Non-bacterial Prostatitis

couple-hiking1-sizedMany men with pain issues are misdiagnosed and by the time they reach our clinic have suffered through multiple failed courses of antibiotics.  According to the National Institutes of Health, prostatitis may account for up to 25% of all office visits for complaints involving the genital and urinary systems from the young and middle-aged men.  Chronic prostatitis is the number one reason men under the age of 50 visit a urologist.  However only 5-10% of “prostatitis” cases are actually caused by a bacterial infection.

The symptoms of chronic nonbacterial prostatitis can include frequent or even constant urge to urinate, difficulty initiating void, slower urine stream, pain with prolonged sitting, during or after ejaculation, or increased activity such as exercise.  The pain tends to be located in one or more of the following areas:  lower abdomen, genitals, anus, groin, and/or back.

Nonbacterial prostatitis is treatable! At Everybody Physical Therapy we have specially trained physical therapists that can help.  Research is starting to show the benefit of physical therapy treatment for this condition.  Treatments can include myofascial trigger point release of the pelvic floor muscles, relaxation and strengthening exercises, biofeedback, and assessment of posture and alignment.

If you experience one or more of the symptoms listed above but still have questions regarding whether physical therapy is right for you, please call us today.  We would be happy to set up a complimentary phone consult with one of our physical therapists at our Portland or Vancouver office.

Additionally you can access our frequently asked questions and what to expect at my first appointment pages.

Links to research:

1. Physical Therapist Management of Chronic Prostatitis/Chronic Pelvic Pain Syndrome.  Linda S. Van Alstyne, Kendra L. Harrington and Esther M. Haskvitz.  Physical TherapyDecember 2010 vol. 90no. 12 1795-1806.

2.  Management of Men Diagnosed With Chronic Prostatitis/Chronic Pelvic Pain Syndrome Who Have Failed Traditional Management. J Curtis Nickel, MD, FRCSC,* Andrew P Baranowski, MD, Michel Pontari, MD, Richard E Berger, MD,§ and Dean A Tripp, PhD.  Rev Urol. 2007 Spring; 9(2): 63–72.

3.  Pelvic floor physical therapy for patients with prostatitis. Jeannette M. Potts MD, Elizabeth O’Dougherty PT.  Current Urology Reports 2000, Volume 1, Issue 2, pp 155-158.

4.  Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men.  Anderson RU1Wise DSawyer TChan C.J Urol. 2005 Jul;174(1):155-60

5.  Changing Paradigms for Chronic Pelvic Pain.  A Report from the Chronic Pelvic Pain/Chronic Prostatitis Scientific Workshop, October 19–21, 2005, Baltimore, MD:  J. Curtis Nickel, MD, FRCSC,* Richard Berger, MD, and Michel Pontari, MD.  Rev Urol. 2006 Winter; 8(1): 28–35.