“WOW! YOU’LL NEVER BELIEVE what just happened!” exclaimed my patient as he emerged from the bathroom following a Bonnie Prudden Myotherapy® treatment. I looked up from my notes wary of what the pronouncement was going to be. “I just had a steady stream!” I was just as surprised as he since I had treated him for low back and hip pain.

The enlarged or “aging prostate” is much in the news these days. You can’t turn on the TV or read an on line health letter without being enlightened, like it or not, about symptoms, Drawing of Normal Prostatesupplements and supplies for this now talked about problem.

  • The symptoms include a sense of not fully emptying the bladder, frequent urination, dribbling or leaking urine and a stuttered or weak stream.
  • The supplements include various over the counter enhanced with natural substances as well as #1 touted by The King.
  • The supplies include the likes of Depends, just for those who want to go camping and have family fun without disgrace.

NOTE The female with incontinence shares similar symptoms of and supplies for those with the “aging prostate.”

The prostate gland is a single, doughnut shaped gland about the size of a chestnut and weighs, on average, 11 grams. It lies inferior to the urinary bladder and surrounds the superior portion of the urethra. At the right moment it secretes a slightly acid fluid which contributes to sperm mobility and viability. The prostate slowly increases in size from birth and remains stable until about age 45, when enlargement may occur.

The issues manifest because of its location. While it is in a great location for delivering important fluids and squeezing things along, its position around the urethra can be a liability if the gland swells or grows. A swollen prostate compresses the urethra and irritates the walls of the bladder, interfering with normal urination.

Many men with an enlarged prostate have no symptoms or signs and like some other problems is only discovered while being examined routinely or for another problem… as in a “bad disc” where no pain exists.

Back to My Patient
Since not all enlarged prostates manifest with the above listed symptoms…did my patient have an enlarged prostate, damaged pelvic floor or damaged adductor muscles. Did it even matter as long as the results were better for the patient? Although I was not specifically treating the symptoms of an aging prostate I did treat the adductor muscles of my aging athlete patient which, when in spasm, can contribute to low back and hip pain as well as the symptoms listed above.

Pectineus drawing by Jonathan FitzgordonThe Aging Athlete
My educated guess is that many times these symptoms are found in the “aging athlete” whose overused, misused, abused and injured adductor muscles, which attach to the pelvic floor are, in part, contributing culprits. The “aging athlete” male or female was the track star, the hockey player, the figure skater, the X-country skier, the soccer player, the tennis player, the basketball player, the equestrian, the stealer of bases, the climber, the dancer, the earner of black belts. All of these activities depend on strong, flexible adductor muscles.

The Adductor Muscles
These six muscles attach to the pubic bones and they bring your leg medially…as when you use the inside of your foot to kick the soccer ball.

Pelvic Floor drawings - male and femalePelvic Floor Dysfunction
Injury to the pelvic floor can come in many forms: childbirth, running on the road, landing on the bike bar, rough pelvic examinations, child abuse and a hard fall to the tail bone.

When the muscles are injured, whether those of the pelvic floor or the adductors, they often go into spasm causing pain, dysfunction and limited range of motion. As in other parts of the body, trigger points are laid down. Trigger points are irritable spots that get into the muscle when it is injured. Adductor Muscles with Trigger PointsWhen a muscle goes into spasm it shortens, pulls on where it is attached and loses its power.

So my advice to you is try addressing the trigger points in the abused adductor muscles.

Use the guidelines shown in Bonnie’s book, Myotherapy, Bonnie Prudden’s Complete Guide To Pain-Free Living. To do a thorough job you will need to treat trigger points in the seat, low back, pelvic rim, groin, hips, adductors… as well as the pelvic floor. See my blog, Where Oh Where Is My Pelvic Floor? from September, 2014.

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If you have questions or need help email me at enid@bonnieprudden.com.

For more information about Bonnie Prudden®, Bonnie Prudden Myotherapy®, workshops, books, self-help tools, DVDs, educational videos, and blogs, visit www.bonnieprudden.com. Or call 520-529-3979 if you have questions or need help. Enid Whittaker, Managing Director, Bonnie Prudden Myotherapy®.