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Dr. Allyson Shrikhande, Chief Medical Officer at Pelvic Rehabilitation Medicine, discusses prostate pain (prostatitis). Topics discussed include: Which type of prostatitis we treat Symptoms we typically see in our patients Where pain is experienced Potential causes of prostate pain How pain is modulated Where/how we treat patients How relieve tension in the pelvis Dr. Shrikhande is the Chief Medical Officer of Pelvic Rehabilitation Medicine. She distilled her global expertise into a minimally invasive, cutting-edge approach to the treatment of pelvic pain and pelvic floor muscle dysfunction. With an extensive background in mainstream clinical medicine, she also makes use of many alternatives, holistic and homeopathic approaches. She has published peer-reviewed articles on the treatment of muscle pain in academic journals and works closely with renowned pelvic pain gynecologists and urologists. At Pelvic Rehabilitation Medicine, our pelvic pain specialists provide a functional, rehab approach to pelvic pain. When you visit one of our offices, you spend an hour with your doctor reviewing in detail your medical history and symptoms. Then, we perform an internal exam (no speculum) to evaluate your nerves and muscles. Together, we'll discuss an individual treatment plan that gets to the root cause of your pain and helps you to feel better. The best part: you can begin treatment the same day! At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms. LEARN MORE: https://www.pelvicrehabilitation.com/ JOIN OUR COMMUNITY and get in on the discussions happening: ✨ Facebook - https://www.facebook.com/PelvicRehabilitation ✨ Instagram - https://www.instagram.com/pelvicrehabilitation/ ✨ Twitter - https://twitter.com/PelvicRehab #PelvicRehabilitationMedicine #Prostatepain #prostateproblems #pelvicpain **** The subset of prostatitis that we would treat is abacterial or non-bacterial prostatitis. Meaning, there was tenderness on the prostate in exam, however, the workup was negative for any prior infection. So the symptoms that we would see here in patients with abacterial prostatitis would often be testicular pain or burning, perineal discomfort or burning in the perineum, penile pain, pain with erection or ejaculation or post-intercourse, as well as urinary symptoms such as burning during urination or frequency or urgency. Some potential causes is inflammation in the genitourinary system. From when there's chronic pelvic floor tension and muscle dysfunction, you essentially get release of proinflammatory cytokines from the pelvic nerves. In addition, there's been some recent research that has shown the importance of the descending modulation from the brain going down the spinal cord to the genitourinary system that can modulate pain and prostatitis itself and the overall urological chronic pelvic pain syndrome. Therefore, when we do treat patients particularly with urologic chronic pelvic pain syndrome, we not only treat the peripheral nervous system and the muscles of the pelvis and the surrounding soft tissue, but we also treat the descending modulating signals from the brain. Here at Pelvic Rehabilitation Medicine, we work to relieve the symptoms of abacterial prostatitis as they're intimately connected to tension in the pelvic floor muscles. And we work to relieve that tension and increase blood flow and decrease inflammation around the nerves that can ultimately help with the pain and inflammation associated with the prostatitis.

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