Is CPPS a form of CRPS

Male pelvic pain, prostatitis, IC
ramana
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Is CPPS a form of CRPS

Post by ramana »

Does this theory still hold true
viewtopic.php?t=264&highlight=crps
My pain management physician tells me that I have CRPS. I am now confused with the different approaches.
As per my understanding

a) Stanford/Wise-Anderson Protocol prescribes PT (for muscles) and relaxation (for nerves and muscles)
b) CRPS deals with only nerves (and if the nerves are ok than probably muscles are ok too)

Is it possible that if the underlying cause is nerves than doing trigger point therapy on muscles is merely treating the symptoms of pain caused by nerves
Age:36 | Onset Age: 31 (chronic incomplete evacuation since 29) | Symptoms: Anal fissure (3); Pain in the rectum. Left Testicular pain started in August 2007. Professional PT (5 sessions) in June 2007. Stanford/Wise-Anderson Protocol in July 2007. Back to professional PT from Dec 17 2007 onwards twice a week; Dry needling once a week since March 06 2008. | Helped By: Sleeping; lying down; Thermotex infrared heating pad | Worsened By: Any activity; Medications Lyrica 75 mg* 2, Elavil 10mg Supplements; Cod liver oil ; Natural calm started 02/15; Vitamin B12 started 02/16;Vitamin D 1000U 03//08;Glucosamine+hyaluronic acid+MSM 04/08 Bed ridden since August 2007; Working from bed since Dec 2007 ;Botox done 100 units 04/03/08;RAST for wheat/rye/oats/milk -ve. Dairy free since 04/20/08. Gluten free since 04/25/08;Tried without success so far: Baclofen, PEMF machines, pranic healing reiki ;
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Post by webslave »

CPPS is not CRPS. If you look carefully at CRPS, you'll see that there are symptoms that are unique to that disorder.
http://en.wikipedia.org/wiki/Complex_Re ... e#Symptoms

However, it seems certain that there are elements of similarity between the two.
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Post by webslave »

And don't think this is that simple. Treating trigger points and relieving pain may help simply because it allows the neuronal windup to unwind. If the pain and negative feedback can be interrupted, the whole process has a chance to de-escalate. I hope you can see what I mean.
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ramana
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Post by ramana »

Thanks for the response. My symptoms seem to be halfway between chronic prostatitis / chronic pelvic pain syndrome and CRPS.
Right now I have testicular and suprapubic pain. In times of more pain, merely touching the skin of the testicle causes pain. The doctor characterised it as allodynia and therefore CRPS.

I checked all possible places for trigger points (including abdominal obliques) and could not find any. However, if I press on the suprapubic region at times of less pain, it does radiate pain to the testicles. Pressing on that spot (assuming it is a trigger point) increases the pain. I have pressed on it and also tried 'milking' but it always increases the pain and thus does not behave like a normal trigger point.

I had rectal pain earlier and doing trigger point therapy did relieve me of pain. I assumed that I had chronic prostatitis / chronic pelvic pain syndrome as a result. Testicular pain (that started post ejaculation for a semen test) is behaving more like CRPS. The only clue that it may be chronic prostatitis / chronic pelvic pain syndrome is that the testicular pain is more on the left side and the PT found that my internal muscles on the left side were hypotonic.


So am still cofused on whether it is chronic prostatitis / chronic pelvic pain syndrome / CRPS
Age:36 | Onset Age: 31 (chronic incomplete evacuation since 29) | Symptoms: Anal fissure (3); Pain in the rectum. Left Testicular pain started in August 2007. Professional PT (5 sessions) in June 2007. Stanford/Wise-Anderson Protocol in July 2007. Back to professional PT from Dec 17 2007 onwards twice a week; Dry needling once a week since March 06 2008. | Helped By: Sleeping; lying down; Thermotex infrared heating pad | Worsened By: Any activity; Medications Lyrica 75 mg* 2, Elavil 10mg Supplements; Cod liver oil ; Natural calm started 02/15; Vitamin B12 started 02/16;Vitamin D 1000U 03//08;Glucosamine+hyaluronic acid+MSM 04/08 Bed ridden since August 2007; Working from bed since Dec 2007 ;Botox done 100 units 04/03/08;RAST for wheat/rye/oats/milk -ve. Dairy free since 04/20/08. Gluten free since 04/25/08;Tried without success so far: Baclofen, PEMF machines, pranic healing reiki ;
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Post by webslave »

Study this page
https://ucpps.men/chronic-prostatitis-is-a-psychoneuromuscular-condition

Allodynia is shown in one of the graphs, incidentally.
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