I know that muscles are deffinetly playing a major role in my problem that has been going on for almost ten years. I finally started PT sessions, the only problem is the woman that I am seeing lives in another state and is always booked. I seen her last month for a 2 hour treatment which caused a pretty good, long flare up in my symptoms. The plane tickets were $211, the cab was $45 each way and the treatment was $300. This alone is a problem for me, but I will do whatever it takes to take care of this problem. My question is, she can only fit me in once a month, and I dont know if thats as often as I need. I would hate to think that its costing me this much money and just causing flare ups and will not get the results that I would if I could see her more. Can anyone give me their thoughts on this? Is this a waste of money and time, or can one achieve relief of this problem only getting treated once a month (for 2 hours)?
I am trying to get my wife to treat external TPs but this PT said that she doesnt see a lot going on externally.
Thank You
Frequency Of PT Sessions Question.
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GARYS
- Old Hand
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Frequency Of PT Sessions Question.
Age:33 | Onset Age: 20 | Symptoms: burning urethra after urinating, followed by rush to urinate again, rectal pain after a bowel movement sometimes, frequency. | Helped By: Pyridium and Ativan | Worsened By: stress, sitting and unknown reasons.
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mac07
When I was doing the Stanford/Wise-Anderson Protocol (it cured me) I was in PT
2-3 times a week. Have you posed this question to your PT?
In my opinion I do not think that PT once a month is of any value.
Perhaps the following analogy is weak, but if you were training to
run a 5 mile race, or learning to play the piano I do not think 1 lesson
or 1 run per month would prepare you for either. Your muscles
need to learn a new way of functioning, this requires repetitive retraining.
I am not a PT, I am just telling you my exerperience.
2-3 times a week. Have you posed this question to your PT?
In my opinion I do not think that PT once a month is of any value.
Perhaps the following analogy is weak, but if you were training to
run a 5 mile race, or learning to play the piano I do not think 1 lesson
or 1 run per month would prepare you for either. Your muscles
need to learn a new way of functioning, this requires repetitive retraining.
I am not a PT, I am just telling you my exerperience.
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scotsman
- Retired Mod
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- Location: Scotland, UK
Whilst more frequent PT would be more benefical, once a month is better than not at all. Though you will need to up the treatment frequency to get significant benefits.mac07 wrote:..In my opinion I do not think that PT once a month is of any value...
A suggestion would be to have your wife do internal work as well as external. Worth her going with you to your next session and get your physio to show her.
Have you tried doing any internal stuff yourself? You'd be surprised how little a physio actually goes into your backside when doing the treatment and using a glove (with some water based lubricant) you may/should be able to self treat (just take it easy to start with - you don't have to apply much pressure anyway).
I'd also ask your physio to draw out a map of your pelvic floor showing the triggerpoints.
Richard.
Not medical advice: Read my progress to date : Read about my W-A clinic visit
Age: 54 CPPS: 20 Yrs Recovery Status: 95% Symptoms: Pain around perineum Makes Worse: Tension, sitting Makes Better: Stretching, triggerpoint therapy, relaxation
Age: 54 CPPS: 20 Yrs Recovery Status: 95% Symptoms: Pain around perineum Makes Worse: Tension, sitting Makes Better: Stretching, triggerpoint therapy, relaxation
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GARYS
- Old Hand
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- Joined: Thu Oct 31, 2002 12:40 am
Thanks for your responses! I havent asked my PT about these issues, but I will next time I see her. She stated that my problem was not so much TPs as it was a very tight pelvic floor ( although she did hit some TPs). Any suggestions on how you actually lengthen your pelvic muscles. I am deffinetly open to self treatment, and plan on starting right away. I have Daives book but as far as internal work it doesnt really get into it. (from what I remember). Ill have to get it back out.
Age:33 | Onset Age: 20 | Symptoms: burning urethra after urinating, followed by rush to urinate again, rectal pain after a bowel movement sometimes, frequency. | Helped By: Pyridium and Ativan | Worsened By: stress, sitting and unknown reasons.
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scotsman
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I think that the next edition of AHIP (out mid Feb) has diagrams of where triggerpoints might be in the pelvic floor which could be useful for self/home treatment.
Richard.
Richard.
Not medical advice: Read my progress to date : Read about my W-A clinic visit
Age: 54 CPPS: 20 Yrs Recovery Status: 95% Symptoms: Pain around perineum Makes Worse: Tension, sitting Makes Better: Stretching, triggerpoint therapy, relaxation
Age: 54 CPPS: 20 Yrs Recovery Status: 95% Symptoms: Pain around perineum Makes Worse: Tension, sitting Makes Better: Stretching, triggerpoint therapy, relaxation
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CppsDad
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I agree that you need to up the frequency a lot, especially at the beginning. The first few weeks I did 3 sessions a week, and after that I am having my wife do 2 sessions per week or less. After a few months you can probably taper down a bit.
Dr. Wise fully encourages partners to learn how to do the PT. While you can do some PT yourself, if you have a willing partner you will get much much farther. There are few tools you can buy that have the touch and sensitivity of an actual partner doing the work for you. My wife attended two sessions with me, and after that she has taken it from there. After only a handful of sessions, she was matching what the PT was doing for the most part; and in some cases was doing it better (sometimes the PT may be pressed for time and may not get everywhere). The only thing my wife lacks is stamina; sometimes her hand tires out early.
