Gmccormack's case
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carld
- Retired Mod

- Posts: 1554
- Joined: Mon Aug 21, 2006 11:49 pm
- Location: Newbury Park
Re: Elavil Question
I'm a big supporter of Elavil low dosage all the way...The reason why I think it has helped my CP/CPPS is simply this...
It helps ease my anxiety along with my cognitive work in a safe low dose. I have excepted that I have a genetic issue and I'm prone to anxiety and panic disorder.
Mast cell protection, so I have less degranulation of mast cells etc....
Thus this helps relax irritated nerves and muscles so they can heal...
No placebo effect in my opinion...It's helping you, but work hard on cognitive ways to relax the body and mind.
Eat right
stretch and learn self internal work as needed
Take Aleve (naproxen) as needed...I usually take 2 to 4 a week ( on weekends) which I think is safe and I have not had any problems I'm aware of. Sometimes I won't take any for weeks.
Above all do what you love and charge hard in a relaxed way!!
It helps ease my anxiety along with my cognitive work in a safe low dose. I have excepted that I have a genetic issue and I'm prone to anxiety and panic disorder.
Mast cell protection, so I have less degranulation of mast cells etc....
Thus this helps relax irritated nerves and muscles so they can heal...
No placebo effect in my opinion...It's helping you, but work hard on cognitive ways to relax the body and mind.
Eat right
stretch and learn self internal work as needed
Take Aleve (naproxen) as needed...I usually take 2 to 4 a week ( on weekends) which I think is safe and I have not had any problems I'm aware of. Sometimes I won't take any for weeks.
Above all do what you love and charge hard in a relaxed way!!
I am not a medical doctor. Please fill out your signature (click here) ☼ ☼ My Starter List for new members
I encourage anxiety prone UCPPS people to consider L-Theanine
Age, 44 onset age 37 Feb 2006 Freq. need to urinate. Sensation of having to urinate soon after going. Perineum discomfort/burning/tightness, pubic area discomfort @ times,poor urine stream, post urine dripping/spray. All symptoms have improved with my protocol. At the worst I give it a 1 to 2 on irritation and discomfort and frequency. Helps: Elavil 5mg for anxiety and mast cell protection, (will only take it as needed) self internal PT as needed, stretching, walking, stairmaster cardio workout and light weights, reducing stress, moment to moment relaxation, deep breathing relaxation and using a Theracane. Makes worse: sitting for long periods, stress, over focusing on it. Currently 95%-98% recovered. Stay positive, relaxed and control your anxiety.
I encourage anxiety prone UCPPS people to consider L-Theanine
Age, 44 onset age 37 Feb 2006 Freq. need to urinate. Sensation of having to urinate soon after going. Perineum discomfort/burning/tightness, pubic area discomfort @ times,poor urine stream, post urine dripping/spray. All symptoms have improved with my protocol. At the worst I give it a 1 to 2 on irritation and discomfort and frequency. Helps: Elavil 5mg for anxiety and mast cell protection, (will only take it as needed) self internal PT as needed, stretching, walking, stairmaster cardio workout and light weights, reducing stress, moment to moment relaxation, deep breathing relaxation and using a Theracane. Makes worse: sitting for long periods, stress, over focusing on it. Currently 95%-98% recovered. Stay positive, relaxed and control your anxiety.
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Jay
- Retired Mod

- Posts: 745
- Joined: Wed Mar 05, 2008 4:28 pm
- Location: Florida
Re: Elavil Question
Hi there,
The placebo effect can be very powerful, but by the same token, Elavil has helped quite a few people and is a known treatment course among urologists. If you're finding that your relief is still sustained by week's end, I'd say you're on to something.
Unfortunately, Elavil didn't help me (quite the opposite), but I suspect I have problems which differ from those of the majority.
Best,
Jay
The placebo effect can be very powerful, but by the same token, Elavil has helped quite a few people and is a known treatment course among urologists. If you're finding that your relief is still sustained by week's end, I'd say you're on to something.
Unfortunately, Elavil didn't help me (quite the opposite), but I suspect I have problems which differ from those of the majority.
Best,
Jay
I am not a physician. This is not medical advice. Consult your doctor!
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.
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gmccormack
- Veteran

