Pelvic Myoneuropathy and Prostatitis
Pelvic myoneuropathy is a neurogenic inflammation that is triggered by muscle spasm. So what does this word myoneuropathy mean? Myo means muscles; neuro means nerves; and pathy means disease. Pelvic myoneuropathy is one cause of nonbacterial chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). In fact, pelvic myoneuropathy is also considered another name for CP/CPPS.
It is estimated that about half of the cases of CP/CPPS are caused by some kind of muscle spasm or problem with the pelvic floor. The pelvic floor consists of muscles that are shaped like a hammock and support the pelvic organs. Chronic prostatitis causes that are related to pelvic myoneuropathy include pelvic floor disorder, chronic tension disorder, and stress and emotional health. Mast cells, allergies, food intolerance, pelvic trauma, and stress all might play a role in creating inflammation leading to muscle spasm associated with CP/CPPS. The muscle fibers become so irritable and knotted, which makes them unable to relax or contract, and then painful trigger points form.
Urologists at the University of Colorado studied 103 CP/CPPS patients. Through palpation of the patients’ pelvic floor muscles they found that 88% of the patients had myofascial tenderness in the rectal area. The patients were not able to relax their pelvic muscles and about 92% of these patients had a dysfunction of their pelvic floor muscles. When these muscles malfunction it can create problems with urination, ejaculation, or interfere with bowel health not to mention cause pelvic pain.
Pelvic myoneuropathy and related pelvic floor disorders can be difficult to treat, but they do respond well to a multiple-treatment approach. There are several natural prostatitis treatments that can help decrease inflammation. There are supplements for urinary health, some of which are stinging nettle, saw palmetto, and quercetin, which work well when combined with each other and other supplements. You can look at diet and foods to avoid that can help you to reduce inflammation, since inflammation is usually one of the culprits.
There are also many alternative prostatitis treatments you may find effective at both offering prostatitis symptom relief and helping treat the muscle spasm. Men have had success with biofeedback therapy, trigger point release therapy, prostate massage, cognitive behavioral therapy, intrapelvic physiotherapy, and pelvic floor rehabilitation. Stress can contribute to tension, so stress management techniques and exercises that reduce tension such as meditation, yoga, and tai chi are also recommended. Some of these methods may take some time to work. For short-term relief try sitz baths or cushions and pillows for relief. Be patient and open-minded with your treatment, and with a multimodal approach you should find relief. As with all chronic tension disorders of the pelvis, you should avoid doing Kegel exercises. Kegels can increase tension, making the problem worse, while your goal is to relax the pelvic muscles.