Pelvic (mal)alignment and trigger points

alprost · Post by **alprost** » Tue Jun 07, 2005 11:51 am

I've been having some real problems lately with a few stubborn trigger points in and around my prostate/urethra/pubic bone which keep coming back straight away after being treated. I had a PT appointment last week and my Physio noted that my pubic bone was high on the left side by the best part of a centimentre. She put it part of the way back down, and it releived my symptoms a bit almost immediately, but these damn trigger points keep recurring. I spoke with Tim Sawyer who stated that this may be the cause of them recurring. It seems that if the pelvis is out of alignment, this changes the length and tension of different parts of the pelvic floor and can overload the muscle and perpetuate trigger points.

I have another appointment on Thursday and will hopefully get the remaining malalignment corrected. Hopefully then when my girlfriend releases these trigger points they will stay away.

I want to add that I don't beleive that simple chiropractic/osteopathic/PT pelvic adjustments on their own (i.e. in the absense of trigger point release) have anything to offer chronic prostatitis / chronic pelvic pain syndrome patients. I do beleive however, that maintaining correct pelvic alignment whilst undergoing trigger point release and relaxation training is an essential part of treatment for some patients, and I appear to be one of them.

Anyway, fingers crossed that I can get some improvement this week. So near but so far.......

boudreaux · Post by **boudreaux** » Tue Jun 07, 2005 4:31 pm

I agree. I have an extremely high right hip that causes pelvic misalignment, and I'm certain it contributed to overcompensation by certain pelvic muscles. I'm doing chiropractic work along with trigger point work.

LightningTree · Post by **LightningTree** » Wed Jun 08, 2005 4:14 am

My PT said my left side hip was higher up than my right by quite a bit. But then she had me do some changes in posture, and the difference dissappeared. More changes in posture and it came back some, then was compensated for again.

She has me doing some strengthening of the abdominals and adductors in order to try to hold the pelvis more steady.

Billy Davis · Post by **Billy Davis** » Sat Jun 11, 2005 12:43 am

Hi Alan,

Very interesting indeed - definitely pass along an update.

Another thought might be that you've resolved most or all of your secondary trigger points and what you are dealing with now are the key areas of origin that develop even during a day from the predisposed upregulated central nervous or unconscience stress level. Thus the long term paradoxial relaxtion practice will continue to lessen this along the way.

Good to hear from you,

Billy

alprost · Post by **alprost** » Sat Jun 11, 2005 10:30 pm

Billy Davis wrote:Another thought might be that you've resolved most or all of your secondary trigger points and what you are dealing with now are the key areas of origin that develop even during a day from the predisposed upregulated central nervous or unconscience stress level.

Hi Billy, thanks for the suggestion. I do peform relaxation as per the Stanford/Wise-Anderson Protocol on a daily basis, but the trigger points were coming straight back i.e. I'd have a hot bath, have them released, do some relaxation, go to bed, and they would be back in the morning and need to be released again.

My case/history just does not fit into the above eitiology (although at times I wash it did, as things would have been a lot simpler!!!) Even AHIP does not make the case for this being the only cause.

Anyway, my pubic symphysis was down on the right, and when the PT 'done her stuff' she felt it move into place. I can now feel myself that it is level, where the there was a big 'step' before. My girlfirend released the TP's on Thursday night, and they don't appear to have come back yet, so fingers crossed.

I served as a paratrooper in my early 20's, and had a parachuting accident which caused a bad pelvic malalignment along with a serious knee injury, and this apears to have left me with a degree of pelvic instability. Interestingly, my pelvis was badly out of alignment for 4 years after this, but I never once suffered from TP's. For me, pelvic malalignment has been a perperuating factor for TP's, rather than a cause. I've realised that keeping my pelvis aligned, particularly at the pubic sympysis, is going to be a big part of managing my TP's on a long term basis

Billy Davis · Post by **Billy Davis** » Sun Jun 12, 2005 9:10 pm

Wow. That is a totally different deal. Well it's great to hear you had some early success with this. Awesome to have the theraputic girlfriend.

Probably a completely different thing, but I've noticed a similiar response at night. My belief was that mast cells accumulate in the gut at night (due to streches between meals and friction from lying on the lower spine nerves) and that I actually posture worse in my sleep than daytime. I started taking Gastrocrom and very low dose valium which seemed to help a good deal. However, I've got signficant atopic predispositions and that seems to a delineation between chronic prostatitis / chronic pelvic pain syndrome patients - injury vs. atopic.

Billy

alprost · Post by **alprost** » Mon Jun 13, 2005 11:06 am

Thanks Billy. Yep, I have been really lucky that my girlfriend has been so supportive and helpful regarding this.

Hope you are doing well.

MB · Post by MB » Mon Jun 13, 2005 6:15 pm

I served as a paratrooper in my early 20's, and had a parachuting accident which caused a bad pelvic malalignment along with a serious knee injury, and this apears to have left me with a degree of pelvic instability.

Interesting. Same for me, knee injury and adductor stretch. A ski accident in the military with a very heavy load on my back 24 years ago. I also could not get rid of those TrPs with PT only. It was discussed here already but you may be a candidate for TrP injections.

Superhero · Post by **Superhero** » Tue Jun 14, 2005 3:18 am

My opinion is that pelvic pain is primarily caused by pelvic and spinal mal-alignment. When this happens, muscles get pulled and stretched in an attempt to correct the imbalance. Over time trigger points develop. Later pain starts.

I've been preaching the incredible benefit of chiropractic for quite some time now. (This is what they specialize in treating.)

alprost · Post by **alprost** » Wed Jun 15, 2005 10:57 am

Superhero wrote:My opinion is that pelvic pain is primarily caused by pelvic and spinal mal-alignment.

Sorry, I disagree. It can be caused by many things, malalignment, infection and tensing the pelvic floor under stress to name but a few. By far the most common cause IMO is stress and focusing tension in the pelvic floor.

Also, if you read my above post, the original malignment did not cause any trigger points.