THE TREATMENT

This multi factorial condition affects every individual in a unique manner. The Pelvic Pain Clinic places great emphasis on understanding the multiple factors affecting a client suffering with CPPS and Prostatitis including Biological, Psychological and Sociological factors. With this in mind Karl uses a BioPsychoSocial approach in the treatment of all his patients

 

What is a BioPsychoSocial approach?

The use of a BioPsychoSocial approach was proposed by George Engel in the 70’s. It takes into account the multiple aspects of a patients life that can contribute to their pain state. It looks beyond  a single causative factor and weighs up the individual, addressing  not only their biological factors (muscle tightness, increased sensitivity to the nervous system, immune response factors contributing to increased sensitivity, fight and flight or stress response, changes to breathing patterns etc.), but also psychological factors (catastrophisation, fear avoidance, hyper-vigilance, anxiety, worry, procrastination, depression) and social factors (what it means to have pelvic pain in the work environment, how it changes relationships with friends and family, what happens when the individual starts to socialise less, excluding themselves from those activities that provide them with a sense of community, self and a social life. Plus it address the awkwardness of the condition, its physical location and the distress of not being able to talk openly about it, unlike neck or back pain for example).

Up until now a traditional model of healthcare has been described as a biomedical approach, only considering single factors (the prostate, an infection, anterior hip tilt etc.). The approach has been to only focus on primary factors and to treat them with traditional medical interventions (antibiotics, non-steroidal anti-inflammatory drugs (NSAID’s), antidepressants etc. or through postural correction techniques like chiropractics). To date this has not been a  proven, nor successful model in the treatment of male pelvic pain.

In adopting a BioPsychoSocial model the Pelvic Pain Clinic looks to treat the whole patient, not just single causative factors that may or may not contribute to the patients condition

 

Before treatment can begin

Before the treatment can begin an extensive client consultation and assessment is necessary to understand the genesis of the condition and how best to treat the individual. Prior to the initial session we will email you the ‘Client Intake Forms.’ These need to be filled in beforehand and emailed back prior to the initial Skype/telephone consultation. To build up a clear picture Karl uses a number of intake forms covering a range of Bio, Psyhco and Social factors including the GAD7  form (generalised anxiety disorder), PCS-EN (patient catastrophisation scale) NIH-CPSI (National Institute of Health Chronic Prostatitis Score Index), PSEQ (pain self efficacy questionnaire) an his own intake forms, including the IPQ-R-PP which is an illness perception questionnaire revised for pelvic pain. The subsequent treatment will be engineered on the information provided in the intake forms and discussions taking place during the initial telephone/Skype consultation.

 

Initial Skype/telephone consultation

Once the completed forms have been emailed or posted back then we will arrange an initial Skype/telephone consultation. This typically lasts about 30 minutes and provides Karl with a chance to chat with the patient about their case. The session is used to bring colour to the intake forms, filling in blanks and creating a good picture of the presenting case. It allows the patient a chance to freely discuss their case (quite often the first time a patient is given this opportunity). Karl will provide feedback and advice in this initial session. In some cases he will suggest a referral to another specialist at this junction. He may not feel that a face to face session is needed and will advise accordingly offering practical solutions and recommendations. Or, he will suggest that the best plan of action is to come for face to face sessions. Whatever the outcome Karl will always have the patients best interests at heart. He is open, frank, realistic and honest with all of his patients.

 

The face to face session

Each face to face session lasts approximately 100 minutes. The emphasis of the face to face session is to fully assess the patient and provide a tailored self care programme. Each session is bespoke and individual to the patient. As each patients presenting case is unique Karl does not use an off the shelf approach. Instead he combines the multiple factors of the BioPsychoSocial model to find the right keys to unlock each individual case.  The face to face session may include some or all of the below methods and approaches

  • Pain management and education
  • Therapeutic movement analysis and re-education
  • Relaxation techniques
  • Lifestyle adaptations
  • Internal assessment of the pelvic floor
  • Manual massage therapy
  • Trigger point therapy

After each session you will receive a unique report covering much of what was discussed in the session. It will outline key concepts covered and relevant information to assist you in your recovery. It will also include your own personalised self care programme for you implement on  a daily basis to manage and reduce your symptoms, improve your quality of life and return you to meaningful activity.

