Skip to main content

Advertisement

Log in

Urologic myofascial pain syndromes

  • Published:
Current Pain and Headache Reports Aims and scope Submit manuscript

Abstract

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 syndromes can induce trigger point development and myofascial pain and dysfunction. The referred pain syndrome can long outlast the initial event, making diagnosis difficult.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References and Recommended Reading

  1. Pain of Urogenital Origin (PUGO): a special interest group of the International Association for the Study of Pain. Statement 1998 (www.uab.edu/PUGO/).

  2. Rosenthal RH: Psychology of chronic pelvic pain. Obstet Gynecol Clin North Am 1993, 20:627–641.

    PubMed  CAS  Google Scholar 

  3. Travell J: Myofascial trigger point: clinical view. In Advances in Pain Research and Therapy, vol 1. Edited by Bonica JJ, Albe-Fessard D. New York: Raven Press; 1976:919–926.

    Google Scholar 

  4. Simons DG, Travell JG, Simons LS: Travell & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual, vol.1, edn 2. Baltimore: Williams & Wilkins; 1999.

    Google Scholar 

  5. Schmidt RA: Pelvic floor behavior and interstitial cystitis. Semin Urol 1991, 9:154–159.

    PubMed  CAS  Google Scholar 

  6. FitzGerald MP: Chronic pelvic pain. Curr Womens Health Rep 2003, 3:327–333. Excellent review on chronic pelvic pain considering visceral and somatic pain and central nervous system sensitization.

    PubMed  Google Scholar 

  7. DeGroat WC: Anatomy and physiology of the lower urinary tract. Urol Clin North Am 1993, 20:383–402.

    CAS  Google Scholar 

  8. Hunner GL: A rare type of bladder ulcer in women: report of cases. Trans South Surg Gynecol Assoc 1914, 27:257.

    Google Scholar 

  9. Mac Corquodale DW: And the poor get children. BMJ 2003, 3:230.

    Google Scholar 

  10. Krieger JN, Ross SO, Deutsch L, Riley DE: The NIH Consensus concept of chronic prostatitis/chronic pelvic pain syndrome compared with traditional concepts of nonbacterial prostatitis and prostatodynia. Curr Urol Rep 2002, 3:301–306. Beginning of considering chronic prostatitis and interstitial cystitis as diseases that have common denominators.

    PubMed  Google Scholar 

  11. Bodemar G, Ragnarsson G: Irritable bowel syndrome: survey of definitions, differential diagnosis, and pathogenesis. Lakartidningen 2001, 98:666–671.

    PubMed  CAS  Google Scholar 

  12. Howard FM: Irritable bowel disease. In Pelvic Pain: Diagnosis and Management. Edited by Howard FM, Perry CP, Carter JE. Philadelphia: Lippincott Williams & Wilkins; 2000:238–245.

    Google Scholar 

  13. Gerwin RD: Interstitial cystitis and related pain syndromes. Presented at Research Insights into Interstitial Cystitis: A Basic and Clinical Science Symposium (ICA & NIDDK cosponsored meeting). Washington DC: October 30–November 1, 2003.

  14. Doggweiler-Wiygul R, Wiygul JP: Interstitial cystitis, pelvic pain, and the relationship to myofascial pain and dysfunction: a report on four patients. World J Urol 2002, 20:310–314. First report of patients affected by interstitial cystitis and diagnosed with myofascial pain and treated successfully with trigger point treatment.

    PubMed  Google Scholar 

  15. Yoshimura N: Interstitial cystitis and related pain syndromes. Presented at Research Insights into Interstitial Cystitis: A Basic and Clinical Science Symposium (ICA & NIDDK cosponsored meeting). Washington DC: October 30–November 1, 2003.

  16. Travell JG: Subclinical hypothyroidisms. JAMA 1987, 258:246–247.

    Article  Google Scholar 

  17. Doggweiler-Wiygul R, MacDiarmid SA: Interstitial cystitis. Female Patient 2004, 29:14–22. This is a general review on interstitial cystitis/painful bladder syndrome and discusses possible pathogenetic factors and treatment options.

    Google Scholar 

  18. Parsons CL, Dell J, Stanford EJ, et al.: Increased prevalence of interstitial cystitis: previously unrecognized urologic and gynecologic cases identified using a new symptom questionnaire and intravesical potassium sensitivity. Urology 2002, 60:573–578.

    Article  PubMed  Google Scholar 

  19. Zermann DH, Ishigooka M, Doggweiler R, Schmidt RA: Chronic prostatitis: a myofascial pain syndrome? Infect Urol 1999, 12:84–88, 92.

    Google Scholar 

  20. Simons DG, Travell JG: Myofascial origins of low back pain. 1: principles of diagnosis and treatment. Postgrad Med 1983, 73:66, 68–70.

    PubMed  CAS  Google Scholar 

  21. Doggweiler-Wiygul R, Sellhorn E: Role of behavioral changes and biofeedback in urology. World J Urol 2002, 20:302–305.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Doggweiler-Wiygul, R. Urologic myofascial pain syndromes. Current Science Inc 8, 445–451 (2004). https://doi.org/10.1007/s11916-004-0065-1

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11916-004-0065-1

Keywords

Navigation