Article

Chronic prostatitis/chronic pelvic pain syndrome
(CP/CPPS) negatively affects quality of life and sexual function in men of all
ages. Typical treatment with antibiotic and antimicrobial drugs often is not
successful. The purpose of this case report is to describe a multimodal physical
therapy intervention that included manual therapy techniques applied to the
pelvic floor in 2 patients who were unsuccessfully treated with the biomedical
model of prescription drug therapies. CASE DESCRIPTION: Two men, aged 45 years
and 53 years and diagnosed with chronic prostatitis, were referred for physical
therapy following unsuccessful pharmacological treatment. The patients were
treated with manual therapy techniques applied to the pelvic floor and instructed
in progressive muscle relaxation, flexibility exercises, and aerobic exercises.
OUTCOMES: Changes in the patients' National Institutes of Health Chronic
Prostatitis Symptom Index revealed differences between preintervention and
postintervention scores reflecting decreased pain and improved quality of life.
One patient improved from a score of 25 (total possible score = 43) before
treatment to a score of 0 after treatment, and the other patient improved from a
score of 29 to a score of 21. DISCUSSION: Manual therapy techniques applied to
the pelvic floor and performed by a physical therapist specially trained in these
techniques, along with progressive muscle relaxation, flexibility exercises, and
aerobic exercises, appeared to be beneficial to both patients in reducing pain
and improving sexual function.

Langue : ANGLAIS