Alternative therapies for chronic prostatitis.
For some men, chronic pelvic discomfort is due to spasms of pelvic floor muscles. Biofeedback helps patients gain awareness and control over these muscles. In a 2011 review article, Lara K. Suh and Franklin C. Lowe present a 2005 study in which 31 men with CP/CPPS took part in 6 to 8 weeks of biofeedback physical therapy. Mean score on the National Institutes of Health Chronic Prostatitis Symptoms Index (NIH-CPSI) fell from 23.6 to 11.4 (p < 0.001). In addition, the research team, led by E. B. Cornel, used a rectal electromyography probe to measure pelvic floor muscle tonus. Mean pelvic floor muscle tonus fell from 4.9 mV to 1,7 mV (p < 0.001). Normal resting tone is <2mV. Myofascial trigger point release can also reduce pain caused by pelvic floor muscle spasms.
Acupuncture is another option for reducing CP/CPPS pain, according to Suh and Lowe. They cite a 2010 study, led by V. Tugcu, in which men with chronic pelvic pain syndrome were given weekly acupuncture sessions for six weeks. Total NIH-CPSI scores for 92.5% of the participants (86 of 93) declined by over 50% from baseline. Suh and Lowe report that the response rate "was unchanged" at the 12-week and 24-week follow-ups.
Although an elimination challenge diet has not been tested (to my knowledge) as a therapy for CP/CPPS, Mark W. McClure, MD, and Eric Yarnell, ND, have found the technique clinically useful for identifying foods that trigger pelvic pain. McClure says, "I often see a connection between some gastric malfunction, whether it is irritable bowel syndrome or a mild case of Crohn's disease, and prostatitis. So, I try to do an elimination-challenge diet to see what foods might be culprits in causing gastric problems and, directly or indirectly, causing pelvic discomfort."
When antibiotics (or antifungals) fail to help a patient with CPPS, it may be time to consider an alternative.
Srivastava SC, Srivastava AK. Homoeopathy a resonable [sic] alternative for treatment of fungal prostatitis-a case report. J Recent Adv Appl Sci. 2010;25:25-27. Available at www.jraas.org/25(7)25-27.pdf. Accessed April 25, 2012.
Suh LK, Lowe EC. Alternative therapies for the treatment of chronic prostatitis. Curr Urol Rep. 2011;12:284-287. Available at www.pnei_it.com/1/upload/alternative_therapies_for_chronic_prostatitis.pclf. Accessed April 25, 2012.
Tugcu V, Tas S, Eren G, et al. Effectiveness of acupuncture in patients with category IIIb chronic pelvic pain syndrome: a report of 97 patients [abstract]. Pain Med. April 2010:11(4):518-522. Available at www.ncbi.nlm.nih.gov/pubmed/20113410. Accessed May 6, 2012
Yarnell E, Espinosa G, McClure MW. Roundtable discussion--focus on men's health. Ahern Complement Ther. April 2010;16(2):77-82. Accessed from CINAHL database. April 18, 2012.
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|Date:||Jul 1, 2012|
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