Myofascial Pain Syndrome in Women with Primary Dysmenorrhea: A Case-Control Study

Author:

Serrano-Imedio AnaORCID,Calvo-Lobo CesarORCID,Casañas-Martin Coraima,Garrido-Marin AlejandroORCID,Pecos-Martin DanielORCID

Abstract

There is limited information on myofascial trigger points (MTrPs) and specific symptoms of chronic pelvic pain and, more specifically, dysmenorrhea. The objective of this study was to determine whether patients suffering from primary dysmenorrhea present alterations in mechanosensitivity and pain patterns, and greater presence of MTrPs in the abdominal and pelvic floor muscles. A case-control study was carried out with a total sample of 84 participants distributed based on primary dysmenorrhea and contraceptive treatment. The sample was divided into four groups each comprising 21 women. Data on pain, quality of life, and productivity and work absenteeism were collected; three assessments were made in different phases of the menstrual cycle, to report data on pressure pain threshold, MTrP presence, and referred pain areas. One-way ANOVA tests showed statistically significant differences (p < 0.01) between the groups, for the Physical Health domain and the total score of the SF-12 questionnaire, and for all the domains of the McGill questionnaire; but no significant differences were found in the data from the WPAI-GH questionnaire. Statistically significant data (p < 0.01) were found for mechanosensitivity in the abdominal area and limbs, but not for the lumbar assessment, within the group, with very few significant intergroup differences. The frequency of active MTrPs is higher in the groups of women with primary dysmenorrhea and during the menstrual phase, with the prevalence of myofascial trigger points of the iliococcygeus muscle being especially high in all examination groups (>50%) and higher than 70% in women with primary dysmenorrhea, in the menstrual phase, and the internal obturator muscle (100%) in the menstrual phase. Referred pain areas of the pelvic floor muscles increase in women with primary dysmenorrhea.

Publisher

MDPI AG

Subject

Clinical Biochemistry

Reference162 articles.

1. Dismenorrea primaria y fisioterapia;Fisioterapia,2005

2. Primary Dysmenorrhea: Assessment and Management Update;J. Midwifery Women’s Health,2004

3. Latthe, P., Latthe, M., Say, L., Gülmezoglu, A.M., and Khan, K.S. (2006). WHO systematic review of prevalence of chronic pelvic pain: A neglected reproductive health morbidity. BMC Public Health, 6.

4. Dismenorrea Funcional En La Comunidad Autónoma de Madrid: Estudio de La Prevalencia En Función de La Edad;Rev. Soc. Esp. Dolor,2001

5. Dismenorrea. Una revisión multidisciplinaria en el contexto de la medicina basada en la evidencia;FMC,2006

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