[骨盆周围肌肉疼痛综合征] 骨盆周围肌肉疼痛综合征
1Service de médecine physique et de réadaptation, CHU Dijon-Bourgogne, Dijon, France.
La Revue du praticien
|June 23, 2025
概括
骨盆周围肌肉疼痛综合征很常见,通过临床检查进行诊断. 识别肌肉疼痛对于有效的,多学科的慢性疼痛管理策略至关重要.
科学领域:
- 疼痛医学 医学 疼痛医学
- 物理疗法物理治疗
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 骨盆周围骨疼痛是一种复杂的疾病,通常涉及多种疼痛发生器.
- 肌肉过敏点在临床评估骨盆周围骨疼痛时经常被发现.
- 参考疼痛模式,起源于胸腰或十字神经,可以伴随肌筋关节疼痛.
研究的目的:
- 强调在骨盆周围关节疼痛综合征中系统检查肌肉疼痛的重要性.
- 强调临床检查在识别肌肌关节疼痛和转移疼痛方面的诊断作用.
- 要强调将肌肉疼痛发现纳入慢性盆腰围疼痛治疗策略的必要性.
主要方法:
- 系统的临床检查下腹部,部和周围部区域.
- 检查患者病史 (询问) 以确定疼痛的特征和来源.
- 对指导性疼痛,胸脊关节综合征和肌筋关节综合征 (骨盆内,psoas,levator ani) 的诊断评估.
主要成果:
- 肌肉过敏点是患有骨盆周围关节疼痛的患者经常发现的发现.
- 临床检查有效诊断转移性疼痛和特定的肌肌综合征.
- 肌肉成分的存在显著影响诊断和治疗途径.
结论:
- 对肌肉疼痛进行系统的评估在所有骨盆周围关节疼痛病例中是必不可少的.
- 肌肌关节疼痛和转移性疼痛综合征是慢性骨盆周围关节疼痛的常见原因.
- 物理治疗作为多学科方法的一部分,是治疗慢性骨盆疼痛的关键组成部分.
相关概念视频
Muscles of the Pelvic Floor and Perineum
2.2K
The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
2.2K
Appendicitis-I: Introduction
649
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
649
Spinal Nerves: Plexus II
880
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
880
Abdominal Regions and Quadrants
12.6K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
12.6K
Disorders of the Female Reproductive System
510
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
510
Analgesia and Pain Management
822
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
822