Before doing ANY of this, I think it is best to experience 5-10 sessions with a trained PT so that you know exactly what to expect and what things should feel like before turning it over to your wife. Then you won't be nervous with her doing it, and you'll know if she's doing it right. But most importantly, because the early PT sessions cause so many flare ups, you want to be confident that the flare ups are the right response and not from a "bad" PT session (which you and your partner WILL have every once in a while).
Michael
Dr. Wise fully encourages partners to learn how to do the PT. While you can do some PT yourself, if you have a willing partner you will get much much farther. There are few tools you can buy that have the touch and sensitivity of an actual partner doing the work for you. My wife attended two sessions with me, and after that she has taken it from there. After only a handful of sessions, she was matching what the PT was doing for the most part; and in some cases was doing it better (sometimes the PT may be pressed for time and may not get everywhere). The only thing my wife lacks is stamina; sometimes her hand tires out early.
Before doing ANY of this, I think it is best to experience 5-10 sessions with a trained PT so that you know exactly what to expect and what things should feel like before turning it over to your wife. Then you won't be nervous with her doing it, and you'll know if she's doing it right. But most importantly, because the early PT sessions cause so many flare ups, you want to be confident that the flare ups are the right response and not from a "bad" PT session (which you and your partner WILL have every once in a while).
Michael
This is NOT medical advice. I am NOT a doctor.
Age: 43 CPPS: 10+ Yrs Recovery Status: 80-85% Symptoms: Pain in testicles, scrotum, rectum, prostate, perineum Makes Worse: Anxiety, Tension, too much Nookie Makes Better: Stretching, Abdominal Massage (Go Theracane!), Relaxation
Age: 43 CPPS: 10+ Yrs Recovery Status: 80-85% Symptoms: Pain in testicles, scrotum, rectum, prostate, perineum Makes Worse: Anxiety, Tension, too much Nookie Makes Better: Stretching, Abdominal Massage (Go Theracane!), Relaxation
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GARYS
- Old Hand
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Makes a lot of sense, Thank You!! So if I can get my wife to do it and correctly I can get a lot futher and save a lot of money!!! That would be an answer to my prayers (relief and extra money). You can't beat that!!!!
Age:33 | Onset Age: 20 | Symptoms: burning urethra after urinating, followed by rush to urinate again, rectal pain after a bowel movement sometimes, frequency. | Helped By: Pyridium and Ativan | Worsened By: stress, sitting and unknown reasons.
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NoMoPain
- Intermediate Member
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My wife has recently started to stretch me out in the internal pelvic floor and I don't know why I waited so long to let her do it (about a year of PT). I guess I always thought that she would screw up and put me back in bad pain. On the contrary she seems to do it almost as good as the PT, and in the comfort of our own home. I feel great about her doing it now because when she finishes, I can just lay on the bed, put a heat pack on the pelvic area (be careful, not too hot!), and then I play a relaxation tape and wow!. I feel looser and better down there. I can definately see why it is encouraged to have a spouse do this now. I did use a dilator on myself several times that I got from my PT, and this was helpful, but not as much as having someone else do it. If you have no spouse then a dilator or wand device may be the way to go. I know it sounds weird and spooky but you get over it real quick after you start getting better as a result of it all.
The good news is that the more you have the internal work done the more you get used to it and the better the results get over time. I have to admit though in the beginning I was terrified of having a finger in there but hey, if that is what it takes to get better, so be it. I will gladly throw my desire for macho image in the garbage to get better and get out of pain anyday.
The good news is that the more you have the internal work done the more you get used to it and the better the results get over time. I have to admit though in the beginning I was terrified of having a finger in there but hey, if that is what it takes to get better, so be it. I will gladly throw my desire for macho image in the garbage to get better and get out of pain anyday.
Age: 41 | Onset Age: 24 | Symptoms: You name it, I had it. | Helped By: Wand, Theracane, Cognitive Enquiry (Byron Katie) Stretches, The right kind of excercise | Worsened By: Stress, The wrong kind of excercise,
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GARYS
- Old Hand
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- Joined: Thu Oct 31, 2002 12:40 am
Does anyone have any suggestions I could give my wife about doing the PT. I will know when she hits a TP and I think your supposed to push in on it until you feel it loosen up, but as far as having her stretch my PF muscles, I dont have a clue!!! Any Ideas?
Tahnk You
Gary
Tahnk You
Gary
Age:33 | Onset Age: 20 | Symptoms: burning urethra after urinating, followed by rush to urinate again, rectal pain after a bowel movement sometimes, frequency. | Helped By: Pyridium and Ativan | Worsened By: stress, sitting and unknown reasons.
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CppsDad
- Retired Mod
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- Joined: Sat Nov 20, 2004 7:24 am
- Location: N. America
You DEFINITELY want to have your wife attend a few sessions with you. Just watching the PT's body language, position, and effort will teach her a lot. For just general stretching, I tell my wife to go everywhere basically. But she needs to have the PT explain a few things with her, and supervise a session or two (that allows the PT to reposition her body and arm and hand as appropriate).
Mike
Mike
This is NOT medical advice. I am NOT a doctor.
Age: 43 CPPS: 10+ Yrs Recovery Status: 80-85% Symptoms: Pain in testicles, scrotum, rectum, prostate, perineum Makes Worse: Anxiety, Tension, too much Nookie Makes Better: Stretching, Abdominal Massage (Go Theracane!), Relaxation
Age: 43 CPPS: 10+ Yrs Recovery Status: 80-85% Symptoms: Pain in testicles, scrotum, rectum, prostate, perineum Makes Worse: Anxiety, Tension, too much Nookie Makes Better: Stretching, Abdominal Massage (Go Theracane!), Relaxation