- Posts: 204
- Joined: Wed Jan 21, 2009 3:19 am
- Location: Boston, MA
First PT
Hi,
Anyone that has doubts regarding whether or not PT will reduce symptoms should at least give it try. I met with Ann Lavesque today out of the Boston area, she was extremely professional and knew the contents of HITP very well. As most, I was very skeptical although I had felt some abdomen spasms and in addition I was a bit leery of internal PT.
I am here to say that after the first treatment she found at least 6 point internally that had me grimacing and hurt quite a lot. So far today I have been able to sit for 5 hours pain free in rectum at least, with getting up twice to urinate. It was interesting because I had thought the pain in the rectum was my prostate hurting but she said she was no where near the prostate when she was hitting the points. She said I had some muscles that felt like bone and some taught bands. She mentioned it was good I was seeing her so quickly into my bout because the longer you wait longer the muscles have to become dysfunctional and more difficult to treat.
I'm still dealing with a weak flow and some general pelvis pain but I have no doubt that PT is the answer along with relaxation which I will learn when I head to Stanford in March.
Thank you to you all who have provided information on PT and convinced me enough to try it.
Anyone that has doubts regarding whether or not PT will reduce symptoms should at least give it try. I met with Ann Lavesque today out of the Boston area, she was extremely professional and knew the contents of HITP very well. As most, I was very skeptical although I had felt some abdomen spasms and in addition I was a bit leery of internal PT.
I am here to say that after the first treatment she found at least 6 point internally that had me grimacing and hurt quite a lot. So far today I have been able to sit for 5 hours pain free in rectum at least, with getting up twice to urinate. It was interesting because I had thought the pain in the rectum was my prostate hurting but she said she was no where near the prostate when she was hitting the points. She said I had some muscles that felt like bone and some taught bands. She mentioned it was good I was seeing her so quickly into my bout because the longer you wait longer the muscles have to become dysfunctional and more difficult to treat.
I'm still dealing with a weak flow and some general pelvis pain but I have no doubt that PT is the answer along with relaxation which I will learn when I head to Stanford in March.
Thank you to you all who have provided information on PT and convinced me enough to try it.
Age: | Onset Age: | Symptoms: | Helped By: | Worsened By: | Other comments:
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webslave
- Maintenance

- Posts: 11432
- Joined: Wed Oct 30, 2002 3:18 pm
- Location: Please give your location so we can help better
Re: First Time Poster (gmccormack's case)
A good PT is like gold; you are lucky to have found one.
Good News! The great ProstaQ is BACK at last! You must try it.
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gmccormack
- Veteran

