Integration of Myofascial Trigger Point Release and Paradoxical Relaxation Training Treatment of Chronic Pelvic Pain in Men

Anderson, Rodney U.; Wise, David; Sawyer, Timothy; Chan, Christine A.

doi:10.1097/01.ju.0000161609.31185.d5

Cited by 186 publications

(107 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Prostatic calculi should be subdivided in future studies to evaluate the probable mechanisms of the effects of prostatic calculi on LUTS. Another mechanism underlying LUTS is spasm of pelvic floor muscles [12]. Men with prostatic calculi had more severe irritative symptoms and voiding symptoms in our study (these results were not described).…”

Section: Discussioncontrasting

confidence: 51%

Are prostatic calculi independent predictive factors of lower urinary tract symptoms?

Park¹,

Nam²,

Lee³

et al. 2009

Asian J Androl

View full text Add to dashboard Cite

We determined the correlation between prostatic calculi and lower urinary tract symptoms (LUTS), as well as the predisposing factors of prostatic calculi. Of the 1 527 patients who presented at our clinic for LUTS, 802 underwent complete evaluations, including transrectal ultrasonography, voided bladder-3 specimen and international prostatic symptoms score (IPSS). A total of 335 patients with prostatic calculi and 467 patients without prostatic calculi were divided into calculi and no calculi groups, respectively. Predictive factors of severe LUTS and prostatic calculi were determined using uni/multivariate analysis. The overall IPSS score was 15.7 ± 9.2 and 14.1 ± 9.1 in the calculi and no calculi group, respectively (P = 0.013). The maximum flow rate was 12.1 ± 6.9 and 14.2 ± 8.2 mL s −1 in the calculi and no calculi group, respectively (P = 0.003). On univariate analysis for predicting factors of severe LUTS, differences on age (P = 0.042), prostatic calculi (P = 0.048) and prostatitis (P = 0.018) were statistically significant. However, on multivariate analysis, no factor was significant. On multivariate analysis for predisposing factors of prostatic calculi, differences on age (P < 0.001) and prostate volume (P = 0.001) were significant. To our knowledge, patients who have prostatic calculi complain of more severe LUTS. However, prostatic calculi are not an independent predictive factor of severe LUTS. Therefore, men with prostatic calculi have more severe LUTS not only because of prostatic calculi but also because of age and other factors. In addition, old age and large prostate volume are independent predisposing factors for prostatic calculi.

show abstract

Section: Discussioncontrasting

confidence: 51%

Are prostatic calculi independent predictive factors of lower urinary tract symptoms?

Park¹,

Nam²,

Lee³

et al. 2009

Asian J Androl

View full text Add to dashboard Cite

show abstract

“…3 Genetic factors and psychological variables, e.g., personality traits, modulate reactivity and vulnerability to stress 4-6 Evidence from our case studies shows that manual physiotherapy with myofascial trigger point release and paradoxical relaxation therapy, both physical and cognitive behavioral therapy, can provide pain relief in some CPPS sufferers. 7 Once it is understood how stress-induced neurobiochemical changes may relate to pelvic pain in men, we may modulate these effects and develop new and innovative approaches for the prevention and treatment of CPPS. Despite the likely relevance of stress-related neurohormones in the disease process of CPPS, these factors have not been systematically evaluated.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Profiles and Hypothalamic-Pituitary-Adrenal Axis Function in Men With Chronic Prostatitis/Chronic Pelvic Pain Syndrome

