help , I hurt myself I guess

Male pelvic pain, prostatitis, IC
winding_road

help , I hurt myself I guess

Post by winding_road »

any idea what should I do ?

last time I saw doctor Anderson he looked for trigger points. And one of the trigger points he found is located in my lower abdomen, actually it 's just 3-5 inches above my penis and so located in the pubic area.

It is on the right side. It really hurts. And it is really one of the easiest trigger point to detect. Now yesterday I was massaging myself , and I put my finger on the trigger point and pressed. I also did a slow (very small) rotation of my finger over this point. After that it started to really hurt, like something that became inflamed ( like when you hit your head somwhere and it hurst and you touch your head) and even when I stand up and sit down it hurts. it has been like a day like that, what do suggest ? I have an appointmenet with a PT on tuesday but I feel this is really a big thing, and important clue to my recovery. since I pressed there and the pain started the ED increased to a non precedented level.


On the touch in hurts not only on this trigger point but now on whole area on the right side ( circle of 1.5 inch diameter maybe )
winding_road

Post by winding_road »

is ice a good idea ? that s what I am feeling like now
tried the hot water yesterday, not sure if that help at all ...
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Post by LightningTree »

Do you think you should see a medical doctor?

This is not medical advice, and I am NOT a doctor of medicine or a related field.
* Age:33 Onset: February 2004.
* 99.9% IMPROVEMENT in 2.5 Years with the first year being the really hard part
* Current Symptoms: Mild irritation of perineal muscles on occasion. Relieved for days at a time by a specific stretch (see below).
* Initial Symptoms: Terrible penile, urethral, rectal, and perineal burning/aching with addition afferent sensations.
* Current Treatments: Deep stretching of the legs and pelvis. Most effective: Deep psoas and levitar ani stretch using the first phase of the "pigeon pose" from Yoga. When a deep pulling is felt in the middle of the pelvis next to the upper rectum, symptoms are completely alleviated for several days.
* Past Treatments Hyperprotection of the perineum for 1.7 years, Walking, Rectal biofeedback, Stanford/Wise-Anderson Protocol, Conditioned deep relaxation practice, Men's Multi-Vitamin and an Extra B-complex pill, all seemed to help.
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treynor33
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Post by treynor33 »

Take this for what it is worth...my PT says ice is better than heat when you have muscle pain....either before or after a PT session...hot baths make me worse while ice has helped the few times I've used it on my back....

Just a thought.........
Age: 45 Onset: 43. | Symptoms: Tightness, spasms, burning and pain in the perineum. Occassional mild pain after urination in the perineum. Helped by: Cardura, quitting caffiene, relaxation, fiber, stand up workstation and some PT a year ago. Makes Worse: ANXIETY, ULTRAM, going to work, sitting or squatting too long, constipation (big problems), stress, and sometimes unexplainable.
winding_road

Post by winding_road »

by the way Lighteneing tree , I should see a doctor that knows what I am talking about and to get to some doctor like that it will take me weeks , even seeing a GP over this week end is kinda impossible. besides the GP , will say ( as a heard them say before ) trigger point who the jigo what ?

so I thought on this forum somoene will have any experience or advice about that... for sure later I am going to see a good doc for this, cause this seem like a big thing...
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Post by CppsDad »

From what you've said, it sounds as if you've hit a major trigger point. I have a bad trigger point in the same area on my abdomen (not nearly as bad as yours from what it sounds like). Obviously, you want to make sure you didn't "break" anything, but unless you were pushing like an ox that's probably unlikely. The fact that it has hurt for 1 day is not serious. Sometimes I cause flare ups that last for weeks on end before things settle down again. Of course, a small flare up sometimes causes more tension elsewhere which spreads the whole flare up to greater heights. This could also be a good sign that you've found a major source of tension to work on. I wish I had more of those areas to focus on. As it is, I have to focus on everything still.

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
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Post by MastCells »

treynor33 wrote:Take this for what it is worth...my PT says ice is better than heat when you have muscle pain....either before or after a PT session...hot baths make me worse while ice has helped the few times I've used it on my back....

Just a thought.........
I've had the opposite experience. Ice contracts my pelvic muscles, causes much greater urinary frequency, and increases my pelvic pain dramatically. At least in my own experience COLD/ICE is a major trigger for CPPS/PM.
Last edited by MastCells on Sun Mar 20, 2005 3:43 pm, edited 2 times in total.
This is not medical advice. Please consult your physician.
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treynor33
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Post by treynor33 »

Not talking about relaxing them...I'm talking about stopping the pain and inflammation....
Age: 45 Onset: 43. | Symptoms: Tightness, spasms, burning and pain in the perineum. Occassional mild pain after urination in the perineum. Helped by: Cardura, quitting caffiene, relaxation, fiber, stand up workstation and some PT a year ago. Makes Worse: ANXIETY, ULTRAM, going to work, sitting or squatting too long, constipation (big problems), stress, and sometimes unexplainable.
winding_road

Post by winding_road »

thanks for the replies. neither the cold ice nor hot water helped much, and by the way this does not feel like a simple trigger point. It doesn t feel like other trigger points, rather more like if somebody hit you on your leg let s say, and when you touch it you fel bad. I hope I found a big thing that is going to help me go out of this mess, but until now the mess I am living in have been increasing.