- Posts: 204
- Joined: Wed Jan 21, 2009 3:19 am
- Location: Boston, MA
Progressing...
Just wanted to give an update on my condition and info to newer members.
I have had chronic prostatitis / chronic pelvic pain syndrome for 3.5 months now and and the last 10 days the symptoms have been very mild, the first 3 months were atrocious with a great deal of pain. I have been doing:
relaxation
PT
psychiatrist
numerous herbs
acupuncture
Cardura
Elavil (10 mg at night)
In reality I don't know how much this protocol is helping or if I would just be feeling better regardless. After reading literally over 500 posts this weekend I went on a mental roller coaster ride, some men showed tremendous success and have been "cured" while others have suffered for a decade.
With my symptoms so mild, Saturday I told myself " I can live a normal life with this if I had to" and this mentality has relieved a lot of anxiety and I am not consumed every minute of the day by it. Could this just be the symptoms waning, possibly...
Coincidentally, I ran into a family friend who is a well known physician at an organic foods store nearby picking up some gluten free foods (based on Webslave's experience). I spoke with him for 10 minutes about CPPS/CP and he said that prostatatis is extremely common and most FULLY recover, the bouts typically burn out under a year but one may need a change in lifestyle to prevent another bout.
I found his statement contrary to what some members have stated, that it never completely goes away. Originally, I found these comments to be soul breaking but to the newer members, some of these posts need to be taken with a grain of salt, there are many experienced members with great information and others that just complain about their problem(s) and offer nothing. Dr Shoskes has said that members that post on these sites inherently have longer and worse symptoms than most and this is an important observation.
I agree with Webslave that more research must be done in terms of how many patients do recover and those that still have symptoms. However, in my personal experience with other men that I know who have had this condition it is completely resolved and I believe that to be the majority . Obviously, personal experience is no match for scientific studies but I have yet to find one with statistics of recovery.
I have had chronic prostatitis / chronic pelvic pain syndrome for 3.5 months now and and the last 10 days the symptoms have been very mild, the first 3 months were atrocious with a great deal of pain. I have been doing:
relaxation
PT
psychiatrist
numerous herbs
acupuncture
Cardura
Elavil (10 mg at night)
In reality I don't know how much this protocol is helping or if I would just be feeling better regardless. After reading literally over 500 posts this weekend I went on a mental roller coaster ride, some men showed tremendous success and have been "cured" while others have suffered for a decade.
With my symptoms so mild, Saturday I told myself " I can live a normal life with this if I had to" and this mentality has relieved a lot of anxiety and I am not consumed every minute of the day by it. Could this just be the symptoms waning, possibly...
Coincidentally, I ran into a family friend who is a well known physician at an organic foods store nearby picking up some gluten free foods (based on Webslave's experience). I spoke with him for 10 minutes about CPPS/CP and he said that prostatatis is extremely common and most FULLY recover, the bouts typically burn out under a year but one may need a change in lifestyle to prevent another bout.
I found his statement contrary to what some members have stated, that it never completely goes away. Originally, I found these comments to be soul breaking but to the newer members, some of these posts need to be taken with a grain of salt, there are many experienced members with great information and others that just complain about their problem(s) and offer nothing. Dr Shoskes has said that members that post on these sites inherently have longer and worse symptoms than most and this is an important observation.
I agree with Webslave that more research must be done in terms of how many patients do recover and those that still have symptoms. However, in my personal experience with other men that I know who have had this condition it is completely resolved and I believe that to be the majority . Obviously, personal experience is no match for scientific studies but I have yet to find one with statistics of recovery.
Age: | Onset Age: | Symptoms: | Helped By: | Worsened By: | Other comments:
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webslave
- Maintenance

- Posts: 11432
- Joined: Wed Oct 30, 2002 3:18 pm
- Location: Please give your location so we can help better
Re: First Time Poster (Gmccormack's Case)
Since your case is "new", there is every chance you will recover completely. But you may have another "bout" many years down the track, since you are susceptible. No biggy.
Good News! The great ProstaQ is BACK at last! You must try it.
| HAS THIS SITE HELPED YOU? Say Thanks by donating. Keep the Forum alive on the Internet! PayPal link at end of page ↓ Contact me at support at ucpps.men |
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gmccormack
- Veteran

- Posts: 204
- Joined: Wed Jan 21, 2009 3:19 am
- Location: Boston, MA
Re: First Time Poster (Gmccormack's Case)
Thanks Webslave, still have reserved a spot at Stanford in March. We'll see how I am then.
By the way anyone interested there was a great debate a while back on the "burning out" of prostatitis. I tend to agree with Sleeper Service but I am still learning...
check it out...
viewtopic.php?f=37&t=5528&p=30363#p30363
By the way anyone interested there was a great debate a while back on the "burning out" of prostatitis. I tend to agree with Sleeper Service but I am still learning...
check it out...
viewtopic.php?f=37&t=5528&p=30363#p30363
Age: | Onset Age: | Symptoms: | Helped By: | Worsened By: | Other comments:
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gmccormack
- Veteran

