Pain Management in Chronic Prostatitis / CPPS

Sometimes seen as the “last resort”, this option has been a life-saver for many men with chronic pelvic pain syndrome. Certainly you should explore quercetin (Prosta-Q) and trigger point treatment before thinking about taking heavy duty pain medications that have the potential to addict you.

tramadolIf you fail all other treatment options and your doctor will not provide you with this option, ask for a referral to a Pain Management Clinic. There are many such clinics today.

These clinics usually provide you with opioid drugs, among others. These drugs are potentially addictive, so please be very careful about your use of the drugs. (2013: please join our prostatitis/CPPS forum and read the many warnings about using various pain relieving drugs for this condition!)

Opioid drugs seem to break the pain cycle for some men, giving them a chance to start healing. Opioid medications all work to relieve pain in the same way – by attaching to opioid receptors on nerve cells, which causes a decrease in the transmission of pain impulses to the brain

We want to emphasize that you first need to try a variety of other avenues before resorting to this option. See our forum for tips. Also be sure to read our pain management FAQ.

The best drug for pain management for chronic pelvic pain is Ultram (Tramadol), which is not as addictive as most opioids and does not trigger mast cells to the extent other opioids do.

Here’s a positive experience with pain management:

I just wanted to share my positive experience with Pain Management. The first onset of CP occurred in 1996, and lasted for 3.5 yrs. I had all the proper tests done. Pain level was always a 7 or higher, and then it went away. Just like that. Well it came back in Feb 02, and just as bad as ever. The doctors wanted to put me through all the tests again and I did a few, nothing showed. I then started to research pain management and took advice from the webmaster. I had to actually have an argument with my GP for him to refer me to a pain doc. When I went he did an exam then spoke with me and my wife at length and prescribed Tramadol (Ultram) 50mg, Amitriptyline 25mg, and Neurontin 900mg per day. I am happy to say I now have my life back. The sad thing is that I wasted quite a few years, but I know I am one of the lucky ones who found help. I always trusted doctors, but after this experience I do as much research as possible prior to going to the doctor now.
Good luck to all

Note from webmaster: Tramadol and amitriptyline (Elavil) can interact, so do not mix these drugs without doctor’s instructions. Amitriptyline may reduce metabolic clearance of tramadol, increasing the risk for serious adverse events including seizures and serotonin syndrome.

Pain management has the benefit of allowing the pelvic nerves to quieten, and this can sometimes be all that’s required to reverse the neural wind-up and hyperalgesia that underlies the condition.