Core-training!!

Male pelvic pain, prostatitis, IC
Gettingbetter
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Core-training!!

Post by Gettingbetter »

My PT told some time ago that my problems could be due to a weak transversus abdominis(the deeper stomach and back muscles used to keep the spine neutral ), and I'm really starting to believe her. During my early teens I did a lot of cruches and situps(which trains only the outer abdominals), and this according to my PT could make my body "forget" my inner muscle and therefor stop using it at all. This in turn would lead to an overload and chronic tension in my pelvic floor, back, neck and outer abdominals(rectus abdominis). They would take over the role as a "body stabilizer" which they were not made for. This will lead to a totally fucked up posture :sad:
If your body doesn't know how to use these deeper muscles, or they aren't recruited first for stabilization, it can lead to various injuries. If your body doesn't pick up on how to use them with different excersices then it will try to compensate using your overlying muscles. Anatomically this doesn't make sense

She advised me to begin with core training and training my front neck muscles. I will give it a try.

See this for more info:
http://www.personalpowertraining.net/ba ... 20chek.htm

http://athletes.com/fun/sonnon17.htm
Age:33 | Onset Age: 18 Old | Symptoms:Tight feeling in the pelvis and abdomen, burning in urethra and tip of penis,perineum, discharge from penis when it was the worst
Current symptoms: Mild discomfort in perineum, sometimes stomachaches
Helped By: Relaxation,breathing exercise, stretching,positive thinking, internal/external massage | Worsened By:Stress, too much sex/masturbating, Eating to large meals, Alcohol(day after)
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alprost
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Post by alprost »

Sorry, but your Physio is way off base with this as I advised you before in this post: viewtopic.php?p=15863&highlight=#15863
There isn't a shred of scientific evidence that poor recruitment of deep abdominal muscles causes chronic prostatitis / chronic pelvic pain syndrome (or any other problems for that matter - is happens as the RESULT of chronic low-back pain).

Your Physio sounds likel she is really keen to help you. Why not refer her to this page https://ucpps.men/chronic-prostatitis-is-a-psychoneuromuscular-condition or to AHIP.

She can then learn about the REAL cause of the majority of chronic prostatitis / chronic pelvic pain syndrome cases, and will then be well informed and able to arrange to learn these techniques so she can then provide sufferers like yourself with REAL treatment options, which have been proven by scientific research to offer significant benefits to chronic prostatitis / chronic pelvic pain syndrome sufferers.

Retraining the deep abdominal muscles to effectivly stabilise the spine and pelvic girdle has it's place, but this strategy should be implemented after myofascial trigger points have already been treated, and symptoms have significantly improved.
This is not Medical advice - Consult your Doctor!

Age:39. Age at onset:31. Symptoms prior to treatment: Golf ball in rectum, severe urinary frequency (2-3x/hr; 5-10x/night); weak stream; painful ejaculation; coccygeal pain; tip of penis pain; general pelvic pain on left; testicular pain; supra-pubic pain. Current | Symptoms: Urinary frequency 1x every 2-3 hrs and 1-2 x a night; mild pelvic pain on left hand side (all symptoms still improving!)
Helped by: Trigger point release; avoiding exercise; pelvic floor relaxation; Neurontin decreased bladder sensitivity somewhat. Worsened by: Exercise; frequent ejaculation; ibuprofen irritates bladder. Made no difference: Diet; biofeedback; quercetin; Steroid anti-inflammatories; Elavil.

****UPDATE*** I am now able to sit again at work all day, and can perform moderate aerobic exersise again for the first time in 8 years!!!

Please read:
viewtopic.php?f=37&t=808&p=3954
viewtopic.php?f=7&t=239&p=1158
viewtopic.php?f=37&t=248&p=1214
Gettingbetter
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Post by Gettingbetter »

Yeah but I feel that I have come to a point where I need to do something more than relaxing and treating trigger points(which I have done for about a year but they keep coming back). I really think that I need to strengthen my core muscles because I feel very unstable when I walk for example. Feels like my psoas and abdomen is pulling me down.
I don't think core-training would hurt me more. Especially not when I combine it with TP-release and relaxation/breathing excercises. Sure I might get some flareups at first but I can take it...
Age:33 | Onset Age: 18 Old | Symptoms:Tight feeling in the pelvis and abdomen, burning in urethra and tip of penis,perineum, discharge from penis when it was the worst
Current symptoms: Mild discomfort in perineum, sometimes stomachaches
Helped By: Relaxation,breathing exercise, stretching,positive thinking, internal/external massage | Worsened By:Stress, too much sex/masturbating, Eating to large meals, Alcohol(day after)
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alprost
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Post by alprost »

