This free CME activity is exclusively available to members of the American College of Osteopathic Obstetricians and Gynecologists
Release Date: December 22, 2025
Expiration Date: December 31, 2026
Chronic low back pain (LBP) after cesarean section (C-section) often receives treatment focused on lumbar and gluteal musculature, while abdominal wall scar-related myofascial pain receives less attention. This case report describes a 53-year-old woman with refractory bilateral LBP and gluteal pain following three C-sections. Examination identified taut bands and tender regions along the C-section scar overlying the transversus abdominis, reproducing her symptoms with referred pain. A single trigger point injection (TPI) using 0.5% ropivacaine diluted with normal saline into the scar-associated trigger points produced immediate and sustained pain resolution through seven months, without adverse effects.
Rowan-Virtua School of Osteopathic Medicine, MS-3
Taylor Carmichael is a third-year medical student at Rowan-Virtua School of Osteopathic Medicine. Her research focuses on clinical outcomes in sports medicine and women's health, with an emphasis on optimizing recovery and health outcomes. She is particularly interested in improving patient outcomes through data-driven clinical decision making. Following medical school, she plans to pursue residency training in general surgery with the goal of advancing evidence-based approaches to patient care.
Associate Professor of Osteopathic Manipulative Medicine
Originally from northern Virginia, Alexander King D.O. earned his Osteopathic medical degree at the Philadelphia College of Osteopathic Medicine in 2017, followed by a residency and board certification in Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine (NMM/OMM). During his PGY2 year, he completed the Helms Medical Institute (HMI) medical acupuncture fellowship. Dr. King is currently an Associate Professor of OMM, ONMM3 Residency Director, OMM2 Course Director, and Neuromusculoskeletal Institute Medical Site Director at Rowan-Virtua School of Osteopathic Medicine.
ACOOG requires each planner and presenter to identify all conflicts of interest, and mitigates risk of bias using a series of strategies for relevant conflicts. Unless otherwise noted below, the ACOOG, ACOOG staff and planners for this activity have no relevant financial relationships to disclose.Ms. Carmichael and Dr. King have no relevant financial relationships with ineligible companies to disclose.
The American College of Osteopathic Obstetricians and Gynecologists is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians.
The American College of Osteopathic Obstetricians and Gynecologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American College of Osteopathic Obstetricians and Gynecologists designates this program for a maximum of 0.5 AOA Category 1-B credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.The American College of Osteopathic Obstetricians and Gynecologists designates this enduring activity for a maximum of 0.5 AMA PRA Category 1 Credits™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.
The American College of Osteopathic Obstetricians and Gynecologists designates this activity for Category 1 College Cognate Credits. Maximum Cognates are equal to the number of maximum AMA PRA Category 1 CreditsTM . A reciprocity agreement with the AMA exists that allows AMA PRA Category 1 CreditsTM to be equivalent to ACOG Cognate Credits.
The American Academy of Nurse Practitioners Certification Board (AANPCB) recognizes activities approved for Category 1-A credit through the American Osteopathic Association and Category 1 AMA PRA Category 1 Credits™ as providing advanced practice CE content hours for applicants seeking renewal through continuing education credit.
The National Commission on Certification of Physician Assistants (NCCPA) recognizes activities approved for Category 1-A credit through the American Osteopathic Association and AMA PRA Category 1 Credits™ as Regular Category 1 CME for national certification maintenance.
The Certificate Maintenance Program of the American Midwifery Certification Board accepts AMA PRA Category 1 Credits™ to satisfy its contact hours requirement.
All NPs, PAs, CNMs and other health professionals participating in this activity will receive a certificate of completion commensurate with the extent of their participation in the activity. ACOOG strongly recommends all non-physician health professionals check with their certification/licensing organizations to confirm credit reciprocity.
An internet-connected device (computer or mobile) with high-speed access is required. Compatible with most popular web browsers. JavaScript and cookies must be enabled.
Participants must complete the pre-test, read the text-based content, pass the post-test (70% or greater), complete the activity evaluation, and claim credit.
This activity is not commercially supported.
This activity is for educational purposes only, offered by ACOOG. Physicians must rely on their medical knowledge, experience, and patient relationships for clinical decisions.
ChatGPT and Google Gemini aided in the editorial review of the front matter and drafting assessment questions.
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Refunds are not available for this educational product.
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