Clitoral Pain Due to Trigger Points
Clitoral pain can have many causes, including trauma to the area, peripheral nerve or artery issues and vaginal infection. One cause frequently overlooked by physicians is the presence of myofascial trigger points in the pelvic floor muscles.
Frequency of Trigger Point Involvement
Marek Jantos, author of the article "Understanding Chronic Pelvic Pain," reports that in 75-95 percent of cases, pelvic pain has its origins in trigger points, or tight, tender areas in the muscle. This area is prone to trigger points because of the work it does supporting viscera as well as maintaining posture and assisting with movement.
.
Identification
Trigger points can refer pain to other areas of the body, diverting the physician's attention away from where the trigger point actually resides and thereby making it difficult to identify. Palpation of the pelvic muscles remains the only way to identify the location of trigger points.
Psychological Factors
Jantos reports that distress, related to the pain or of other origin, significantly increases the initiation of trigger points. Relaxation, therefore, can be a valuable tool in reducing trigger point activity.
Location of Trigger Points
The trigger points responsible for clitoral pain reside in the pelvic , specifically the coccygeus muscle and the levator ani muscles.
Treatment
Treatment of these trigger points can include massage of the area, stretching, physical therapy and release of the trigger points through injection. The coricosteroid injections generally follow the application of a local anesthetic.
Tags: trigger points, Clitoral Pain Trigger, floor muscles, pain other, Pain Trigger