Gettingbetter wrote:Yeah but I feel that I have come to a point where I need to do something more than relaxing and treating trigger points(which I have done for about a year but they keep coming back)
Fair point. You should get your physio to check your pelvic alignment. I had my pelvis put out of alignment, and this caused the TP's to keep coming back. Since I've had it re-aligned, they have stopped recurring.
This is not Medical advice - Consult your Doctor!

Age:39. Age at onset:31. Symptoms prior to treatment: Golf ball in rectum, severe urinary frequency (2-3x/hr; 5-10x/night); weak stream; painful ejaculation; coccygeal pain; tip of penis pain; general pelvic pain on left; testicular pain; supra-pubic pain. Current | Symptoms: Urinary frequency 1x every 2-3 hrs and 1-2 x a night; mild pelvic pain on left hand side (all symptoms still improving!)
Helped by: Trigger point release; avoiding exercise; pelvic floor relaxation; Neurontin decreased bladder sensitivity somewhat. Worsened by: Exercise; frequent ejaculation; ibuprofen irritates bladder. Made no difference: Diet; biofeedback; quercetin; Steroid anti-inflammatories; Elavil.

****UPDATE*** I am now able to sit again at work all day, and can perform moderate aerobic exersise again for the first time in 8 years!!!

Please read:
viewtopic.php?f=37&t=808&p=3954
viewtopic.php?f=7&t=239&p=1158
viewtopic.php?f=37&t=248&p=1214
Gettingbetter
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Post by Gettingbetter »

You should get your physio to check your pelvic alignment
Ok thanks I will do that. Haven't been there for some months now so I'd better go there and have her check me out :smile:
Age:33 | Onset Age: 18 Old | Symptoms:Tight feeling in the pelvis and abdomen, burning in urethra and tip of penis,perineum, discharge from penis when it was the worst
Current symptoms: Mild discomfort in perineum, sometimes stomachaches
Helped By: Relaxation,breathing exercise, stretching,positive thinking, internal/external massage | Worsened By:Stress, too much sex/masturbating, Eating to large meals, Alcohol(day after)
Gettingbetter
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Post by Gettingbetter »

I'm not talking heavy excercises here like squats, deadlifts or bridges, but what I need to do(and probably a lot of us) is to reactivate the deep abdominal muscles. Like this(taken from John stone fitness forum):

"TA/MF Activation

1. Lie on your back with your legs/hips bent at a 45 degree
angle. You should have a natural curve of the spine.
2. Place a finger on each hipbone and move your finger in 1cm.
Press in firmly and this is where you will feel the contraction
the TA/MF.
3. To feel the contraction do several mild coughs or laugh and
feel the slight contraction. This is to give you an idea of the
actual muscles contracting and to try and differentiate
between the TA and the outer stomach muscles.
4.( Next contract your pelvic floor muscles by pretending you
need to go to toilet and you must stop yourself from
urinating.) Not a good thing to do for us :sad: skip this one!
5. Now slightly suck in your belly button towards your spine and
you should feel the TA/MF contract.
6. Don't suck in you belly too much, it should be easy to feel
the contraction.
7. When you contract the TA the Rectus Abdominis should
remain relaxed.
8. Breath as naturally as possible through your nose.

You should practice holding the TA/MF contraction as long as you can while breathing normally and then while breathing deeply. Practice the contraction standing, lying on your stomach and walking.

The goal is to be able to automatically contract the TA and hold it while you walk, lift things, workout at the gym and run. It should be activating all the time during the day whenever movement is present and the lumbar spine needs to be supported.

One you can easily contract the TA/MF you can then progress though certain exercises that strengthen and improve the Central Nervous Systems coordination."
Age:33 | Onset Age: 18 Old | Symptoms:Tight feeling in the pelvis and abdomen, burning in urethra and tip of penis,perineum, discharge from penis when it was the worst
Current symptoms: Mild discomfort in perineum, sometimes stomachaches
Helped By: Relaxation,breathing exercise, stretching,positive thinking, internal/external massage | Worsened By:Stress, too much sex/masturbating, Eating to large meals, Alcohol(day after)