Роль мышечно-фасциального синдрома и дисфункции в развитии синдрома хронической тазовой боли у женщин (Обзор литературы)

Abstract

According to the classification of chronic pain syndromes proposed by the International Association for the Study of Pain (IASP) and due to the high clinical significance, chronic pelvic pain (CPP) represents an independent nosological structure and is defined as pain in the pelvic region (in the lower abdomen and the lower back), mainly between the navel and the pubic symphysis, which lasts for at least six months and disrupts the normal functioning of the body. Myofascial pelvic pain syndrome (MPPS) in English literature is included in the subgroup of etiology of CPP. Myofascial pelvic pain syndrome itself is not a direct threat to life and health and does not require urgent help. But today it is almost not diagnosed and is not considered as a source of chronic pain and dysfunction in the pelvic region. Such patients, unfortunately, are left without appropriate treatment and cannot get rid of the oppressive pain. They often receive unnecessary treatment, including surgical interventions. This problem causes neurosis, depression, sexual dysfunction and, as a result, leads to the deterioration in the quality of life. CPP can often have multiple causes and should be evaluated in terms of the pathology of various physiological systems, including reproductive, urogenital, gastrointestinal, musculoskeletal and nervous system. Based on a full picture of the multifactorial nature of CPP, the treatment of this category of patients requires an integrated approach involving specialists in various fields. Particular attention in the differential diagnosis of chronic pelvic pain in women should be paid to abdominal myofascial pain syndrome, the role of which is currently underestimated. Therefore, doctors should be aware of the main directions of diagnosis and treatment of CPP due to myofascial pain syndrome. Keywords: chronic pelvic pain, myofascial syndrome, nidling, post-isometric relaxation of muscles, relising.