- Posts: 204
- Joined: Wed Jan 21, 2009 3:19 am
- Location: Boston, MA
Re: First Time Poster (Gmccormack's Case)
Hi,
Question...
The pain level of my symptoms has gone down considerably, but my urine flow is still only about 60-70% of normal. I am able to completely void and have very little residual urine.
When I was taking Bactrim and Cipro while the pain was still there the urine flow was back to normal. Once off the flow decreased again.
I realize there is no infection and the antibiotics are acting as an anti inflammatory, but would it make sense to go back on them for a short period (2 weeks) get my urine flow back and hope that it remains since my pain level is diminished? My uro I'm sure would gladly prescribe more of them...
Question...
The pain level of my symptoms has gone down considerably, but my urine flow is still only about 60-70% of normal. I am able to completely void and have very little residual urine.
When I was taking Bactrim and Cipro while the pain was still there the urine flow was back to normal. Once off the flow decreased again.
I realize there is no infection and the antibiotics are acting as an anti inflammatory, but would it make sense to go back on them for a short period (2 weeks) get my urine flow back and hope that it remains since my pain level is diminished? My uro I'm sure would gladly prescribe more of them...
Age: | Onset Age: | Symptoms: | Helped By: | Worsened By: | Other comments:
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jerry025
- Beginner

- Posts: 21
- Joined: Sun Mar 02, 2008 10:17 pm
Re: First Time Poster (Gmccormack's Case)
I would try something like any accredited quercetin product first before more courses of AB.
Age: 40 | Onset Age: 39 First | Symptoms: Frequent Urination. Feeling of having to go soon after going. Irritation in the penis. Current | Symptoms: Occasional frequency. Irritation at base of penis/subrapubic area. Dull, but more widespread pain in whole pelvic area at times. Post-urinary dribbling. | Helped By: Relaxing. Walking sometimes helps. | Worsened By: Sitting at work. Driving. Bowel Movement. Stressing about it.
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gmccormack
- Veteran

- Posts: 204
- Joined: Wed Jan 21, 2009 3:19 am
- Location: Boston, MA
Flare Question
I notice in the HITP and many members here experience flares that come and go and the pain waxes and wanes. In my 4 months of suffering I have never experienced this. The symptoms built up to a peak over 2.5 months and then slowly started coming down and feel pretty good now. Should I take this as a sign that I am on my way to being "cured" or am I at a low pain/symptom point.
Experienced members, I know you've seen a lot. Is it more common to wax and wane or to peak and slowly resolve with treatments? I asked my PT and she said she sees more that DON'T wax and wane but it is a personal experience and different for everyone. I know there is no scientific answer or stat but I ask because if it wasn't for the anxiety that this is going to come back full force I could get on with my life.
Thanks -
Experienced members, I know you've seen a lot. Is it more common to wax and wane or to peak and slowly resolve with treatments? I asked my PT and she said she sees more that DON'T wax and wane but it is a personal experience and different for everyone. I know there is no scientific answer or stat but I ask because if it wasn't for the anxiety that this is going to come back full force I could get on with my life.
Thanks -
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graeme
- Old Hand

- Posts: 452
- Joined: Fri Jun 17, 2005 3:42 pm
- Location: Birmingham uk
Re: Flare Question
Wax and wane happens to a lot of guys after quite a bit of time normally or for me the first 6 months was full on then after about 1 year wax and wane started 
Age:33 | Onset Age:19 | Symptoms:burning urethra, deep sore stinging around the perineum, dribbling | Helped By:when flare starts deep relaxing over a toilet to let out dribbling urine, hot bath, rubbing a heat cream on the perineum, Tens with a pad on the perineum, running, medication (solpadol) for pain. Current treatment: PT. | Worsened By:sitting, stressing over it, ejaculation, sometimes alcohol but I risk it. Been feeling a lot better last 6 months about 85% with a few flares lasting about 5 days. No longer having PT. Stretching every other night and I believe time is also a big factor for me
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neue01
- Senior Veteran

