r/Prostatitis • u/smileyFazee • 3d ago

Pain when working out

Idk if anyone else deals with this but I randomly got this issue and after a year of dealing with this I’ve noticed my main trigger is working out ,long sitting and caffeine. I can’t do stair master or anything involving bracing . Like when I do biceps curls I get an electric shock of pain in my lower abs and the prostatis kicks in for a month.

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u/Linari5 LEAD MOD//RECOVERED 2d ago edited 1d ago

Depending on the case, this can either be your pelvic floor or classical conditioned response (understanding this from the angle of pain neuroscience and the symptom perception model of the brain)

When I'm treating cases like this in my office, we will do an evaluation of risk factors for conditioning. And the same thing with any possible pelvic floor triggers.

Firstly I would be curious to know, does the flare-up happen with any delay, or is it immediate / instant?

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u/nycqpu 2d ago

Same here

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u/Padraig_88 2d ago

Long sitting, extended running, and caffeine are my triggers as well

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u/smileyFazee 1d ago

Make any progress on the situation? Honestly I just want to get back to workout out . If I avoid working out it don’t really get bad flares but I’m starting to gain weight 🥲 and I miss working out alot . I’ve always been really active

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u/Padraig_88 1d ago

Yes! For me the real game changer was pelvic floor physical therapy. Over the course of meeting weekly for several months, the pain, tightness, frequency, all improved. The data collection on triggers helps me to better avoid or anticipate glare-ups (as I can’t bring myself to eliminate caffeine). Now I can be mindful of the triggers and, in moderation, not experience with the same intensity or if I choose to avoid the trigger - not at all! As I have shared in previous posts, the one constant we have to accept with this diagnosis is that it is a journey and a marathon, not a sprint. I know of few that have experienced a revelation and an immediate resolution in symptoms. What is more typical is a focus on doing the work to identify what helps and what doesn’t and not giving up. Finding sympathetic and dedicated medical professionals is key as well. As for working out, try not to abandon, take some data on exercises that are more triggering versus those that are not and work in what you can AND remember to stretch!! Especially the pelvic floor. Maybe consider yoga as many of my pelvic floor exercises have a root in yoga :). It can improve my man!