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Evaluation of the Levator Ani And Pelvic Wall Muscles in Levator

Ch ronic pelvic pain is a debilitating condition that affects many women. The location of pain may be vague and diff i c u l t for patients to define, or it may include specific symptoms of d y s p a reunia, irritative voiding symptoms, low back and buttock pain, constipation, vaginal and vulvar pain, and low abdominal pain (Lilius & Valtonen, 1973). C h ronic pelvic pain is defined as the complaint of pain in the lower abdomen and pelvic floor muscles for greater than 6 months and affects approximately 15% to 20% of women 18 to 50 years of age (Jamieson & Steege, 1996; Mathias, Kuppermann, Liberm a n , Lipschutz, & Steege, 1996). Patients may present for evaluation and treatment of these complaints, only to be told there is nothing physically wrong with them. This scenario may occur O b j e c t i v e s