Botulinum toxin a injection of the obturator internus muscle for chronic perineal pain

J Pain. 2005 May;6(5):333-7. doi: 10.1016/j.jpain.2005.01.353.

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.

Publication types

  • Case Reports

MeSH terms

  • Botulinum Toxins, Type A / administration & dosage*
  • Chronic Disease
  • Female
  • Humans
  • Middle Aged
  • Muscle, Skeletal / innervation
  • Muscle, Skeletal / physiopathology
  • Musculoskeletal Diseases / complications
  • Musculoskeletal Diseases / drug therapy*
  • Neuromuscular Agents / administration & dosage*
  • Pelvic Floor / innervation
  • Pelvic Floor / physiopathology
  • Pelvic Pain / drug therapy*
  • Pelvic Pain / etiology
  • Perineum

Substances

  • Neuromuscular Agents
  • Botulinum Toxins, Type A