Guys, recently I started developing BACK PAIN, and not the one that poeople mention here ( lower back pain), it is not located in one place all the time. It goes from my lower back to my neck. like today I have Middle Back pain. It feels exactly like you have been sitting in a position for 7 hours, like when you drive, and you want to strecth it. I never had back pain before. Sometimes it feels so deep inside that I even feel my whole upper body is aching, especially my stomach. And by the way It hurst more on the side of my stomach where I have trigger points.

My PT have not found any trigger points on my back. I am afraid that this is the begining of a new symphony just like the CPPS. and over time things are getting worse on all levels. I am afraid I have something really wrong, that didn t show up yet . Again I am 25. Damn it !
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treynor33
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Post by treynor33 »

I have the middle back pain too. But my pelvic pain and frequency is almost gone after PT...it seems like it just moved north. My PT has more work to do...she says that the back is compensating for problems in the pelvic floor.
Age: 45 Onset: 43. | Symptoms: Tightness, spasms, burning and pain in the perineum. Occassional mild pain after urination in the perineum. Helped by: Cardura, quitting caffiene, relaxation, fiber, stand up workstation and some PT a year ago. Makes Worse: ANXIETY, ULTRAM, going to work, sitting or squatting too long, constipation (big problems), stress, and sometimes unexplainable.
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Post by CppsDad »

I must say to this day I am still suprised at how many symptoms my chronic prostatitis / chronic pelvic pain syndrome was able to cause. It's like they have no limit. I'm not saying that you don't have anything more serious, but I am saying that I wouldn't be suprised at all if your back pain, and this horrible pain in your abdomen were caused by trigger points.

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
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Post by treynor33 »

Your right since all the muscles are basically connected, a change in one muscle can affect the entire structure and take time to adjust or require treatment. I never had back pain before but now it is the main issue. I hardly even think of my pelvic pain and frequency anymore although it was the issue that started all this.
Age: 45 Onset: 43. | Symptoms: Tightness, spasms, burning and pain in the perineum. Occassional mild pain after urination in the perineum. Helped by: Cardura, quitting caffiene, relaxation, fiber, stand up workstation and some PT a year ago. Makes Worse: ANXIETY, ULTRAM, going to work, sitting or squatting too long, constipation (big problems), stress, and sometimes unexplainable.
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Post by MastCells »

treynor33 wrote:Not talking about relaxing them...I'm talking about stopping the pain and inflammation....
Again, I just have to comment that COLD has always worsened my symptoms significantly, whether it be the application of an ice pack to the pelvic region or jumping into cold Maine water which contracted all of my pelvic muscles. For ME, COLD is a no-no! :sad:
This is not medical advice. Please consult your physician.
winding_road

Post by winding_road »

COLD WATER AND COLD WEATHER are also a cause of flare up. Well but if it works fro somoene that s great ! what can we say more than that this condition is more enigmatic than we thought.

ABout the BACK PAIN, I am sad to hear that this is quite common. Although for me I know what caused it, which possibly have caused my CPPS. I had the Back pain a month ago, and I cut down on those trigger activities and it was gone. I am considering going for a swim on a regular basis ? Any experience with that.

HOnestly after My appointment with Dr Anderson I am more shocked and lost than ever. He is a nice guy, and not pretentious at all. I felt he did not have a certainty about anything, which is a wise thing view this condition.
But you know, we all wish that those TOP doctors could say something more. HE was surprised again with my leg pain and my back pain , but most with the former. He did say how much reserach and smart people are needed in this area. But that the Stanford/Wise-Anderson Protocol seem the best option until now.

He did say too by the way that ED is a quite common thing in chronic prostatitis / chronic pelvic pain syndrome patients. His explanation was simple but did not pretend to have an accurate desciption of what's happening. At least that s my feeling.

After that I know that I cannot welcome any "certainty" coming from any other source, about the tough questions in CPPS.
And I think the best thing that we can do here on the forum is to try to push in some way for more research. Some people had some suggestions earlier. I think this should be taken seriously.
winding_road

Post by winding_road »

here you go :
The hamstring muscles seem to play a key role in low back pain, as patients who have low back pain tend to have tight hamstrings, and patients with tight hamstrings tend to have low back pain. It is not known which comes first, but it is clear that hamstring tightness limits motion in the pelvis and can place it in a position that increases stress across the low back. Therefore, it follows that stretching the hamstring muscles typically helps decrease the intensity of a patient's back pain and the frequency of recurrences.
from
http://www.spine-health.com/topics/cons ... /ex01.html

I do have tight hamstrings