Pelvic floor dysfunction is a well-known musculoskeletal cause of CPP.
It occurs when pelvic floor muscles are either too weak or too tight.
The major contributing factors include
Obesity
Menopause
Pregnancy
childbirth.
Causes
?inherited collagen deficiency – are at risk of stress urinary incontinence and pelvic organ prolapse.
Diagnosis
Pelvic floor muscle palpation (PMP)
firm transvaginal digital palpation of the right and left pelvic floor muscles elicits pain
The forced Flexion, Abduction and External Rotation test (fFAER)
pain is elicited by flexion, abduction and external rotation of either leg from the supine position
The presence of both findings correctly identifies patients with musculoskeletal disorders contributing to CPP in 85% of the time while the absence of both findings has 100% specificity
Treatment
Physiotherapy is typically beneficial in relieving symptoms of the musculoskeletal origin