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Ask The Urologist Anything (Dr Michael Rotman)
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<blockquote data-quote="DrRotman" data-source="post: 79808" data-attributes="member: 13244"><p>Hi Nelson, this is a situation I encounter quite frequently in my urban practice. I have sat in on many lectures dealing with chronic pelvic pain syndrome which encompasses much of what you are describing to me. The antibiotics frequently help the patients initially because they have anti-inflammatory properties and thus act like ibuprofen but symptoms return on stopping the meds. </p><p></p><p>The pain and situation you are describing to me, I treat with pelvic floor therapy. The pain isn’t originating from the prostate or bladder but is likely neurological in nature. I use a sports medicine specialist who utilizes trigger point therapy and pelvic floor therapy/exercise to analyze and treat the pain. This has been extremely successful and is the proper way to treat this situation after urological disorders such as BPH, urinary infection, etc have been ruled out by the urologist . My patients have been very grateful lately to find someone who is helping them. I personally used him as well after a snowmobile mishap which caused a C5-C6 radiculopathy which he was able to diagnose and treat. So in short, I would seek out a pelvic floor therapist, preferably an MD who can do a bit more than a non MD. Hope this helps</p></blockquote><p></p>
[QUOTE="DrRotman, post: 79808, member: 13244"] Hi Nelson, this is a situation I encounter quite frequently in my urban practice. I have sat in on many lectures dealing with chronic pelvic pain syndrome which encompasses much of what you are describing to me. The antibiotics frequently help the patients initially because they have anti-inflammatory properties and thus act like ibuprofen but symptoms return on stopping the meds. The pain and situation you are describing to me, I treat with pelvic floor therapy. The pain isn’t originating from the prostate or bladder but is likely neurological in nature. I use a sports medicine specialist who utilizes trigger point therapy and pelvic floor therapy/exercise to analyze and treat the pain. This has been extremely successful and is the proper way to treat this situation after urological disorders such as BPH, urinary infection, etc have been ruled out by the urologist . My patients have been very grateful lately to find someone who is helping them. I personally used him as well after a snowmobile mishap which caused a C5-C6 radiculopathy which he was able to diagnose and treat. So in short, I would seek out a pelvic floor therapist, preferably an MD who can do a bit more than a non MD. Hope this helps [/QUOTE]
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Ask The Urologist Anything (Dr Michael Rotman)
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