| Obturator Internus Myofascial Pain: A Cause of Undiagnosed Chronic Pelvic Pain Syndrome: Case reports. |
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Kim, Sang Hyun , Kim, Chang Hwan , Lee, Jun Ho , Shin, Yong Sik |
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Department of Rehabilitation Medicine, Inha University College of Medicine, Korea. drheart@medigate.net |
| 내폐쇄근 증후군으로 진단된 원인 미상의 만성 서혜부 통증 증후군 3례 -증례 보고- |
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김상현, 김창환, 이준호, 신용식 |
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인하대학교 의과대학 재활의학교실 |
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| Abstract |
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Chronic pelvic pain is difficult to diagnose and usually has a poor outcome. However, if it was identified early it might have a better prognosis. We treated three patients whose trigger points in obturator internus were diagnosed as origin of myofascial pain. The first patient complained of coccygodynia with pain that radiated up his left leg when walking. The second patient had coccygeal pain that radiated to the left thigh area. The last patient was troubled with coccygeal and pelvic pain at anytime. In all of the cases MRI studies of the lumbar spine and pelvis were unrevealing. Electrodiagnostic studies were normal. The impression was that the patients had the myofascial pain syndrome, therefore injections with local anesthetics and cortisone at the myofascial pain originated in obturator internus. Although each of the patients had different symptoms, they all had a good response to treatment. (J Korean Acad Rehab Med 2009; 33: 131-134) |
| Key Words:
Pelvic pain, Myofascial pain syndrome, Obturator internus muscle |
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