Johns Hopkins Health Alert
Promising Therapy for Chronic Prostatitis
Men with chronic pelvic pain syndrome who fail to find relief with traditional treatments may benefit from an intensive six-day combination physical therapy-behavioral treatment that targets pelvic muscle tenderness.
In a study published in The Journal of Urology (Volume 185, page 1294), researchers evaluated the protocol, known as myofascial trigger point therapy and paradoxical relaxation training (PRT), in 116 men who had pelvic pain for a median of 4.8 years.
Trigger point therapy, which involves applying pressure on a trigger point in a tight muscle until it "releases," was performed by a physical therapist for 30 to 60 minutes daily for five consecutive days. A psychologist provided daily instruction in PRT for three to five hours. The goal of PRT is to reduce nervous system arousal in the presence of perceived pain and catastrophic thinking. The men were instructed to use the techniques at home.
At six months, their quality of life had improved significantly, and 82 percent of the men reported improvement in pain and urinary dysfunction. The improvement was described as major or moderate by 59 percent and as slight by 23 percent.
Our advice. If you have chronic pelvic pain with pelvic muscle tenderness that has not improved with standard medical therapies, consider asking your doctor for a referral to physical and behavioral therapists with experience treating this condition.
Posted in Enlarged Prostate on May 9, 2012
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