Flyer, I'm very sorry to hear about your worsening of symptoms. When your PT presses along the course of the nerve via the rectum is that painful? I could not tolerate internal PT before surgery either.
Violet
No internal trigger points
Re: No internal trigger points
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
Re: No internal trigger points
Violet, Difficult to say, because all internal stuff is painful for me, and I got the feeling that e.g. Alcock is not particularly more painful than the muscles themselves.
The muscles were most painful. But definitely, internal work makes my pain worse.
The muscles were most painful. But definitely, internal work makes my pain worse.
summer 2009 - episodic post ejaculatory pain,
early 2010- major flare-up, chronification
february 2011 - ESCW wave. major flare-up, lasting 5 months
february 2012 - diagnosed CPPS with irritation of pudendal nerve, hypog. plexus block
june 2012 - dorsal nerve block, no relief
2013 - starting PT with moderate results
2014-2017 better periods interchanging with heavy flare ups
2018 first long remission (several months)
2019-2023 most of the time almost assymptomatic with cca 2 flare ups yearly
early 2010- major flare-up, chronification
february 2011 - ESCW wave. major flare-up, lasting 5 months
february 2012 - diagnosed CPPS with irritation of pudendal nerve, hypog. plexus block
june 2012 - dorsal nerve block, no relief
2013 - starting PT with moderate results
2014-2017 better periods interchanging with heavy flare ups
2018 first long remission (several months)
2019-2023 most of the time almost assymptomatic with cca 2 flare ups yearly
-
HerMajesty
- Posts: 1134
- Joined: Sat Sep 18, 2010 12:41 am
- Location: North Las Vegas, Nevada
Re: No internal trigger points
I just noticed this thread and I am wondering about the amount of emphasis on internal work. I tried some internal work, several weeks in to my PT, without any positive results. It is certainly not the sum total of PT. I got tremendous benefit from PT: External trigger point massage belly-button-to-knees, progressive core excercise program, manual therapy to adjust the bony pelvis. I agree that no progress in PT after a few weeks is an indication one should probably quit, but the PT has to be comprehensive. If your PT puts a great emphasis on internal work although it isn't helping, don't give up on PT, get a 2nd opinion from a PT who has a more diverse approach to pelvic pain.
pelvic pain started 1985 age 14 interstitial cystitis. Refused medical care from age 17, did GREAT with self care for years.
2004 PN started gradually, disabled by 2009. Underlying cause SIJD & Tarlov cysts
improved with PT & meds: neurontin, valium, nortriptyline, propanolol. (off nortriptyline & propanolol now, yay!)
Tarlov cyst surgery with Dr. Frank Feigenbaum March 20, 2012.
Results have been excellent so far; but I won't know my final functional level for a couple of years.
2004 PN started gradually, disabled by 2009. Underlying cause SIJD & Tarlov cysts
improved with PT & meds: neurontin, valium, nortriptyline, propanolol. (off nortriptyline & propanolol now, yay!)
Tarlov cyst surgery with Dr. Frank Feigenbaum March 20, 2012.
Results have been excellent so far; but I won't know my final functional level for a couple of years.
-
cpps-admin
- Posts: 41
- Joined: Tue Aug 05, 2014 8:29 am
Re: No internal trigger points
This is something I often hear, and then, from the same patient who visits another, better trained therapist, Voila!, trigger points found!reckless wrote:The physio I'm seeing could not find any internal trigger points ...
- Is the therapist trained by someone who is expert in finding internal trigger points? There are very few such people at the moment, although that is changing.
- Is the therapist female? Women have much shorter and weaker fingers than men, and many of the men who report finding no trigger points with one therapist and then very painful trigger points with another therapist have in fact moved from a female to a male therapist.
Good luck,
I am the admin of the member forum at a chronic prostatitis (aka CPPS) website