CPPS and Internal trigger point therapy.

I am 25 old male, and I have been suffering with CPPS for over year, it has affected my sexual capacity and libido to great extend.

Anyway I have done trigger point therapy, visited doctors and fysios, TENS treatment, stretching 2hours daily, foam roller and yoga. Doing these things have helped, but I have reached a Plateau in three months, no progress.

I do 3 yoga poses which help a good deal for a while, until the muscles clamp again.
Garland pose
Child pose
Downward facing dog pose.

I think I am getting a bit a desperate and consider doing an internal trigger point therapy, unfortunately there aren’t fysios who specialize in pelvis who could do this treatment.. At least not in the area I live in.

I am kinda afraid of doing this, but it seems these triggerpoints don’t go away themselves.. But uhhh isn’t it dangerous to put a finger inside of butt to find the triggers inside the pelvis? I don’t know what to do, I am scared of the risks.

What I need is a good advice, I want to fix this issue finally, yes even if that includes sticking a finger in your own ass, Jesus. So is this dangerous?

Maybe this is the only way to release the ischiocavernosus and bulbocavernosus? Man this thing sounds dreadful as fuck and I feel like I am out of options.

There is nothing dangerous about internally massaging these trigger points. I get these from time to time, mostly caused by stress. Many people tense their PC muscles subconsciously during stress and therefore develop these trigger points/muscle spasms. Mine mostly occur in the middle of the night, and I’ve even passed out from the pain a couple of times. It’s the only time I’ve ever passed out from any type of pain.

I recommend deep squats and addressing your anxiety/stress issues. Caffeine and nicotine (any stimulants) will make them worse too, so consider reducing/eliminating these things. I actually had a spasm the other day and my wife internally massaged the trigger point with her finger. (True love right?) The spasm was gone in just a few minutes, whereas they normally last for several, sometimes up to an hour. This is embarrassing stuff, but I’ve found a tremendous improvement in addressing the issues I stated above. Good luck.

Also, I don’t recommend doing regular kegels. People with tight pelvic floor muscles will only get worse with regular kegels. Try reverse kegels to stretch the muscles out.

-BD

As far as I know, weak muscles tend to spasm more, because they are more easily agitated. That contradicts what Bizzledizzle said, and I’m not certain which one of us is correct, even though I learned it in medical lectures. However, I agree with dealing with the underlying issues. Anxiety and caffeine intake can be combated. Personally I overcame my anxiety by reducing caffeine, by active posture changes and exercise. Stretching the m. pectoralis minor in particular is useful as well as taking so called power poses regularly for a few minutes.

Continuing with pressure point therapy: as far as I’m aware rubbing/massaging any healthy tissue will never have any negative consequences. Muscles cannot lengthen themselves, that’s why they normally exist in antagonistic pairs. This I do know with a fair degree of certainty, so reverse kegels won’t do anything except give you more control over the muscle. Unfortunately spasms are a loss of control.

I appreciate CrusherBrooks’ input. I have practiced anesthesiology and pain management for sixteen years and have treated myofascial trigger point syndromes professionally for well over a decade and in my experience, both personally and professionally, I can assure you 99.9% of the time, the cause of the trigger points/muscles spasms can usually be traced to one of three things, and often a combination of all three:

1) Stress (whether psychological or chemically induced) 2) Repetitive motion injury (I.e. Chronic tension in the muscle due to anxiety/stress, or something physical like holding a phone to your ear for several hours a day, or carrying a heavy purse on the same shoulder.) and 3) Poor sleep, all of which can be interrelated.

It’s not that weak muscles spasm in these cases, but fatigued muscles under constant tension. The last thing I would do to a muscle that is already prone to spasm is increase it’s metabolic demand by trying to make it stronger.

The reason the Aneros prostate massager works is because the user voluntarily triggers involuntary spasms in the BC and PC muscles inducing fatigue by contracting the muscles from anywhere to 30 minutes to an hour. Patients that experience CPPS, Proctalgia Fugax, or Levator Ani syndrome typically hold tension in their pelvic floor muscles when stressed, (I know I do), and this can be easily observed if you pay close attention to your PC muscles when stressed. If you pay attention, you may be holding a long continuous kegel in stressful moments. I think once you become conscious of this habit, and consciously relax the muscles, your episodes of pelvic pain may diminish greatly.

The last thing you would want to do is to make these muscles more fatigued by trying to make them stronger. You are most likely already doing kegels all day long without being aware of it. I can only speak from my own personal/professional experience.

I can assure you, in the midst of an acute spasm, a reverse kegel will most certainly assist in helping to alleviate the discomfort until the active trigger point can be massaged. I know this from personal experience. A close friend of mine is a colorectal surgeon who I have discussed this syndrome with at length (mainly for my own personal information) and he sometimes treats these patients in his office. How does he do this? By manually massaging the active trigger points with a gloved, lubricated finger. You can do this yourself, or with a willing partner. Good luck.

-BD

I was referred to a physical therapist due to an overactive/exhausted pelvic floor. Now, I never did need trigger point therapy but it was discussed with my therapist. She joked that if I didn’t do my kegels she’d have to prod her finger up my arse.

What’s more interesting to you though was a client of hers who did need the (internal) trigger point therapy. After a while he made a device that I can only describe as a cane with a bulb at the end. The thing was made out of acrylic and allowed him to the massages himself only needing to see the therapist to check on his progress. You can, seemingly, do it yourself but will need a therapist to start the whole ordeal.

In your search for a therapist you could looks to expand your kegel skills and breathing. Made my pelvic floor problems go away in a few weeks.

I appreciate all the input you guys have made, but I am still a bit scared because I might accidentally injure/tear my bowels or induce a infection.
So until I am not chicken shit, will stretches and yoga poses eventually make these internal trigger points dissolve/disappear or is pressing the internal trigger points the only way to make them disappear?

I also heard from another forum, that penis stretching exercises help against Hard flaccid because it apparently relaxes the PC muscles.. Is there are credit to this claim?