Safety and Effectiveness of an Internal Pelvic Myofascial Trigger Point Wand for Urologic Chronic Pelvic Pain Syndrome

@article{Anderson2011SafetyAE,
  title={Safety and Effectiveness of an Internal Pelvic Myofascial Trigger Point Wand for Urologic Chronic Pelvic Pain Syndrome},
  author={Rodney U Anderson and David Wise and Timothy Sawyer and Brian H Nathanson},
  journal={The Clinical Journal of Pain},
  year={2011},
  volume={27},
  pages={764–768}
}
ObjectivesPelvic muscle tenderness occurs often in patients with urologic chronic pelvic pain syndrome; symptoms frequently can be reduced with pelvic myofascial physical therapy. This open-label pilot study evaluated the safety of a personal wand that enables patient's self-treatment of internal myofascial trigger points in the pelvic floor and its effect in reducing pelvic muscle tenderness. MethodsA specially designed curved wand served as an extended finger to locate and release painful… Expand

Paper Mentions

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References

SHOWING 1-10 OF 17 REFERENCES
Painful myofascial trigger points and pain sites in men with chronic prostatitis/chronic pelvic pain syndrome.
TLDR
Identifying the site of clusters of trigger points inside and outside the pelvic floor may assist in understanding the role of muscles in this disorder and provide focused therapeutic approaches. Expand
Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men.
TLDR
This case study analysis indicates that MFRT combined with PRT represents an effective therapeutic approach for the management of CP/CPPS, providing pain and urinary symptom relief superior to that of traditional therapy. Expand
6-day intensive treatment protocol for refractory chronic prostatitis/chronic pelvic pain syndrome using myofascial release and paradoxical relaxation training.
TLDR
Evidence supports the concept that phenotypes of pelvic muscular tenderness and psychosocial distress respond to myofascial trigger point release and specific relaxation training and long-term outcomes of a 6-day intensive combination of such therapies in refractory cases are reported. Expand
Randomized multicenter feasibility trial of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes.
TLDR
The feasibility of conducting a full-scale trial of physical therapy methods is judged and the preliminary findings of a beneficial effect of myofascial physical therapy warrants further study. Expand
Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training.
TLDR
Application of the trigger point release/paradoxical relaxation training protocol was associated with significant improvement in pelvic pain, urinary symptoms, libido, ejaculatory pain, and erectile and ejaculatory dysfunction. Expand
Pelvic tenderness is not limited to the prostate in chronic prostatitis/chronic pelvic pain syndrome (CPPS) type IIIA and IIIB: comparison of men with and without CP/CPPS
TLDR
Men with CP/CPPS have more tenderness compared to men without CPPS, and tenderness in men with CPPS is distributed throughout the pelvis and not specific to the prostate. Expand
Contribution of the local and referred pain from active myofascial trigger points in fibromyalgia syndrome
TLDR
Investigating whether local and referred pain from active myofascial trigger points (MTrPs) contributes to fibromyalgia pain found that active MTrPs bilaterally in the upper trapezius muscle contribute to the neck and shoulder pain in FMS. Expand
Phenotypically directed multimodal therapy for chronic prostatitis/chronic pelvic pain syndrome: a prospective study using UPOINT.
TLDR
Multimodal therapy using UPOINT leads to significant improvement in symptoms and quality of life, and results usingUPOINT compare favorably with all large trials of monotherapy. Expand
Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points.
TLDR
The feasibility of continuous, in vivo recovery of small molecules from soft tissue without harmful effects is shown and the milieu of the gastrocnemius in subjects with active MTPs in the trapezius differs from subjects without active MTFs. Expand
Pelvic floor physical therapy for patients with prostatitis
TLDR
A new approach incorporating a neurobahavioral and musculoskeletal perspective is emerging as a means of diagnosing and treating affected patients with chronic prostatitis. Expand
...
1
2
...