INTERNAL AND EXTERNAL T/P WORK

Male pelvic pain, prostatitis, IC
flump
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INTERNAL AND EXTERNAL T/P WORK

Post by flump »

INTERNAL AND EXTERNAL T/P WORK

whats the general school of thought here?...

internal work daily?...or couple of times a week?...i do external daily (unless I got a sore/bruised area then I leave that till it heals)

just wondered what tim sawyer recommends and other top PT`s
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scotsman
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Post by scotsman »

For myself I do external work every day and internal work about once a fortnight.

Richard.
Not medical advice: Read my progress to date : Read about my W-A clinic visit

Age: 54 CPPS: 20 Yrs Recovery Status: 95% Symptoms: Pain around perineum Makes Worse: Tension, sitting Makes Better: Stretching, triggerpoint therapy, relaxation
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Sleeper Service
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Post by Sleeper Service »

One thing I've never been sure of is the point where PT doing good ends and doing harm begins. For example, say you have undertaken a course of PT and it has removed your TPs and helped your symptoms, is there then the danger that further PT will actually aggravate symptoms?

Richard - it was your post that made me think of this. I know PT has really helped you over the years but I sometimes wonder if maybe you're overtreating the area and it's never getting time to heal properly which may actually be perpetuating things?

I may be talking bollocks, here as I clearly don't know how doing/not doing regular PT affects you so I would be grateful for your - and indeed others' - insight on this.
Age 56: Onset 2006 and bouts on and off since then. See posts for details.
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Post by scoobysnacks »

While at the SP you do internal everyday.

Tim told me not to be afraid to get in there and massage those areas. He said I could do it everyday if it felt okay. The trick is to put the muscles back in their natural state as much as possible, create least amount of inflammation, and when they get out of the natural position put them back. However, you can accomplish this, get it done. Thats my viewpoint.

The longer I work on this the more I just use my gut, rather than a schedule or any sort. I can tell when things are really tight and its better to get those areas worked out rather than leave them constricted.

Just my take, I realize its gray and not definitive one way or the other. Like this chronic prostatitis / chronic pelvic pain syndrome thing, the treatment in some ways is very individual too while working within the directive of stretch, release and relaxation. Under those categories you have to find your own path.

My Best,

Ss
Age:29 | Onset Age: 25.5 | Symptoms: Initially burning in prostate/perineum, burning in urethra, uncontrollable muscle contraction before urinating, dual ache in groin, left testicle pain, feeling of golf ball in rectum, soarness in rectum, and muscle spasms, now mainly very mild urinary tract inflammation, burning mildly after ejaculation, some days after physical activity involuntary mild muscle contraction before urinating | Helped By: .5 mg of Ativan, Aleve (naproxen), quercetin, alcohol in large quantities (vodka and soda), stretching, walking, internal massage the perineum area and levators. | Worsened By: sitting, weightraining, jogging, coffee, caffeine in general, alcohol bothered me at first, overdoing sex
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scotsman
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Post by scotsman »

Sleeper Service wrote:Richard - it was your post that made me think of this. I know PT has really helped you over the years but I sometimes wonder if maybe you're overtreating the area and it's never getting time to heal properly which may actually be perpetuating things?

I may be talking bollocks, here as I clearly don't know how doing/not doing regular PT affects you so I would be grateful for your - and indeed others' - insight on this.
I've thought that myself and have experimented a lot in the past with leaving a few days or more between treatments - but it didn't help - quite the opposite as the area of dysfunction just got worse until the treatment brought it back under control again.

I really need to get the relaxation work under control. Sometimes I do it, then I go days without doing any. Madness given I have such a good routine with my stretching and triggerpoint work.

I really want to get myself over and see Tim Sawyer as well early next year.

Richard.
Not medical advice: Read my progress to date : Read about my W-A clinic visit

Age: 54 CPPS: 20 Yrs Recovery Status: 95% Symptoms: Pain around perineum Makes Worse: Tension, sitting Makes Better: Stretching, triggerpoint therapy, relaxation