期刊
SEMINARS IN REPRODUCTIVE MEDICINE
卷 35, 期 1, 页码 88-97出版社
THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0036-1597123
关键词
endometriosis; chronic pelvic pain; sensitization; myofascial trigger points; botulinum toxin
资金
- Intramural Research Program of the National Institutes of Health
- NIH Clinical Center
- National Institute of Neurological Disorders and Stroke
Chronic pelvic pain is a frustrating symptom for patients with endometriosis and is frequently refractory to hormonal and surgical management. While these therapies target ectopic endometrial lesions, they do not directly address pain due to central sensitization of the nervous system and myofascial dysfunction, which can continue to generate pain from myofascial trigger points even after traditional treatments are optimized. This article provides a background for understanding how endometriosis facilitates remodeling of neural networks, contributing to sensitization and generation of myofascial trigger points. A framework for evaluating such sensitization and myofascial trigger points in a clinical setting is presented. Treatments that specifically address myofascial pain secondary to spontaneously painful myofascial trigger points and their putative mechanisms of action are also reviewed, including physical therapy, dry needling, anesthetic injections, and botulinum toxin injections.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据