May 23, 2011 (Washington, DC) — An internal therapeutic trigger point wand can help relieve the pelvic muscle tenderness that commonly occurs in patients with urologic chronic pelvic pain syndrome (UCPPS), according to data released here at the American Urological Association (AUA) 2011 Annual Scientific Meeting.
Researchers at Stanford University School of Medicine in Palo Alto, California, found that patients with chronic pelvic pain refractory to standard therapies had marked improvement when they used a wand to self-treat painful internal myofascial trigger points in the pelvic floor. What's more, the treatment was shown to be safe.
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Pelvic muscle trigger point sensitivity data were available in 111 patients. Their baseline median pelvic muscle sensitivity score on the 10-point visual analog scale was 7.5, which had decreased significantly to 4 at 6 months (P < .001). Ninety-five of the 111 patients, or 87%, had at least some reduction in sensitivity after 6 months
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Self-massage shows benefit in CP/CPPS patients with myofascial pain May 19, 2011 Urology Times Daily Meeting Report
Men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) can be do-it-yourselfers when it comes to treating the myofascial component of their pain. And that may mean that the men with a phenotype of muscle tenderness—which may be 60% of CP/CPPS patients—could get significant relief and save money.
Many clinicians who specialize in treating the urologic pelvic pain syndromes have seen the value of physical therapy of the pelvic floor for their patients’ pain, and the approach has proven its mettle in a clinical trial in interstitial cystitis patients.
But regular physical therapy, which is often not covered by insurance, can be out of financial reach for many sufferers. Physical therapists have responded by helping patients learn to massage their own pelvic floor muscle trigger points with internal massage tools. Now, there’s evidence that this do-it-yourself approach works.
"Once you find these trigger points, you get a good return on treatment without drugs or surgery," Rodney Anderson, MD, of Stanford University, Stanford, CA, told Urology Times.
He and psychologist David Wise, PhD, have developed and tested a device that helps men massage these muscle trigger points internally. In the physical therapy component of Dr. Anderson and Dr. Wise’s treatment program, they map the pelvic floor trigger points and train patients to massage them internally with a j-shaped, rigid wand made of Ultem plastic. The wand integrates an algometer that measures applied point pressure to prevent patients from using excessive or dangerous force.
Patients used the wand two to three times per week for 5 to 10 minutes and were followed up at 1 and 6 months. Ninety-five percent (106/111) reported the therapy was very or moderately effective in relieving pain. Their average assessments of pelvic floor pain on a scale of 1 to 10 dropped from 7.5 at baseline to 4 at 6 months; 39% of patients reported a greater than 50% reduction in pelvic muscle sensitivity.
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From what I know its not yet commercially available or available for prescription outside of attending the Wise Anderson clinic. I speculate that it will soon be available if the American Urological Association is on to it, there's too large a market for this product for it not to be.
Age:19 | Onset Age:19. July 7th, 2011. | Symptoms: burning testicular pain, burning perineal pain, poor range of motion in right hip flexor, post ejaculatory pain (usually), decreased libido, depression | Helped By: narcotic pain killers, stretching (not sure) | Worsened By: alcoholic beverages, mostly unsure what effects my symptoms for better or worse.
Age: 52 | Onset Age: 50 | Symptoms: current S(groin,leg,pubic pain); occasional body aches | Helped By: hot/cold showers; yoga; pelvic massage | Worsened By: sex more than once a week
