I think I have a better idea what's going on with me

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Regular Member

Date Joined Nov 2005
Total Posts : 45
   Posted 11/17/2005 5:39 PM (GMT -7)   
Yesterday when googling "rectal tension" I came across mention of a book called "A Headache in the Pelvis", and actually spoke (twice!) on the phone with the research MD who wrote it.  Basically, I think my problems (and maybe my IBS) are related to pelvic floor tension.
quoth dr. david wise
This condition often involves:
  • having a sense that there is a golf ball in the rectum that can't be dislodged
  • urinary frequency and urgency
  • dysuria or burning during or after urination
  • a need to urinate even after one has just urinated
  • some sense of pelvic discomfort
  • no evidence of infection in the urine or prostatic fluid
  • no evidence of disease in the prostate or elsewhere in the pelvic floor

The majority of urologists tend to propound the second and third theories. Because of this, their treatments tend to focus on the use of antibiotics or pain medications. Sometimes urologists will tell their patients that there may be a microbe responsible for the problem that still has not been identified..
Below I want to discuss the first that prostatitis as a condition of chronic tension in the pelvic floor. In this view, everyone deals with the stresses of life by focusing their tensions in different parts of the body. For instance some people tense in their necks and heads and get headaches. Some tense in their gastrointestinal tracts and get irritable bowel syndrome or constipation. Some clench their jaws and get a condition called TMJ syndrome. Some subset of these people develop pain and dysfunction in their heads, gastrointestinal tracts, jaws etc. as a result of this chronic focus of tension.

Similarly, prostatitis as a tension disorder sees abacterial prostatitis/prostatodynia essentially as a 'headache in the pelvis" or "TMJ of the pelvis". In this view it is a condition usually manifesting itself after years of tensing the pelvic muscles. It usually tends to occurs in men who hold their tension and aggression inside. They squeeze themselves rather than lashing out at others. Often they have work in which they sit for long periods of time and the only way they have found to express their frustration is to tense their pelvic muscles. This tension has become a habit with them. Often they do not know they tense themselves in the pelvic floor.


this sums it up perfectly for me; i've always had anxiety problems and am under new stress at a job where I sit down a lot.  I'm going to start yoga and some meditation training next week, and am very hopeful that stress reduction and possably physical therapy will help me control the symptom of both my pelvic pain and my IBS.

Post Edited (spengler) : 11/17/2005 5:42:36 PM (GMT-7)

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Date Joined Apr 2005
Total Posts : 3269
   Posted 11/17/2005 8:55 PM (GMT -7)   
Spengler, glad you think you pinpointed what you might have. I really hope this relaxation regimen works for you. Please let us know if things start to subside for you (or, god forbid, things get worse). It is really important for everyone to practice stress reduction; I just wish I could do it consistently. Good luck!
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Date Joined Jun 2005
Total Posts : 2976
   Posted 11/18/2005 8:14 AM (GMT -7)   
Makes sense to me. I haven't tried yoga myself, but I took some Tai Chi lessons when I was in Ireland and I found them very relaxing. When I came out of my session, I felt very alert to the world around me and very relaxed and harmonious; kind of like a feeling of waking up and feeling refreshed and ready to start the day. Made me walk better too. I'd like to do it again, but I don't know where to go around here for it. Video tapes have never proved as good in-person lessons.

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Date Joined Jun 2005
Total Posts : 2976
   Posted 11/18/2005 8:22 AM (GMT -7)   
Or maybe you should take up medieval reenacting. My fiance says getting to hit people with sticks is very theraputic, lol. You get to relieve all of your agression that you hold inside. I have found it interesting that a LOT of the guys who do it are in the military or are ex-military. My theory is that they were trained to fight and to kill, but they have to hold all of that in while in the regular world and medieval combat allows them to think in a military way, think in a self-preservation way, allows them to physically hit someone else and allows them to have a drive to win. For Stuart, it is sort of a combination of physical release of agression and meditation. In between fights he is very quiet; he focuses on his breathing, and once that's recovered (lol), he watches the other fights and studies the other people's moves and visualizes what he will do to combat those moves. He says it's not unlike asian martial arts in terms of how you have to think and compose yourself. The moves are a bit different but the philosophy is the same.
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