Trigger Point Release Therapy for Prostatitis
What Is Trigger Point Release Therapy?
Trigger point release therapy for prostatitis is an alternative treatment for chronic prostatitits/chronic pelvic pain syndrome (CP/CPPS). Studies have found trigger point release therapy, also known as myofascial trigger point release, to be beneficial for treating myofascial pain associated with CP/CPPS. “Myo” means muscle and “fascia” refers to the connective tissue that is in and around the muscle.
This therapy is helpful for CP/CPPS symptoms associated with stress and tension of the pelvic floor muscles. About 50% of all CP/CPPS cases are estimated to be caused by pelvic floor tension and problems with pelvic floor muscles. Trigger point release therapy targets these problems.
A study published in the Journal of Urology involved 138 men with CP/CPPS who did not respond to traditional treatment methods. The men in the study were treated with trigger point release therapy once a week for four weeks and then biweekly for eight weeks. They received paradoxical relaxation therapy as well for at least one month. The men completed one-hour daily practice sessions for six months.
More than 50% of the men had a 25% or greater decrease in pain or urinary scores, and 72% of the men reported moderate or marked improvement in their symptoms. Of the men who had at least 50% improvement, their pain decreased by 69%, and their urinary symptoms declined by 80%. The authors concluded that myofascial trigger point and release therapy, along with paradoxical relaxation therapy, is an effective way to manage CP/CPPS.
How Does Trigger Point Release Therapy Work?
Trigger points are painful and tight areas of muscles that are stressed or injured. One feature of trigger points is referred pain. When you press a trigger point it can refer the pain to another spot on the body.
A therapist or doctor uses fingertips to press the painful points, applying sustained pressure into the myofascial connective tissue. This is helpful for men whose pelvic pain is caused by abnormal tension in the pelvic floor muscles. When the therapist presses the trigger points, it helps to stretch the pelvic floor muscles and “reset” them to their normal length.
Some of the treatment can be done externally, but some of these muscles must be reached through the rectum, so the person performing the therapy will insert a lubricated and gloved finger into the rectum.
This treatment is often combined with paradoxical relaxation therapy. This exercise method involves autonomic self-regulation to decrease pelvic floor muscle tension. In this method, the patient learns how to release their tension. It involves a specific breathing technique that helps relieve anxiety, and the patient goes through training sessions to learn to focus his attention on the effortless acceptance of tension in his body.
A related alternative treatment for prostatitis is myofascial trigger point injection therapy. This method treats the trigger points with an injected substance. The clinician decides the most appropriate substance. There are several substances used such as saline, corticosteroids, or even local anesthetics.
How to Get Trigger Point Release Therapy
Look for a qualified doctor or therapist that is experienced in this type of therapy. As many causes of pelvic tension stem from problems outside the prostate (such as diet, stress, psychological problems, or health problems somewhere else in the body) it is most beneficial if you can try to determine the cause of your pelvic tension through “whole body” treatment programs such as the “NPAT” Treatment Program for Prostatitis.
Other alternative treatment programs for CP/CPPS incorporate trigger point release therapy. The Renew XY Health Program for Men™ incorporates trigger point release as well as many other exercises and tools for treating pelvic pain and tension. The Wise-Anderson Protocol also focuses on stretches to release trigger points. Whatever the cause of the problems, most men find relief from their CP/CPPS symptoms by engaging in multiple natural and alternative therapies for prostatitis.
Reference for Trigger Point Release Therapy:
Anderson RU et al. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain syndrome in men. J Urol 2005; 174: 155-60