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CONDITION/DISORDER SYNONYMS
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Category 3 nonbacterial prostatitis
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)
Levator ani syndrome
Prostatodynia
Urogenital pain disorders
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338.4 Chronic pain syndrome
601.1 Chronic prostatitis
Associated physical therapy diagnoses
564.6 Anal spasm
569.42 Anal or rectal pain
719.45 Pain in the hip joint, pelvic region, and thigh
724.7 Disorders of coccyx
728.2 Muscular wasting and disuse atrophy
728.85 Spasm of muscle
728.89 Disorders of muscle, ligament, and fascia
729.1 Myalgia
729.2 Neuralgia/neuritis
729.9 Other disorders of soft tissue
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G89.4 Chronic pain syndrome
N41.1 Chronic prostatitis
R10.2 Pelvic and perineal pain
Symptom-specific diagnoses
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PREFERRED PRACTICE PATTERN
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As of July 2014, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology.
Associated or secondary musculoskeletal patterns include:
4C: Impaired Muscle Performance1
4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction1
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PATIENT PRESENTATION
A 36-year-old man reports pain in the perineum and scrotum which worsens with sitting. He was originally diagnosed with acute bacterial prostatitis, and completed a 6-week course of antibiotics. The pain improved for several weeks, then returned. Testing is now negative for infection. Now, the patient complains that it feels like he is “sitting on a ball.” If he has been sitting and having pain for a while, then sexual intercourse and ejaculation are also painful.
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Pelvic pain or regional pelvic pain syndrome (perineal pain, penile pain, testicular pain, suprapubic pain, groin pain) without detectable pathology
No evidence of infection or inflammation
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Essentials of Diagnosis
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Unknown etiology
Rule out bacterial prostatitis and other organ pathology
Symptoms may be initiated by an acute infection, injury, or inflammation of a pelvic or urogenital organ, however, pain persists beyond the duration of the original inciting event or disease.2
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General Considerations
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Chronic pain condition.
Etiology is unknown.
Diagnosis is a process of exclusion.
Urogenital pain disorders frequently affect nearby body areas; especially back, pelvic, hip, groin regions.3
PT intervention is often appropriate for associated musculoskeletal impairments.
May ...