerative changes at the sacro-ilium. This case demonstrates the importance of thinking of a myofascial cause for chronic pelvic pain. | ||
| Keywords | ||
| Myofascial pelvic pain; Sports injuries; General Practice; Radiology | ||
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