Trigger Point Injections for Pelvic Pain



Chronic pelvic pain is one of the most challenging problems gynecologists encounter in clinical practice. Although management often involves a combination of medical, physical, cognitive, and behavioral therapies, trigger point injections offer an additional option for treatment in a subset of patients. This office-based procedure has been used to improve pain associated with vaginismus, levator ani hypertonicity, vulvodynia, pudendal and ilioinguinal/iliohypogastric neuralgia. In this textbook chapter we review various injections used to treat pelvic pain, summarize the evidence for their use, and describe their role in treatment.


Botulinum Toxin Trigger Point Pudendal Nerve Chronic Pelvic Pain Anterior Superior Iliac Spine 
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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Section of Female Pelvic Medicine and Reconstructive SurgeryMedStar Washington Hospital Center/Georgetown University School of MedicineWashington, DCUSA

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