Causes of Pelvic Pain & PMS Cramping
       The fact that pelvic pain could be caused by trigger points astonishes most people. There exists a stubborn belief that pelvic and abdominal pain (and cramping) is always related to a problem with the body's internal organs. Menstrual cramping, in particular, is always blamed on "natural" hormonal changes, or if severe enough, blamed on endometriosis or ovarian disease. The hormone changes associated with a woman's cycle, frequently activate trigger points by changing the fluid balance and mineral concentration of the body. While this affects all the muscle groups of the body, it seems to activate the trigger points in the abdomen and neck regions to a greater degree.
      Pelvic pain associated with sexual intercourse typically occurs due to an overloading of the abdominal and thigh muscles. The trigger points that are activated by this muscular overload, refer pain deep in the pelvis and abdomen for hours and even days afterward.

The Muscles and Trigger Points that cause Pelvic Pain
      The following two muscle groups can contain trigger points that produce pain and cramping in the pelvis and abdomen:
  • The Adductor Magnus
  • The Abdominal Obliques
     The Adductor Magnus is a large muscle group found deep in the inner thigh region. This muscle attaches to the pelvis and runs downward to attach at several places along the large thigh bone (the femur). This muscle contracts to rotate and swing the thigh inwardly (towards the other leg). Trigger points in this muscle can refer pain to the groin or inner thigh region. One particular trigger point may also refer pain that is felt inside the pelvis, genitalia, or rectum.The referred pain associated with this trigger point is unlike most trigger point referred pain in that it may manifest as a sharp, lightening bolt-like type of pain. In women, this trigger point is frequently active during times of severe menstrual cramping, and during and/or after sexual intercourse.
     The Abdominal Oblique muscles form the outer abdominal wall in the stomach region. They attach to the ribs, pelvis, and to other abdominal muscles via a large sheet of connective tissue. This muscle group contracts to stabilize the trunk, and to flex and/or rotate the trunk to either side. Trigger points in this muscle group can refer pain to the lower abdomen, groin, and genitalia. They may also produce diverse symptoms such as heartburn, abdominal bloating, belching, and diarrhea.
Important: The following content is provided for information purposes only. A proper diagnosis of any condition requires a physical examination by a licensed doctor.