Treating “Prostatitis”
By  Guest Blogger, Scott Everson, Owner Busy Bee Fitness

Chronic Pelvic Pain syndrome, otherwise known as “chronic prostatitis”, just can’t seem to escape the dark ages of consensus in the medical community. It’s far from a rare condition – reportedly accounting for approximately 25% of urological consultations in some countries and affecting up to 50% of men in their lifetimes. Using the term “prostatitis” when a man experiences pelvic pain can be rather deceiving. And unfortunately, poor Mr. Prostate is all too often the fall guy when males experience pain in their perineum and surrounding pelvic areas. So how do we cure this painful condition – are antibiotics the answer? Doctors often prescribe several rounds of antibiotics, sometimes for months at a time, to kill the bacteria that cause prostatitis. Men are also told to masturbate frequently in order to help “flush out the bacteria”.  Ironically, this typically leads to an exasperation of symptoms from overworked, chronically contracted muscles in the pelvis. It also flies contrary to data that shows that no bacteria can be found in approximately 95% of cases of prostatitis.

In fact, the source of pain and inflammation isn’t actually derived from the prostate itself in most cases but rather from the nerves surrounding it. According to research done by the Harvard Urological Diseases Research Center, the prostate (and other areas of the genitourinary tract: bladder, urethra, testicles) can become inflamed by the action of the chronically activated pelvic nerves on the mast cells at the end of the nerve pathways… A significant number of CP/CPPS patients report associated cardiovascular, neurological, psychiatric, and immunologic disease; many also meet diagnostic criteria for fibromyalgia, chronic fatigue syndrome, and irritable bowel syndrome.

Fortunately, Urologists David Wise and Rodney Anderson at Stanford University created a protocol (see Wise-Anderson’s book “Headache In The Pelvis”) based on this theory and it’s gaining some traction, albeit very slowly. The program involves a number of therapies for treatment, including physical therapy, pelvic stretches, breathing exercises, trigger point release, and treating psychological and behavioural issues that could contribute to the symptoms of CPPS. Patients of the Wise Anderson Protocol are also given a self-treatment plan where they are trained on how to use a trigger point wand that they can self-administer at home. Of course, reversal of this syndrome does not happen overnight. This protocol is advised for a minimum course of a year or until symptoms have alleviated for a good measure of time, as they often reappear in many cases.

Treating this condition appropriately could potentially advance the prevention of prostate cancer as well. Some studies have shown a significant link between prostatitis and prostate cancer, although it could not be proven that it is a definitive causal factor. More research is needed on the topic.

We need to accept that pharmacology is not an appropriate response in the treatment of CPPS. The best mode of treatment is getting to the root cause of it and taking a multi-varied approach that combines several forms of therapies and lifestyle adjustments.

– Scott Everson 
Owner of Busy Bee Fitness Experts 

References:

https://www.news-medical.net/news/2008/01/21/34550.aspx

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2409146/

https://en.wikipedia.org/wiki/Chronic_prostatitis/chronic_pelvic_pain_syndrome

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2390769/

http://cebp.aacrjournals.org/content/early/2014/04/14/1055-9965.EPI-13-1126