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The pelvis 

The pelvis
Chapter:
The pelvis
Author(s):

Michael Hutson

and Bryan English

DOI:
10.1093/med/9780199674107.003.0034
Page of

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date: 08 August 2020

Pain may be referred from proximal structures to the pelvis. Accordingly, any examination of the pelvis must include an examination of the spine and particularly the thoracolumbar junction where the ilioinguinal nerve (T12) originates to supply the groin. Pain may be referred to the buttock and the groin from lumbar segmental disturbances such as discal pathology and facetal dysfunction as well as the connecting ligaments. Sometimes invasive diagnostic interventions (for instance, infiltrating the facet joints under direct vision or even a provocative probe when the disc, facet joint, and sacroiliac joint are stimulated under narcoleptic anaesthesia) may be required to establish the cause of pelvic pain. Those practitioners whose training conditions them to search for referred pain must be aware of local conditions that can also be a cause of pelvic pain.

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