 

Self care programme

Because self-care is central to a patient’s full recovery, you will be provided with a bespoke home self care programme. Karl places great emphasis on the patient being the driver in their recovery, not just a passenger.  This allows you to take control of your symptoms from the comfort of your own home. This may include combinations of mindfulness, meditation, meaningful movement, meaningful activity, stretching, yoga, social activities, self massage, supplementation, lifestyle and dietary changes to name a few. The self care programme is developed in conjunction with your input. Karl will always balance good practice and sensible, realistic and achievable programmes with the individuals guidance. This creates greater opportunity for healthy habits to be formed, unhealthy ones to be broken and a greater chance of recovery

 

Follow up sessions

All follow up sessions will last approximately 70 minutes. Karl will provides each patient with a bespoke self care programme allowing you to focus on your own recovery each and every day. Karl encourages independence and guides self confidence. With this in mind he typically sees patients every 4 weeks for follow up sessions. During this session your self care programme will be reviewed, adapted and modified where necessary. Each follow up session builds on the previous one, creating a naturally flowing and progressive recovery. In between sessions Karl provides full email support to all of his patients. Often in between sessions the patient may find he has questions or concerns around his condition, or programme and these are easily addressed through this ongoing support

If you have any questions regarding the treatment or Karl’s approach please contact the clinic here 

 

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DURATION AND PRICE OF TREATMENT

The following prices accommodate UK and Non UK patients.

The price includes full email, telephone and Skype support between sessions. You will receive an emailed report after each session outlining what was discussed in the session as well as bespoke after care advice specific to your recovery.  Each follow up session will be approximately 4 weeks after the previous appointment to allow you time to implement the recommendations to reduce your symptoms. The majority of patients see a significant reduction in their symptoms within 3-4 treatments, with some patients getting complete relief within this period. Each session is based around setting realistic and achievable targets and goals. Karl places great emphasis on self care encouraging you, the patient to be the driver in your recovery:

UK Patients Prices

Initial Skype or phone call – 30 minutes – £60.
Intake forms will be emailed to you in advance, these are to be filled in and emailed back prior to the call. The initial chat allows for preparation and tailoring of the hands on/face to face appointment. The chat also allows you to get any additional testing (if necessary) prior to our meeting

Hands on appointment – up to 100 minutes – £225
A full assessment (based on the initial chat) with subsequent treatment, tailored to you and your presenting case. You will also be provided with self care techniques allowing you to continue the treatment beyond the appointment, managing your symptoms and improving your chances of recovery

Follow up appointments – up to 70 minutes – £150
Reassessment and subsequent treatment based on findings. Any self care techniques provided in the previous session will be reassessed and adapted and/or expanded where appropriate

Non UK Patients Prices

Skype call – from 30 – 60 minutes – from £60 – £120.
Intake forms will be emailed to you in advance, these are to be filled in and emailed back prior to the call. Once the forms have been emailed back we will be able to provide you with an idea of the duration of the Skype session. The sessions will cover symptom alleviation through graded exposure to activity, pain science and lifestyle changes and adaptations

Non UK patients appointment time is extended to allow for more ground to be covered as there is no face to face or physical assessment time

 

Any changes or cancellations to appointments must be made 24 hours in advance otherwise the full price of the treatment will be charged


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IS THE CPPS AND PROSTATITIS APPROACH FOR YOU?

Have you had multiple medical tests that have come back as negative?

Have you found no benefit from following current medical treatment to your CPPS and Prostatitis?

Are you looking to be more involved in the process of your recovery?

Do you feel you are simply not being listened to?

Are you suffering with any of the following symptoms?

  • Urethra (internal to the penis)
  • Tip of Penis
  • Base of Penis
  • Shaft of Penis (external to the penis)
  • Rectum
  • Inner thighs
  • Testicles
  • Perineum (surface discomfort)
  • Prostate (felt as pain higher than the perineum [deeper, internal pain])
  • Above the Pubic Bone (between the pubic bone and belly button)
  • Lower Back Pain
  • Pubic Bone
  • Increased urinary frequency
  • Increased nocturnal urinary frequency
  • Pain upon ejaculation
  • Erectile Dysfunction
  • Hard Flaccid

If you have answered yes to any of the above questions then the CPPS and Prostatitis approach at The Pelvic Pain Clinic is for you. Please contact us here for more details of how we can help you

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Testimonials From Clients

“Having suffered with Pelvic Pain to the point where I had to be hospitalised for a number of nights, Karl has a great understanding and level of empathy with his patients, appreciating exactly how they feel and what they are going through”.

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