Pelvic Floor Rehabilitation for Prostatitis
What Is Pelvic Floor Rehabilitation?
Pelvic floor rehabilitation is an alternative treatment for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). It can be used for men who experience pain in the pelvic region, penis, or testicles, and it can also help men experiencing urinary or fecal incontinence as well as urinary symptoms such as urgency or frequency.
A man’s pelvic floor muscles are like a hammock that attaches to the front, sides, and back of the pelvic bone and sacrum. These muscles, which support the bladder, prostate, and rectum, may become weak, tight, or subject to spasms due to surgery, trauma, or disuse. A physical therapist can determine what is causing your symptoms and develop a plan for care.
It is estimated that half of the men with CP/CPPS have some kind of pelvic muscle dysfunction. Pelvic floor rehabilitation for prostatitis is one treatment that can help relieve symptoms and fix the cause of your problems.
What Does Pelvic Floor Rehabilitation Involve?
There are several different therapies associated with pelvic floor rehabilitation for prostatitis. Your therapist should perform a flexibility and strength assessment as well as an internal and external muscle assessment. Depending on your pelvic floor muscle dysfunction, your treatment may include biofeedback, myofascial release, trigger point release therapy, postural exercises, diaphragmatic breathing, and relaxation exercises. Your therapist may also use electrical stimulation, ultrasound, or cold laser, which may help with pain, inflammation, and blood flow. You will most likely be assigned home exercises as well.
Your therapist may perform manual therapy or massage. He or she may do this internally or externally to stabilize your pelvis. This may require one to three sessions per week. You should start to see improvement after six to eight weeks. If your physical therapist has to do an internal massage, he or she will insert a gloved and lubricated finger into the rectum to massage the muscles and connective tissue. If you have trigger points, which are painful and tight areas of muscles that are stressed or injured, your therapist may apply pressure to relax them. There are also tools that can assist with this.
As many men with pelvic floor muscle tension also have anxiety or stress, stress management techniques may also accompany your therapy. Some therapists or treatment programs include cognitive behavioral therapy, for more positive thinking, and visualization to help you learn to sense your pelvic floor muscles and relax them.
Related Therapies for Prostatitis
There are other similar treatments and programs for CP/CPPS. Intrapelvic physiotherapy is another treatment that also involves relaxing and strengthening the pelvic floor muscles.
These kinds of therapies are part of holistic treatment programs like the Renew XY health Program for Men and the “NPAT” Treatment Program for prostatitis, which recognize that pain and chronic pelvic discomfort are grounded in lifestyle, diet, nutrition, and other factors that lie outside the prostate (such as psychological problems) that may contribute to chronic tension.
Pelvic rehabilitation is one of the alternative treatments in the “NPAT” Treatment Program. NPAT stands for Natural treatments (ALCAT, elimination diets, and wheat-free diets); Phytotherapy (pollen and quercetin together with probiotics); Alternative treatments (acupuncture, prostate massage, pelvic rehabilitation and therapy); and Total body (exercise, chronic stress management, lifestyle).
Treating prostatitis through natural and alternative methods usually involves a multimodal approach, meaning you will most likely have to try several different treatments in addition to pelvic floor rehabilitation. This kind of treatment takes time and patience, as you are not going to solve a pelvic floor muscle dysfunction overnight. But you should begin to see improvement in your pain and any urinary or fecal incontinence symptoms as you regain your pelvic strength, awareness, and control.