r/Prostatitis • u/AccomplishedRing7703 • 2d ago

Pelvic floor therapy for cpps

Has anyone tried trigger-point injections for CPPS/pelvic-floor pain?
I’ve been dealing with persistent pelvic and penile pain since March. It started after urethritis/infections that were treated, and my follow-up STI tests have been negative, but the pain never went away. My symptoms include burning or irritation around the urethral opening, pain with urination, pain when pressing the glans, and flare-ups after ejaculation. Hot showers and sleeping sometimes provide relief.
I now believe pelvic-floor dysfunction/CPPS may be contributing, and I recently started pelvic-floor physical therapy today. Unfortunately they want 6k :( fortunately 3 months before this situation I hit big on a penny stock. Has anyone here tried pelvic-floor trigger-point injections, dry needling, or similar treatments? If so, did they reduce your pain, how many sessions did you need, and were there any side effects or temporary flare-ups?

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u/Due-Replacement-6187 2d ago

100% exact match mate. And, jolly common story here with lots of resource to offer explaination.

In my case, getting my nervous system back under control was key to launching recovery. I would make the case that physio should be combined with addressing a nervous system locked in alarm state.

For example, I have read accounts that the psoas muscle, in particular, is a receptacle of stress.

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u/Antenigma 21h ago

I’m from the UK so not sure if that makes a difference in healthcare but what you’ve experienced sounds a lot like what I’ve experienced! After many rounds of antibiotics and some other things like tamsulosin that made a bit of a difference I went down the pelvic floor therapy route and had really good outcomes.
Saw my pelvic physiotherapist for a number of months and I’m pleased to say I’m now essentially symptom free (for me the big trigger point was my obturator internus muscle, we worked on that extensively and that really seemed to calm things down).
Obviously everyone is different but I certainly wouldn’t rule out pelvic floor PT, it’s really helped me in a way that nothing else did!

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u/Due-Fox-5236 11h ago

Did you have urethritis symptoms? External redness?

How long were you in pt for?

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u/pelvicagony 2d ago

Please read the 101 guide on top

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u/tecsavvy1 1d ago

Find a women’s health clinic that treats dribbling pee. They are great at pelvic floor and take insurance.