CPPS and Sciatica, my buttock hurts

Male pelvic pain, prostatitis, IC
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Saulgoodman
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CPPS and Sciatica, my buttock hurts

Post by Saulgoodman »

Hello there

My story starts when I was 18. Used to masturbate a lot (3 times a day) and suddently after a protected sex session, I got CPPS symptoms for 3 weeks. Went progressively away but super frightening. Then between my 20 to 25 I sometimes had pain after masturbation. But generally, it was ok.

End of 2020, super stressful time brings to bruxism with hyperacusis (oversensitive to a range of sounds) and tinnitus. Hyperacusis is super stressful so it becomes worse. Met an osteopath early 2021 to re-educate my jaw. After a few months it's much better and hyperacusis disappears with some tinnitus left.

But just after, in June 2021: I have terrible pelvic pains. I see urologists, physiotherapists, not super helpful but I managed to find this community and the tips I find make my life much better!

What I especially did is: use a cushion on my chair (G-seat is great), use an ergonomic step for better toilet-time, avoided to push when I'm at the toilets, avoid pelvic tensions etc.

Over the past year I started to go to the gym 2 or 3 times a week, get slowly more muscled, but without doing strechings (was afraid of them because of bad self-stretching I did and highered previous prostatitis). I also ran, and started to have knee pain after a session in which I accelerated my speed. Therapists said I have patellar femoroma and to solve that I have two ways: exercises, or orthopedic soles. But first they suggested to do exercises. Which I did, and improved my condition after six months. I could run, with small pains in the leg (the feeling would be like the muscles get tensed).

Then I travelled to Thailand last August and worked from there with a terrible chair. Buttock was ok thanks to the G-Seat, but shoulder was bad. When I came back home in September, I got my cervical stuck because of the right shoulder. It got followed a big mononucleosis which made me weak for weeks. At that time, I changed for a new chair to have better support of my head and shoulders. It appeared that I sometimes had my buttock painful. I did some tests, and thought that it was a good time to start orthopedic soles to improve my condition even during periods like mononucleosis in which I can't practice sports. I have around 4 millimers difference between my left and right legs. Podiatrist says it's not important BUT movement abnormality in the left pelvis, says that I have to balance the pelvis in order to avoid problems in the future.

The exact day I start to wear the soles (October 23th), I have piriformis/sciatica symptoms with painful right buttock. I only wore them for 1 hour. During the previous weeks I had some little pains here and there with the new chair etc so I don't know if I really have to blame the orthopedic soles here.

It got followed by tingling all over the body, which appear the more the sciatica is spread out on my buttock. This piriformis syndrome involves different symptoms: tighter sphincter with hemorrhoids (2 weeks), some pelvic pains (5 days, but pretty small, only after going to the toilet), heel of my foot sometimes painful. It was located for almost 2 months on right side of the buttock, but it now goes on the left side too. I tried chiropractor, physiotherapists, got also advised by a sport doctor saying I have to stretch the piriformis with a physiotherapist. But the stretching feels more painful to me and I don't dare practicing it for more than a few days.

My ultimate question in this story is: do you think the "piriformis and sciatica" symptoms are related to any CPPS? It doesn't feel connected, but it's also in a very near area.

If you have any ideas to advice me, I would be glad to take them. I don't know what to do exactly. I feel like I should see a neurologist and do an RMI of the pelvis but my GP says I have mostly mechanics issues which will come in order during the mononucleosis recovery and re-practicing sports/stretches.

I also don't know if I really have to wear these orthopedic soles.I'm still wearing them as long as I don't know if have to drop them.

Also here are some other information :
  • I did an protastitis RMI in the past: Nothing to declare.
  • Gastroscopy: hiatal hernia, have to be careful about my diet which I mostly follow.
  • Mental state: good. Despite the pain I am not super worried, I already successfully fought CPPS and high bruxism in the past, why not fight that one too?
Thank you very much for reading!
Age: 28 | Onset Age: 18| Symptoms: Painful after urinating| Helped By: Cushion, not pushing at the toilet, relax, no stress | Worsened By: pushing at the toilets, urinating when I don't want | Other comments:
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webslave
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Re: CPPS and Sciatica, my buttock hurts

Post by webslave »

By "RMI" do you mean MRI?

I don't think the conditions are necessarily related, because you have the typical anxious, high-strung disposition seen in many UCPPS patients. You're smart enough to have used our Tips to overcome the UCPPS. Well done. However, the leg length disparity and the piriformis syndrome suggest there could be musculoskeletal causes as well, and they need to be addressed. Use a cushion with a cutout for the base of the spine. Use pelvic stretches, gently at first then building up as you loosen up. Use orthotics to equalise legs. Never sit on a wallet in the back pocket.
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