Abstract
Chronic perineal pain is often a difficult condition to manage. Current treatments include pudendal nerve injections and pudendal nerve release surgery. The obturator internus muscle has a close relationship to the pudendal nerve and might be a potential target for therapeutic intervention.
Perspective:
A case is presented of refractory perineal pain that was successfully treated by injecting the obturator internus muscle with botulinum toxin A.
MeSH terms
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Botulinum Toxins, Type A / administration & dosage*
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Chronic Disease
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Female
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Humans
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Middle Aged
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Muscle, Skeletal / innervation
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Muscle, Skeletal / physiopathology
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Musculoskeletal Diseases / complications
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Musculoskeletal Diseases / drug therapy*
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Neuromuscular Agents / administration & dosage*
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Pelvic Floor / innervation
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Pelvic Floor / physiopathology
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Pelvic Pain / drug therapy*
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Pelvic Pain / etiology
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Perineum
Substances
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Neuromuscular Agents
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Botulinum Toxins, Type A