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      Painful myofascial trigger points and pain sites in men with chronic prostatitis/chronic pelvic pain syndrome.

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          Abstract

          A combination of manual physiotherapy and specific relaxation training effectively treats patients with chronic prostatitis/chronic pelvic pain syndrome. However, little information exists on myofascial trigger points and specific chronic pelvic pain symptoms. We documented relationships between trigger point sites and pain symptoms in men with chronic prostatitis/chronic pelvic pain syndrome.

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          THE NATIONAL INSTITUTES OF HEALTH CHRONIC PROSTATITIS SYMPTOM INDEX: DEVELOPMENT AND VALIDATION OF A NEW OUTCOME MEASURE

          RICHARD ALEXANDER, FLOYD FOWLER, MARY McNAUGHTON-COLLINS … (1999)
          Article 0 comments Cited 46 times – based on 0 reviews     Review now
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            Clinical phenotyping in chronic prostatitis/chronic pelvic pain syndrome and interstitial cystitis: a management strategy for urologic chronic pelvic pain syndromes.

            Kevin J Nickel, D Shoskes, Michel Pontari … (2008)
            The urologic chronic pain conditions such as chronic prostatitis/chronic pelvic pain syndrome and interstitial cystitis are syndromes whose evaluation and management are controversial. Part of the difficulty in diagnosis and therapy is the heterogeneity of etiologies and symptoms. We propose a six-domain phenotype, which can classify these patients clinically and can direct the selection of therapy in the most evidence based multimodal manner. The domains are urinary, psychosocial, organ specific, infection, neurologic and tenderness of skeletal muscles. This system is flexible and responsive to new biomarkers and therapies as their utility and efficacy are proven.
            Article 0 comments Cited 34 times – based on 0 reviews     Review now
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              Randomized multicenter feasibility trial of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes.

              Mary FitzGerald, Rodney U Anderson, Jeannette Potts … (2009)
              We determined the feasibility of conducting a randomized clinical trial designed to compare 2 methods of manual therapy (myofascial physical therapy and global therapeutic massage) in patients with urological chronic pelvic pain syndromes. We recruited 48 subjects with chronic prostatitis/chronic pelvic pain syndrome or interstitial cystitis/painful bladder syndrome at 6 clinical centers. Eligible patients were randomized to myofascial physical therapy or global therapeutic massage and were scheduled to receive up to 10 weekly treatments of 1 hour each. Criteria to assess feasibility included adherence of therapists to prescribed therapeutic protocol as determined by records of treatment, adverse events during study treatment and rate of response to therapy as assessed by the patient global response assessment. Primary outcome analysis compared response rates between treatment arms using Mantel-Haenszel methods. There were 23 (49%) men and 24 (51%) women randomized during a 6-month period. Of the patients 24 (51%) were randomized to global therapeutic massage, 23 (49%) to myofascial physical therapy and 44 (94%) completed the study. Therapist adherence to the treatment protocols was excellent. The global response assessment response rate of 57% in the myofascial physical therapy group was significantly higher than the rate of 21% in the global therapeutic massage treatment group (p = 0.03). We judged the feasibility of conducting a full-scale trial of physical therapy methods and the preliminary findings of a beneficial effect of myofascial physical therapy warrants further study.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): J. Urol.
                Title: The Journal of urology
                Publisher: Elsevier BV
                ISSN (Electronic): 1527-3792
                ISSN (Print): 0022-5347
                Publication date (Electronic): Dec 2009
                Volume: 182
                Issue: 6
                Affiliations
                [1 ] Department of Urology, School of Medicine, Stanford University, Stanford, California 94305, USA. rua@stanford.edu
                Article
                Publisher Item ID: S0022-5347(09)02055-2
                DOI: 10.1016/j.juro.2009.08.033
                PubMed ID: 19837420
                SO-VID: 00918742-21d0-4cdf-9327-e4b5af3dcfcc
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