@vklittle61 jelizabeth @bkruppa You'll need to talk to Drs. about your specific cases. However, a lot of people on this forum keep talking about surgery. Surgery in that area can be very dangerous and often is avoided by the surgeons. A lot of this - including levator ani syndrome - was described in the book "a headache in the pelvis" (and other books about pelvic pain). It often is the result of subtle compression on nerves (which can cause much and continuous pain) and can often be treated in other ways including stretching, relaxation techniques, exercise and trigger point release (internal and external). Please see my prior detailed posts and also read some of the books like that above and of the topic "healing pelvic pain". There is good chance this is a case of myofascial pain in the pelvis compressing nerves down there. Google how to treat myofascial pain. In the book it mentions many people have surgeries only to find out the original pain isn't fixed and they have new issues. If I'm right, It is likely you'll find the most help from physical therapists and other therapists of that nature and not as much help from most medical doctors as they are notoriously unaware about myofascial pain. You may want to keep trying to get an actual diagnosis from a medical doctor - but they're often guessing based on pain patterns (as discussed in the books, above, especially "a headache in the Pelvis" by Wise and Anderson). Tension in the tuberosities (like I have) is generally considered myofascial pain. How best to treat it and what is driving it - who knows? That being said, good luck.