et al. 2008

Self Cite

View full text Add to dashboard Cite

Purpose-Abnormal regulation of the HPA axis and diurnal cortisol rhythms are associated with several pain and chronic inflammatory conditions. Chronic stress may play a role in the disorder of CP/CPPS related to initiation or exacerbation of the syndrome. We tested the hypothesis that men with CPPS have associated disturbances in psychosocial profiles and HPA axis function.Methods-45 men with CPPS and 20 age-matched, asymptomatic controls completed psychometric self-report questionnaires: Type A personality test; Perceived Stress Scale, Beck Anxiety Inventory; and Brief Symptom Inventory [BSI] for distress from physical symptoms. Saliva samples were collected on two consecutive days at 9 specific times with strict reference to time of morning awakening for evaluation of free cortisol reflecting secretory activity of the HPA axis. We quantified cortisol variations as 2-day average slope of the awakening cortisol response and the subsequent diurnal levels.Results-CPPS men had more perceived stress and anxiety than controls (p < 0.001). BSI scores were significantly elevated in all scales (somatization, obsessive/compulsive behavior, depression, anxiety, hostility, interpersonal sensitivity, phobic anxiety, paranoid ideation, psychoticism) for CPPS; Global Severity Index rank for CPPS was 93 rd versus 48 th centile for controls (p < 0.0001). CPPS men had significantly elevated awakening cortisol responses, mean slope of 0.85 versus 0.59 for controls (p < 0.05).Conclusions-CPPS men scored exceedingly high on all psychosocial variables and showed evidence of dysfunctional HPA axis function reflected in augmented awakening cortisol responses. Observations suggest variables in biopsychosocial interaction that suggest opportunities for neurophysiologic study of relationships of stress and CPPS.

show abstract

“…9 CP/CPPS research supports the necessity and rationale for a specific cognitive behavioural treatment model. There has been interest in considering psychosocial treatments 16 and approaches to reduce the psychosocial risk factors associated with poor CP/CPPS outcomes; 17 A feasibility trial of a cognitive-behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome cP/cPPs psychosocial management program no published reports examining risk factor reduction in CP/ CPPS. The Chronic Prostatitis psychosocial management program is the first comprehensive attempt to specifically target empirically supported psychosocial risk factors for change in CP/CPPS (i.e., catastrophizing, social support and depression).…”

Section: Introductionmentioning

confidence: 99%

A feasibility trial of a cognitive-behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome

Tripp

Nickel

Katz

2013

CUAJ

View full text Add to dashboard Cite

Background: Our objective was to determine the feasibility of a cognitive behavioural symptom management program for the acute improvement of psychosocial risk factors of diminished quality of life (QoL) in men suffering from chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Materials and Methods:We assessed CP/CPPS symptoms and impact (i.e., chronic prostatitis symptom index [CPSI] pain, urinary, QoL domains), psychosocial risk factors were assessed at baseline and weekly for 8 weeks. We included the following psychosocial risk factors: catastrophizing (Pain Catastrophizing Scale, PCS), mood (Center for Epidemiological Studies in Depression Scale, CES-D), social support (Multidimensional Scale of Perceived Social Support, MSPSS) and general pain (McGill Pain Questionnaire). Patient sessions dispute and replace pessimistic thinking with health-focused thinking and behaviour. Results: Eleven men completed the psychosocial management program (mean age = 51.3, standard deviaton [SD] = 12.49). Mean CPSI baseline total score was 25.2 (SD = 10.21). Repeated measures ANOVAs showed the program was associated with significant linear reductions for pain (p = 0.051), disability (p= 0.020) and catastrophizing (p = 0.005), but no changes in depressive symptoms or social support. The CPSI baseline scores compared to follow-up scores (n = 8) were significantly reduced (p = 0.007), with CPSI pain (p = 0.015) and QoL impact (p = 0.013) reduced, but not for urinary scores. Correlations between change scores at the baseline and at 8 weeks for CPSI and psychosocial risk factors indicated that reductions in catastrophizing were most strongly associated with score reductions for the CPSI; these reductions, however, were not significant. Conclusions:The psychosocial management program targets and significantly reduces several empirically supported psychosocial risk factors associated with poorer CP/CPPS outcomes. Psychosocial management for CP/CPPS is feasible, but requires a randomized controlled trial with longitudinal follow-up.

show abstract

Integration of Myofascial Trigger Point Release and Paradoxical Relaxation Training Treatment of Chronic Pelvic Pain in Men

Abstract: This case study analysis indicates that MFRT combined with PRT represents an effective therapeutic approach for the management of CP/CPPS, providing pain and urinary symptom relief superior to that of traditional therapy.

Cited by 186 publications

References 17 publications

Are prostatic calculi independent predictive factors of lower urinary tract symptoms?

Are prostatic calculi independent predictive factors of lower urinary tract symptoms?

Psychometric Profiles and Hypothalamic-Pituitary-Adrenal Axis Function in Men With Chronic Prostatitis/Chronic Pelvic Pain Syndrome

A feasibility trial of a cognitive-behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome

Contact Info

Product

Resources

About