Whilst trigger points may be the primary cause of pelvic pain and levator ani syndrome in some patients; in others it may be a response to an underlying pelvic disorder.
There are many mechanisms of injury that can cause spasm of the pelvic floor. These include, but are not limited to:
Child birth injury, pelvic surgery, lumbar disc surgery, prolonged driving or occupations that require prolonged sitting, gait disturbances, pelvic inflammation or infection, traumatic injury to the back or pelvis, and injuries that result from sexual intercourse.
In this video, Dr. Jonathan Kuttner MD explains the connection between trigger points in the levator ani muscle, levator ani syndrome and pelvic pain.
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Pelvic Pain and Levator Ani Syndrome Explained
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