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Promising Therapy for Chronic Prostatitis

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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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Health Alerts registered users may post comments and share experiences here at their own discretion. We regret that questions on individual health concerns to the Johns Hopkins editors cannot be answered in this space.

The views expressed here do not constitute medical advice, and do not represent the position of Johns Hopkins Medicine or Remedy Health Media, LLC, which has no responsibility for any comments posted on this site.


Trigger point therapy is very effective for treatment indeed.

Posted by: Eczema Cure | February 27, 2013 2:43 AM

They should follow the schedule for the therapy. So the healing process can be running well. Masquerade Ball Theme

Posted by: vitalybrontoze | March 4, 2013 1:25 PM

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