Chronic Prostatitis Without an Infection

Acupuncture MeridiansChronic prostatitis sounds like it is a chronic bacterial infection of the prostate. But in fact most men that have chronic prostatitis symptoms do not have any bacterial infection. This is called Chronic Pelvic Pain Syndrome (CPPS) and is classified as Chronic Prostatitis Category III. CPPS is the most common form of chronic prostatitis.

If you have Chronic Pelvic Pain Syndrome then you can suffer from generalized pelvic pain, urinary problems, and sexual dysfunction. Urination can be painful, frequent, urgent, or inhibited. The pain can be intense or dull. It can be located on the pelvic floor, in the genitals, lower back, the lower abdomen, in the back of the legs, or other areas. CPPS affects every aspect of your life causing depression, lost work, and difficulty in relationships. The exact cause of Chronic Pelvic Pain Syndrome is not entirely understood. Of course, Chronic Bacterial Prostatitis is caused by a bacterial infection. But men with CPPS have symptoms without an infection. Some men who have CPPS symptoms have inflammation, but most in fact do not have any inflammation. Although antibiotics are often prescribed, they are not successful in treating the condition because CPPS is not caused by bacteria.

In my experience, most patients have pelvic pain stemming from muscle tightness in the pelvis, back, abdomen, and legs. The gluteus maximus and medius, adductor magnus, and illopsoas are among the most common muscles which refer pain to the pelvic floor. In addition, sacro-iliac joint dysfunction is very commonly a cause. Emotional stress is also important. Stress causes muscles to become tight and spasm. This can cause a significant amount of pain.

Is there a treatment for CPPS?

Yes, there is. Acupuncture and Chinese medicine are very effective to reduce pain and symptoms of CPPS. These holistic treatments will naturally corrects the underlying cause of the disease and provide a holistic approach to healing. Traditional Chinese Medicine works by identifying specific imbalances in the body and using acupuncture, Chinese herbs, and acupressure to correct them.

Correcting the imbalance does not just treat the symptoms or mask the condition, but rather corrects the root of the problem by encouraging self-healing of the body. Acupuncture within muscles of the back, hips, pelvis and legs work to relax the trigger points. Often, electroacupuncture is very helpful for reducing pain. I will often use cupping, gua ha, and tui na in addition to the acupuncture.

The results of a combination treatment are long lasting. For help in preventing relapse of the condition, relaxation techniques such as breathing exercises, tai ji, or yoga should also be done to relieve stress.

Joseph Alban, L.Ac.
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