New Study on Pelvic Tenderness

[kevin]

This looks like an interesting study.

[scoobysnacks]

well damn, I surely fall in the tenderness area, and its quite tender. Thats my worst symptom, and the tenderness leads to stiffness, ie the floor won't always drop when I first try to piss, thereafter it does, and pee fine. Somedays it falls right away, stiffness is a bitch right now. Sometimes I think if I could kill the pain indefinitely, this would go away. When I use a tens around the anus, it helps a ton for a bit as long as the trigger points have been massaged.

Ss

[webslave]

I see that the study is available at the UCPPS Data Archive website.

I still think that the finding of ~50% of chronic prostatitis / chronic pelvic pain syndrome pts with "tenderness or "tender sites" is amazingly high, given that the investigators were not trained to find trigger points, in fact they weren't even PTs, and most of them have never heard of trigger points and wouldn't recognize one if it smacked them over the head :laugh:

In support of this paper, Philip Hanno, in a paper on IC/PBS, said

Pelvic floor dysfunction has been associated with PBS/IC for many years (Schmidt & Vapnek 1991), and uncontrolled trials suggest that treatment of the pelvic floor can be effective in ameliorating symptoms (Lilius, Oravisto, & Valtonen 1973; Doggweiler-Wiygul, Blankenship, & MacDiarmid 2001; Holzberg et al. 2001; Weiss 2001; Doggweiler-Wiygul & Wiygul 2002; Oyama et al. 2004). Speculation that abnormalities of the pelvic floor muscular function may contribute to the etiology of some cases of the chronic pelvic pain syndrome in men are well accepted (Segura, Opitz, & Greene 1979; Schmidt & Vapnek 1991; Zermann, Ishigooka, Doggweiler, & Schmidt 1999) and a similar case might be made for patients with PBS/IC

[garyholc]

It would seem that hopefully, with the focus now turning to trigger points and muscles causing this condition that at last, members of the medical community are starting to come around to the understanding that this isn't an infection and should be treated by different means. I think there are still some years to go yet before urologists around the world get this into their heads, but it looks like at least we are heading in the right direction now, which is very good news, especially for sufferers in the future...

[graeme]

I would say in about 10 years time no sooner, the trip to a uro will be followed by a uro forwarding you to a physiotherapist and dealt with under one umbrella