Pelvic Floor Physiotherapy
Pelvic floor physical therapy involves targeted exercises to strengthen the muscles of the pelvic floor, as well as manual techniques such as trigger point release and myofascial release. These techniques can help alleviate muscle tension and pain associated with CPPS.
Pelvic floor muscle retraining is a common intervention for CPPS. This technique involves exercises to improve the strength, endurance, and coordination of the muscles that support the pelvic organs. Pelvic floor muscle retraining can help alleviate pain and discomfort associated with CPPS by improving pelvic muscle function and reducing tension in the pelvic region.
Trigger Point Release
This therapy involves manual manipulation of trigger points or knots in the pelvic floor muscles to relieve tension and pain. A healthcare provider may use a combination of massage, pressure, and stretching techniques to release trigger points in the pelvic region.
This therapy involves applying sustained pressure to the connective tissue or fascia surrounding the muscles to release tension and improve blood flow. A healthcare provider may use hands-on techniques or specialized tools to perform myofascial release.
Muscle Relaxation Training
This type of therapy involves teaching patients techniques to relax their pelvic floor muscles, such as deep breathing and progressive muscle relaxation. This can help reduce tension and pain in the pelvic region.
Certain medications may be prescribed to manage the pain and inflammation associated with CPPS. These may include nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, or nerve pain medications.
Cognitive Behavioral Therapy (CBT)
CBT is a form of psychotherapy that focuses on changing negative thought patterns and behaviors that can contribute to chronic pain. It can help individuals with CPPS to develop coping strategies and improve overall quality of life.
Biofeedback involves using sensors to monitor and visualize physiological responses, such as muscle tension, and learning to control these responses through relaxation techniques. Biofeedback can help individuals with CPPS to reduce muscle tension and manage pain.
Interstitial Cystitis/Painful Bladder Syndrome (IC/PBS) Treatment
Because IC/PBS and CPPS often occur together, treating IC/PBS symptoms can also help alleviate CPPS symptoms. Treatment options for IC/PBS may include medication, bladder instillations, or nerve stimulation.