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Neuromuscular tension is emotional, physical, or mental stress that affects the nerves and muscles. Some experts believe chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is caused by men who continuously or frequently tense their pelvic floor muscles. Over time, the accumulation of tension in the pelvic muscles can result in chronic pain.
Neuromuscular tension that can lead to chronic prostatitis is sometimes referred to as a “headache in the pelvis.” Just like men who hold tension in their neck and shoulders can get chronic headaches, men who tense their pelvic muscles can get chronic pelvic pain syndrome. Men who tense their pelvic muscles usually are not aware they are doing so. However, after years of holding in stress, chronic prostatitis may occur.
Chronic tension disorders and pelvic floor disorders, which are related to neuromuscular tension, are said to make up about half of the chronic prostatitis cases. When diagnosing prostatitis, a doctor may sometimes feel the tight or hard muscles on either side of the prostate during a digital rectal exam.
Experts who believe neuromuscular tension is one of the chronic prostatitis causes also point out that traditional treatments do not work. Instead, experts note that men need to take steps to relieve the cause of the stress to directly treat the built-up tension in the pelvic muscles and to take steps to help with stress and emotional health.
One of the alternative prostatitis treatments that has been found to be effective is trigger point release therapy. The success of this treatment approach in relieving chronic prostatitis is a main reason why neuromuscular tension is believed to be a cause of chronic nonbacterial prostatitis, at least in some men. Prostate massage is also a technique some men find helpful. Another step that men with chronic prostatitis can take is to learn relaxation techniques that will relieve the tension in the pelvic muscles.
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Gallbladder pain is (often misspelled "gall bladder") an all-inclusive term used to describe any pain due to disease related to the gallbladder. The major gallbladder problems that produce gallbladder pain are biliary colic, cholecystitis, gallstones, pancreatitis, and ascending cholangitis. Symptoms vary and may be triggered by eating certain foods. The pain may be described as intermittent, constant, abdominal, radiating to the back, mild to severe depending on the underlying cause.
A brief review of the gallbladder anatomy and function may help readers better understand gallbladder pain. The gallbladder is connected to the liver via ducts that supply bile to the gallbladder for storage. These bile ducts then form the common hepatic duct that joins with the cystic duct from the gallbladder to form the common bile duct that empties into the GI tract (duodenum). In addition, the pancreatic duct usually merges with the common bile duct just before it enters the duodenum. Hormones trigger the gallbladder to release bile when fat and amino acids reach the duodenum after eating a meal, which facilitates the digestion of these foods. Statistics suggest that women may have up to twice the incidence of gallstones than men.
As stated previously, the major gallbladder problems that produce gallbladder pain are biliary colic, cholecystitis, gallstones, pancreatitis, and ascending cholangitis. There are two major causes of pain that either originate from the gallbladder or involve the gallbladder directly. They are due to 1) intermittent or complete blockage of any of the ducts by gallstones; or 2) gallstone sludge and/or inflammation that may accompany irritation or infection of the surrounding tissues, when partial or complete obstruction of ducts causes pressure and ischemia (inadequate blood supply due to a blockage of blood vessels in the area) to develop in the adjacent tissues.
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