Pelvic Pain and Pelvic Floor Disorders in Women

Pelvic pain is a complex diagnosis that can be related to numerous etiologies across several specialties. This chapter aims to explore diagnosis and management of common neuromusculoskeletal causes of pelvic pain including pelvic floor myofascial pain, vulvodynia, nerve injuries, pelvic girdle pain, and coccydynia. Pelvic floor physical therapy is often the first-line treatment of many musculoskeletal causes of pelvic pain. Depending on examination findings, diagnosis, and response to physical therapy, additional medical management may include neuromodulation in oral or topical form, vaginal muscle relaxants, or pelvic floor botulinum toxin or trigger point injections.