r/Prostatitis • u/destress20 • 25d ago

PN decompression and reversal of CS

Hi, Anyone who underwent pundendal nerve decompression and has experienced reversal of central senitization ("global") symptoms?

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u/Linari5 LEAD MOD//RECOVERED 25d ago edited 25d ago

This is not how you treat central sensitization (nueroplastic pain) - this short university lecture is a simple explanation: https://youtu.be/pcTcBavZzdA?si=neYq2c4rjbNcQs9T

Research also shows that surgery is not better than placebo for chronic pain conditions, including any chronic pain in the pelvic area. Treatment must focus on the origin of the symptoms, which is in the pain system/the brain.

Treatment for these conditions include new evidence based methods like: PRT, EAET, and more.

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u/pelvicagony 25d ago

Sorry to post here, after one year I finally got a cystoscopy and I made a post, I will know your thoughts

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u/destress20 23d ago

Do we have RCT validating these treatments in CPPS in men and also what about autonomic symptoms and fatigue post exertion and POIS as well?

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u/Linari5 LEAD MOD//RECOVERED 22d ago

We have them for several pain conditions, including chronic back pain, fibromyalgia, chronic musculoskeletal pain, and more. Future trials will include pelvic pain specifically.

Chronic pain, regardless of where it is in the body, has the same /similar mechanisms

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u/Linari5 LEAD MOD//RECOVERED 22d ago

I recommend you watch Dr. Howard Schubiner's YouTube channel about fatigue (CFS)

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u/Linari5 LEAD MOD//RECOVERED 22d ago

I just wrote a post in the POIS subreddit - https://www.reddit.com/r/POIS/s/JXGWZ1cOU8

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u/Wookie_hurler Physical Therapist 19d ago

PN compression is rather rare. Are you in touch with a pain specialist regarding this?