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Condition

Chronic Pelvic Pain

At Core Body Clinic, we are recognised specialists in treating chronic pelvic pain syndrome (CPPS) and chronic prostatitis, conditions that significantly impact men’s health, with an estimated 2 million outpatient consultations in the United States annually and affect approximately 2–6% of men globally.
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This debilitating condition, also known as chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), may develop following a prostate infection or arise spontaneously without identifiable cause. We diagnose chronic prostatitis (type IIIB) when bacterial infection has been excluded yet persistent pain continues, making comprehensive medical screening essential before beginning our specialised pelvic health assessment.

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Complex Symptom Presentation
CPPS manifests through a constellation of distressing symptoms including lower abdominal pain, pelvic discomfort, lower back pain, and perineal pain that may extend to the genitals. Patients frequently experience urinary urgency with incomplete voiding, painful urination, painful ejaculation, and uncomfortable erections. The persistent sitting pain and inability to find comfort from symptoms often leads to significant quality of life impairment, with conventional painkillers and multiple courses of antibiotics typically providing little relief.
Once the pelvic region becomes sensitised, a cascade of neuromuscular dysfunction develops where pelvic floor muscles tighten and contract, perpetuating the pain cycle. Research demonstrates that for patients who exhibit pelvic floor dysfunctional pain — spasm, myofascial pain, trigger point pain — physical therapy regimens have been shown to very effective. Over time, the nervous system learns to maintain this heightened state of tension, requiring targeted therapeutic intervention to break these maladaptive patterns and re-educate the neuromuscular system.
CP/CPPS is a heterogeneous condition and, much like with prostate cancer, optimal therapy can only be achieved by classifying patients into clinically meaningful phenotypic groups, which is why our comprehensive assessment approach is crucial for treatment success. Evidence shows that therapy guided by UPOINT leads to significant symptom improvement in 75–84% of patients based on three independent studies, supporting our phenotype-driven treatment protocols.
Our evidence-based approach combines specialised pelvic floor physiotherapy enhanced with real-time ultrasound guidance, manual therapy techniques, and targeted rehabilitation protocols. Manual therapy intervention has shown promising results in treating chronic pelvic pain syndrome, and our experienced team utilises these techniques alongside advanced modalities including low-intensity shockwave therapy and biofeedback training.
At Core Body Clinic, we understand that even the most persistent chronic pelvic pain conditions can achieve complete recovery with appropriate, targeted therapy. Our specialised expertise in male pelvic health, combined with our comprehensive treatment approach, offers hope and healing for men who have struggled with this challenging condition – because chronic pain doesn’t have to be chronic when expert care is available.