Relating Chronic Pelvic Pain and Endometriosis to Signs of Sensitization and Myofascial Pain and Dysfunction.
Relating Chronic Pelvic Pain and Endometriosis to Signs of Sensitization and Myofascial Pain and Dysfunction.
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DOI：
10.1055/s-0036-1597123
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发表时间：
2017-01
影响因子：
2.7
通讯作者：
Stratton P
中科院分区：
文献类型：
--
作者：
Aredo JV;Heyrana KJ;Karp BI;Shah JP;Stratton P
慢性盆腔疼痛是子宫内膜异位症患者的一个令人沮丧的症状，并且经常对激素和手术治疗无效。虽然这些疗法针对异位子宫内膜病变，但它们并不直接解决由于神经系统和肌筋膜功能障碍的中枢致敏引起的疼痛，即使在传统治疗优化后，肌筋膜触发点也会继续产生疼痛。这篇文章提供了一个背景，了解子宫内膜异位症如何促进神经网络的重塑，有助于敏化和肌筋膜触发点的产生。一个框架，以评估这种敏感性和肌筋膜触发点在临床环境中。治疗，特别是解决肌筋膜疼痛继发自发疼痛肌筋膜触发点和他们的假定的作用机制，包括物理治疗，干针，麻醉剂注射，肉毒杆菌毒素注射也进行了审查。
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.
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发表时间：
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