Entheseal pain of levator ani muscle: A novel etiology in chronic pelvic pain and lower urinary tract symptoms—A urodynamic perspective

LAM entheseal pain represents a distinct, clinically palpable entity in CPP. Its urodynamic similarity to myofascial pain suggests that LUTS reflect a shared final pathway of central sensitization rather than peripheral structural dysfunction. Moreover, its unique association with morning stiffness supports a divergent pathophysiology.

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Publication Details

Journal
Journal of the Chinese Medical Association
Published
2026-02-03
DOI
https://doi.org/10.1097/jcma.0000000000001353
Primary Topic
Pelvic floor disorders treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Entheseal pain of levator ani muscle: A novel etiology in chronic pelvic pain and lower urinary tract symptoms—A urodynamic perspective

Meng-Hsu Tsai, H. C. P. Lim, Kuan Cheng Lin, Hung-Yen Chin
Journal of the Chinese Medical Association
Pelvic floor disorders treatments
article

Entheseal pain of levator ani muscle: A novel etiology in chronic pelvic pain and lower urinary tract symptoms—A urodynamic perspective

Meng-Hsu Tsai, H. C. P. Lim, Kuan Cheng Lin, Hung-Yen Chin
article en

Abstract

LAM entheseal pain represents a distinct, clinically palpable entity in CPP. Its urodynamic similarity to myofascial pain suggests that LUTS reflect a shared final pathway of central sensitization rather than peripheral structural dysfunction. Moreover, its unique association with morning stiffness supports a divergent pathophysiology.

Journal of the Chinese Medical AssociationVol. 89(3)
National Chung Hsing University (TW), Taipei Medical University Hospital (TW), Taipei Medical University (TW)
Openalex Percentile: Top 71%
Pelvic floor disorders treatments
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