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Published on: 4/7/2025

What Causes Transverse Perineal Muscle Pain, and How Can It Be Alleviated?

Transverse perineal muscle pain is usually caused by strain, overuse, or injury in the pelvic floor area. It can be treated with gentle stretches, warm compresses, rest, and sometimes physical therapy.

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Explanation

The transverse perineal muscle is a small muscle in the area between your genitals and your anus that helps support your pelvic floor. This muscle can hurt when it is strained or overused, such as from heavy lifting, long periods of sitting, childbirth, or even poor posture. Stress and tension can also make the muscle feel sore. To alleviate the pain, it’s best to start with gentle stretching and relaxation exercises that help loosen the pelvic muscles. Applying a warm compress or taking a warm bath can ease muscle tension. Over-the-counter pain relievers might help lessen the discomfort. In some cases, seeing a physical therapist who specializes in pelvic health can be very useful, as they can teach you exercises to strengthen and relax these muscles. If the pain persists or worsens, it is important to consult a healthcare provider for further evaluation and treatment.

(References)

  • Leslie SW, Antolak S, Feloney MP, et al. Pudendal Neuralgia. [Updated 2024 Feb 12]. In: StatPearls [Internet].

  • Tim S, Mazur-Bialy AI. The Most Common Functional Disorders and Factors Affecting Female Pelvic Floor. Life (Basel). 2021 Dec 14;11(12):1397. doi: 10.3390/life11121397. PMID: 34947928; PMCID: PMC8704638.

  • Andromanakos NP, Kouraklis G, Alkiviadis K. Chronic perineal pain: current pathophysiological aspects, diagnostic approaches and treatment. Eur J Gastroenterol Hepatol. 2011 Jan;23(1):2-7. doi: 10.1097/MEG.0b013e32834164f6. PMID: 21079515.

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