Physical therapist management of chronic prostatitis/chronic pelvic pain syndrome.
OBJECTIVE
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) negatively affects quality of life and sexual function in men of all ages. Typical treatment with antibiotic and antimicrobial drugs often is not successful. The purpose of this case report is to describe a multimodal physical therapy intervention that included manual therapy techniques applied to the pelvic floor in 2 patients who were unsuccessfully treated with the biomedical model of prescription drug therapies.


METHODS
Two men, aged 45 years and 53 years and diagnosed with chronic prostatitis, were referred for physical therapy following unsuccessful pharmacological treatment. The patients were treated with manual therapy techniques applied to the pelvic floor and instructed in progressive muscle relaxation, flexibility exercises, and aerobic exercises.


RESULTS
Changes in the patients' National Institutes of Health Chronic Prostatitis Symptom Index revealed differences between preintervention and postintervention scores reflecting decreased pain and improved quality of life. One patient improved from a score of 25 (total possible score = 43) before treatment to a score of 0 after treatment, and the other patient improved from a score of 29 to a score of 21.


CONCLUSIONS
Manual therapy techniques applied to the pelvic floor and performed by a physical therapist specially trained in these techniques, along with progressive muscle relaxation, flexibility exercises, and aerobic exercises, appeared to be beneficial to both patients in reducing pain and improving sexual function.
Van Alstyne
Linda S
LS
Physical Therapy Associates of Schenectady, 1182 Troy Schenectady Rd, Suite LL02, Latham, NY 12110, USA. vancampt@earthlink.net
Harrington
Kendra L
KL
Haskvitz
Esther M
EM
D002908:Chronic Disease; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017699:Pelvic Pain / Q000534:rehabilitation*; D026741:Physical Therapy Modalities; D011472:Prostatitis / Q000534:rehabilitation*; D011788:Quality of Life