- Posts: 225
- Joined: Wed Feb 06, 2008 6:17 pm
- Location: San Francisco
Re: Flare Question
My guess is that it might depend on what methods you're using to get over this condition. I get flares from eating foods I'm intolerant too as well as from breaking down trigger points through massage and physical therapy. This happens if I accidentally aggravate the trigger point instead of releasing it or occasionally from a difficult and heavy session that actually results in a release. If your just using relaxation I'd guess you might not flare at all.
Age: 33 | Onset Age: 28
Flare | Symptoms: burning after urination/defecation, post-urinary dribbling, low libido, low arousal, pelvic aches and pains.
Helped By: Physical therapy of the levator ani muscle group, Relaxation, Diet
Worsened By: Eating refined sugar and gluten, coffee, beer, stress
Flare | Symptoms: burning after urination/defecation, post-urinary dribbling, low libido, low arousal, pelvic aches and pains.
Helped By: Physical therapy of the levator ani muscle group, Relaxation, Diet
Worsened By: Eating refined sugar and gluten, coffee, beer, stress
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garyholc
- Old Hand

- Posts: 408
- Joined: Sun Jun 24, 2007 12:11 am
- Location: Cardiff, South Wales UK
Re: Flare Question
I wouldnt use the word cured as such, my symptoms as such over the months and past 2 years have varied so much, I have gone 4-5 months with nothing then wham, it comes back, so keep staying stress free, relaxed and stretching, its when you get complacent this thing comes back and slaps you in the face!
Age: 33 | Onset Age: 32 Initial Symptoms: Frequent urination Current Symptoms: The odd feeling of frequency but not much else Helped By: Not thinking about it, hot bath, red wine, light exercise, Bowen technique seems to help, getting on with my life Worsened By: catastrophic thinking, worrying things will get worse, feeling depressed, reading websites too often! Work! Sitting in work all day isn't good!! Current Progress : Since 1st Sept 08, no pain!!! :)
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carld
- Retired Mod

- Posts: 1554
- Joined: Mon Aug 21, 2006 11:49 pm
- Location: Newbury Park
Re: Flare Question
So true....garyholc wrote: its when you get complacent this thing comes back and slaps you in the face!
I am not a medical doctor. Please fill out your signature (click here) ☼ ☼ My Starter List for new members
I encourage anxiety prone UCPPS people to consider L-Theanine
Age, 44 onset age 37 Feb 2006 Freq. need to urinate. Sensation of having to urinate soon after going. Perineum discomfort/burning/tightness, pubic area discomfort @ times,poor urine stream, post urine dripping/spray. All symptoms have improved with my protocol. At the worst I give it a 1 to 2 on irritation and discomfort and frequency. Helps: Elavil 5mg for anxiety and mast cell protection, (will only take it as needed) self internal PT as needed, stretching, walking, stairmaster cardio workout and light weights, reducing stress, moment to moment relaxation, deep breathing relaxation and using a Theracane. Makes worse: sitting for long periods, stress, over focusing on it. Currently 95%-98% recovered. Stay positive, relaxed and control your anxiety.
I encourage anxiety prone UCPPS people to consider L-Theanine
Age, 44 onset age 37 Feb 2006 Freq. need to urinate. Sensation of having to urinate soon after going. Perineum discomfort/burning/tightness, pubic area discomfort @ times,poor urine stream, post urine dripping/spray. All symptoms have improved with my protocol. At the worst I give it a 1 to 2 on irritation and discomfort and frequency. Helps: Elavil 5mg for anxiety and mast cell protection, (will only take it as needed) self internal PT as needed, stretching, walking, stairmaster cardio workout and light weights, reducing stress, moment to moment relaxation, deep breathing relaxation and using a Theracane. Makes worse: sitting for long periods, stress, over focusing on it. Currently 95%-98% recovered. Stay positive, relaxed and control your anxiety.
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gmccormack
- Veteran

- Posts: 204
- Joined: Wed Jan 21, 2009 3:19 am
- Location: Boston, MA
Re: Flare Question
Gary,
I see that you have had this for a relatively short period of time considering the condition. You now have been pain free since September 2008, so you believe that if you are complacent it will surely come back and you are essentially in a lull and you could be back at square one in a matter of days?
Thanks -
I see that you have had this for a relatively short period of time considering the condition. You now have been pain free since September 2008, so you believe that if you are complacent it will surely come back and you are essentially in a lull and you could be back at square one in a matter of days?
Thanks -
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