How Does Levator Spasm Cause Pelvic Floor Muscle Pain?
Trigger points are known to most of us as little areas of muscles that are painful when touched or massage. Sometimes they are knots. The pelvic floor muscles are similar to the back and neck muscles. They too can have trigger points.
Trigger points in the pelvic floor muscles are known as “myofascial pain syndrome”. This is pain that is strictly located in the Kegel muscles (the pelvic floor muscles that is under voluntary control) causes by multiple trigger points along the muscles.
How are trigger points identified during an exam?
Your physician will perform a pelvic exam focusing initially on the pelvic floor muscles. With one finger, they are able to feel the different muscles in the pelvis and examine the tone and strength. Some findings during the exam that suggest trigger points are:
- point tenderness in a knot that is part of the muscle that is tense
- touching the knot causes pain
- the pain felt is similar to the pain you have been feeling
- the muscle might twitch when then knot is touched
- weakness in the muscle
The cause of the myofascial pain is currently unknown. It is thought that there may be some microtrauma or tears that hurt the weak muscles during prolonged contractions. This may occur during prolonged lifting or painful intercourse.