Physical Therapy of Chronic Pelvic Pain Syndrome

Date:2020-03-24 click:
The diagnosis and treatment of chronic pelvic pain syndrome (CPPS) is still a difficult problem. The syndrome criteria drawn up by the National Institutes of Health based on diagnostic classification allow more treatments for those syndromes that have not yet been identified.

It is found that up to 85% of patients with chronic pelvic pain have pelvic floor muscle tension bands, and in most cases, pressing these tension bands can induce pain again. For these patients, the most direct treatment is the pelvic floor muscle physical therapy (PFPT). Many patients who failed in other treatment methods got some improvement after physical therapy (72%).
Chronic pelvic congestion caused by sedentary and inappropriate sexual activities suggests that it may be one of the reasons for the long-term cure of CPPs, In addition, RF, microwave, infrared, ultrasound, and other external physical therapies can improve the internal temperature of the prostate gland, enhance blood and lymph circulation, improve local nutrition, accelerate local metabolism and toxin elimination, and promote the absorption of inflammation.
Besides, they can also reduce the tension of striated muscle, especially the muscle tension in spasm. However, the effect of hyperthermia is often short-term; the existing reports lack long-term follow-up treatment.
In addition, prostate massage, acupuncture, and so on can also improve the drainage of the glandular duct and promote the inflammation to subside. There are some reports at home and abroad, but its long-term effect also needs further study.

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