Prostatodynia or Chronic Pelvic Pain Syndrome (CPPS) is a pelvic pain condition in men. Prostatitis Literally means ‘inflammation of the prostate’. There are two basic types of prostatitis, acute and chronic.
Acute bacterial Prostatitis is an infection of the prostate and include chills and fever and needs your doctor attention.
The other is nonbacterial or chronic prostatitis which can be treated with alternative treatments such as Pelvic physiotherapy, exercises, lifestyle modifications etc. Investigations for bacteria and yeast are negative. Physical examination does not usually show anything unusual, although the prostate may be swollen. What can make the problem even more confusing is that often young, otherwise healthy men develop this condition. Antibiotics, pain-killers, and medications prescribed are often not effective. Many men have been told that they must learn to live with the symptoms because a cure is not available.
Symptoms may include a few or all of the following:
- Pain in the testicles, or tip, shaft or base of the penis
- Pain at the perineum (the area between the testicles and penis)
- Pain on urination
- Increased pain in sitting
- Pain or discomfort with sexual arousal, or during or after ejaculation
- Pain or discomfort above the pubic bone
- Urinary frequency
- Urinary urgency
- Pain before, during or after a bowel movement
- Decreased interest in sex
Physiotherapy Treatment in Curezone Physiotherapy clinic, Mississauga aims in providing multidisciplinary approach and evidence based physiotherapy treatment and Rehabilitation. Our pelvic health physiotherapist aims to provide proper and in depth treatment and approach towards yours issues. Pelvic Physiotherapy usually consists of the following approach in the case of Prostatitis.
Education: by helping to describe the role of the pelvic floor musculature in the pain cycle and provide techniques that can be used in the home environment.
Manual Therapy to mobilise muscle and soft tissue, normalize overactive muscles, improve circulation and desensitize areas. Pelvic muscle relaxation exercises, sometimes with biofeedback can help with tight pelvic muscles learn to consciously relax them.
Desensitization therapy: learning relaxation techniques, such as Kegel exercises, that can decrease pain. Restore and normalize body awareness (includes body mapping techniques such as Qi Gong/Tai Chi, Feldenkrais exercises, Franklin exercises, exercises with a focus on sensory-motor integration)
Maximize activities that down-regulate the central nervous system
Mindful movement options as above
Joy/laughter/CBT and other positive reinforcement
Dynamic Movement: Passive stiffness/tightness
Specific Remapping of Body Parts
Progress from imagined movement/function of others to imagined movement/ function of self.
Laterality (right/left discrimination) testing and treatment
Visualization of others doing the movement
Visualization of yourself doing the movement
Mirror work as appropriate
Establish an accessible network to support independence including managing flare-ups and promoting self-efficacy.
The therapist will work with a patient to create an individualized treatment program based on the patient’s pelvic floor dysfunction, symptoms, and how they respond to the treatments. The following treatment programs and techniques may involve in pelvic physiotherapy for prostatitis:
Trigger point release therapy, also known as myofascial trigger point release, is an alternative treatment for chronic prostatitis. It is often helpful for treating CP/CPPS symptoms that are associated with stress and tension of the pelvic floor muscles. Trigger point release therapy is often combined with paradoxical relaxation therapy. This exercise method involves autonomic self-regulation to decrease pelvic floor muscle tension and teach the patient how to release his tension. Paradoxical relaxation involves a specific breathing technique to help relieve anxiety.
Total body (exercise, chronic stress management, lifestyle) changes can help in relieving pain. It is important to know which foods can exacerbate symptoms and avoid those foods. The most common foods that have been found to trigger prostatitis symptoms include:
- Spicy foods
- Hot peppers
- Alcoholic beverages
- Acidic foods
Curezone Physiotherapy, Mississauga brings the team of most experienced Orthopedic and sports physiotherapist, Chiropractor, Osteopath and RMT’s to provide you the best experience towards your recovery and treatments and to improve your quality of life in collaboration. On the first day of your appointment, you may undergo the an external and internal assessment to get the baseline of your condition and to make a treatment plan based on your assessment. You will be requested to fill male symptom monitor questionnaire before your appointment. It is usually requested to come 15mins before your appointment to fill up the paperwork.
Please bring your doctor’s note to our clinic or email us before or at the time of your appointment, if any.