Trans-perineal Trigger Point Dry Needling for Chronic Pelvic Pain

Inclusion Criteria: * Patients reporting non-cyclical CPP with dyspareunia and associated PFD with no palpable pelvic floor pathology, but with palpable high pelvic floor muscle (PFM) tone and tenderness will be referred for physiotherapy by the gynaecology team. * Visceral conditions like interstitial cystitis are difficult to exclude at gynaecology review, as they mimic CPP symptoms. * Smokers and non-smokers included. * Nulliparous, singleton and multiparous patients. Exclusion Criteria: * Body mass index greater than 30, makes it difficult to dry needle as the required needle length is not available. * Chronic back pain over 6 months duration, under pain management team. * Orthopaedic back surgeries with implants. * Pelvic pathologies like endometriosis, fibroids, cysts, etc. * Pregnancy related pelvic pain. * Pregnant during the trial. * Pelvic organ carcinomas. * Undergoing cancer treatment. * Post gynaecology surgeries, less than 16 weeks. * Cardiovascular, gastroenterology, renal or orthopaedic surgery, less than 6 month's post-operative. * Neurological conditions like stroke, epilepsy, Parkinson's disease etc. * Exclusion criteria for dry needling: * Extreme needle phobia, Rheumatoid arthritis, prolonged corticosteroid treatment, warfarin treatment, heart implants and blood clotting disorders. * Participant with no significant learning disability and should be able to understand the procedure to consent for treatment. * Participant should not require a chaperone d…