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Heather and her staff blog about male and female chronic pelvic pain, prostatitis, incontinence, upcoming events and more

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Part 1 of 2 of our Prostatitis Lifestyle Management Series

An article published in the Journal of Prostate Cancer and Prostatic Disease outlines evidence-based recommendations to treat prostatitis related chronic pelvic pain syndrome (CPPS) in men (Gallo, L., 2014). These recommendations were well tolerated by clients and showed statistically significant reduction in symptoms caused by prostatitis and CPPS.  Today we will cover dietary and toileting habits which can help relieve pelvic pain.

Prostatitis and Male Pelvic Pain

Chronic prostatitis, nonbacterial prostatitis, and chronic pelvic pain are all related conditions which negatively affect quality of life for the men who suffer from them. Symptoms vary, but are often described as a “headache in the pelvis” with pain symptoms affecting urinary and sexual function. The pain is real and their negative affects on quality of life are real as well.  The pain caused by nonbacterial prostatitis can be disabling, preventing participation in valued activities and causing isolation and depression.

According to Harvard Medical School, prostatitis accounts for about 1.8 million visits to the doctor’s office in the United States each year. Between 9% to 16% of men of all ages experience prostatitis. About 90% of these instances cannot be tied to an active bacterial infection. Prostatitis affects men of all ages, unlike benign prostatic hyperplasia (BPH) and prostate cancer, which predominantly affect older men.

13 Evidence-Based Recommendations for Managing Prostatitis Related Pelvic Pain

Part One: 1-6

1) Avoid Alcohol

In six studies focusing on male pelvic pain (3 studies on prostatitis and 3 on interstitial cystitis concerning IC/BPS), regular alcohol intake was a habit found in those with high amounts of pain.

In the Collins study (2002), it was found that men who drunk more than two alcohol beverages per night had a major risk of history of prostatitis. Shorter et al. (2007), found that red and white wine, beer, champagne and other alcoholic beverages worsened the pelvic pain symptoms of female patients affected by IC/BPS.

2) Avoid Coffee

Drinking coffee increases risk of IC/BPS and pelvic pain according to Gallo and three studies that were reviewed in their study. Shorter et al. (2007) found that coffee (BOTH regular and decaf) worsened pelvic pain symptoms in 47-61% of patients.  In 2010, Dr. Shoskes, an expert on chronic pelvic pain, commented that avoiding caffeine is a simple and effective action to treat and prevent this condition.

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This article will review how prostatitis can cause or contribute to chronic pelvic pain and what pelvic floor therapy can do to help alleviate it.

The Condition

Chronic nonbacterial prostatitis is sometimes described as a “headache in the pelvis” with pain symptoms affecting urinary and sexual function. It’s a tricky condition because as “nonbacterial” suggests, the pain and inflammation is not tied to a known bacterial infection, which can confuse both the patient as well as their healthcare providers. Yet, the pain is real and their negative affects on quality of life are real as well.  The pain caused by nonbacterial prostatitis can be disabling, preventing participation in valued activities and causing isolation and depression.

Prevalence

According to Harvard Medical School, prostatitis accounts for about 1.8 million visits to the doctor’s office in the United States each year. Between 9% to 16% of men of all ages experience prostatitis.

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Happy Pride Month! Fusion Wellness & Physical Therapy is proud to be a supportive and inclusive orthopaedic and pelvic health center. Earlier this month, I attended the first ever PT-specific course for LGBTQ care in the US, with an emphasis on transgender care. The course covered many topics, notably pre-operative, intra-operative and postoperative recovery guidelines. While this is the second course I have taken on transgender care (with a third coming up in a few months), it was the first that was held primarily for the benefit of training physical therapists.

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Girls Night Out: Better Sexual and Pelvic Health

Date:
Sunday, November 5, 2017

Time:
6:30-9:30PM

Venue:
The Rendition Room @ Vitello's
4349 Tujunga Ave., Studio City, CA 91604

Drinks and appetizers will be provided!

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Most people experience occassional constipation. Constipation isn’t just the inability to have a bowel movement, and includes the difficulty associated with bowel movements. Travel, inactivity, illness, and certain over the counter medications taken “as needed” commonly result in short-term or acute constipation. Constipation lasting longer than three months is considered chronic constipation. Chronic constipation should be treated by a doctor to prevent health complications. 

Chronic Constipation: Are you and your healthcare practitioner talking about the same thing? 

Clear communication is essential to working with doctors, but the general public often has only a rudimentary understanding of medical terms - including constipation. There is often a gap between the physician and the patient’s perception of constipation which can lead to confusion. (1, 2, 7, 10) A study of people who thought they had constipation showed that only a third actually fit the criteria for constipation, while the rest actually had Irritable Bowel Syndrome or other gastrointestinal disorders. (9) So what are the criteria for constipation? 

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Pelvic floor physical therapy is one of the best kept secrets in medicine.

Recently, I was on a plane flight and sat next to two women. They were very chatty with one another and quickly swept me up into their conversation. Inevitably, in situations like this, everyone asks “So what do you do for a living?”. My answer always used to be “I’m a physical therapist”. The past couple of years, however, my standard response is “I’m a physical therapist, but let me tell you about what kind of physical therapist I am”. Then I go into the diagnoses I treat related to bowel, bladder and sexual health and, in general, how I treat them. Across the board, their reaction is a mix of astonishment and genuine interest. The follow up dialogue is always eye-opening for them, and more often than not, they will report either knowing someone close to them as having one of these pelvic floor issues, or they have it themselves.

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