What is Chronic Prostatitis/Chronic Pelvic Pain Syndrome?

Chronic CP/CPPS is the inflammation without infection of the prostate gland, which is located below the bladder and surrounds the urethra. It can affect men of all ages and is often associated with discomfort and pain in the pelvic region. For cyclists, especially those who spend long hours in the saddle, prostatitis can be a specific concern.

How common is CP/CPPS?

More than 2 million men see a healthcare provider every year for prostatitis symptoms. Up to 50% of all men will have symptoms of prostatitis at some point in their lives. It’s the most common genitourinary issue in men under 50 and the third most common in men over 50.

Symptoms of CP/CPPS

Cyclists experiencing prostatitis may notice:

  • Pelvic Pain: Discomfort or pain in the lower abdomen, genitals or perineum (the area between the genitals and anus).
  • Urinary Symptoms: Frequent urination, urgency, or pain while urinating.
  • Sexual Dysfunction: Pain during ejaculation or erectile dysfunction.
  • Discomfort while Cycling: Increased pain or discomfort during or after cycling sessions.

Causes and Risk Factors for Cyclists

Cycling can contribute to prostatitis due to prolonged pressure on the perineum and vibrations from the bike. Risk factors include:

  • Prolonged Cycling: Extended periods in the saddle can irritate the prostate and surrounding tissues.
  • Poor Bike Fit: An improperly adjusted bike can increase pressure on the perineum.
  • Inadequate Padding: Lack of proper cushioning in bike shorts can exacerbate the issue.

Treatment

  1. Exercise Modifications
    • Adjust Bike Fit: Ensure your bike is properly fitted to reduce pressure on the perineum. Consult with a professional bike fitter for adjustments.
    • Cycling Posture: Maintain an ergonomic posture to minimise pressure on the prostate. Consider using a seat with a cut-out design to reduce direct pressure.
    • Stretching and Strengthening: Engage in pelvic floor exercises to strengthen the pelvic muscles. Stretching the hip flexors and lower back can also relieve associated discomfort.
  2. Remedial Massage
    • Pelvic Floor Massage: Targeting the pelvic floor muscles can help reduce tension and improve circulation. This type of massage is performed by a qualified sports massage therapist and can provide relief from symptoms.
    • Perineal Massage: Gentle perineal massage can help ease the discomfort and reduce inflammation. It is crucial this type of massage only be performed by a trained professional.
  3. Professional Therapy
    • Seek Advice from a Sports Massage Therapist: A qualified sports massage therapist can offer specialised treatment to alleviate symptoms and support recovery.
    • Consult a Physiotherapist: A physiotherapist with experience in treating prostatitis and related conditions can provide targeted exercises to aid in recovery.

Resources and Support

These trusted information partners have more on this topic:

[Better Health Channel – Prostate gland and urinary problems]
[Healthy Male – Prostatitis]

Conclusion

Sport-related prostatitis, particularly in cycling, can be managed effectively with the right approach. By making adjustments to your bike, incorporating targeted exercises, and seeking professional massage therapy, you can alleviate symptoms and continue enjoying your cycling routine.

For personalised advice and treatment, call Coffs Coast Sports Physiotherapy to book with sports massage therapist Trent Renshaw today and get back to enjoying your cycling routine pain-free.