Treatment of prostatitis in men with physiotherapy. Basic techniques

2023 Author: Alfred Shackley | [email protected]. Last modified: 2023-05-21 13:14

Physiotherapy for prostatitis, along with the use of medicines, is one of the most effective and basic methods of the treatment course. It is used at the stage of inpatient and outpatient treatment, as well as in order to prevent the development of a chronic form of the disease.

Without the inclusion of this technique in the complex of therapeutic and prophylactic measures, it is impossible to achieve complete recovery or long remission.

What procedures are shown

The following procedures are used to treat prostatitis:

• thermal;
• aquatic;
• gymnastics;
• massage;
• laser therapy;
• electrophoresis.

Thanks to this method of treatment, the following results are achieved:

• improvement of blood circulation inside the gland, in the pelvic organs;
• increased permeability of the gland cell membranes;
• increased lymph outflow;
• removal of toxins and toxins from the body;
• elimination of edema and inflammation;
• reduction of pain syndrome;
• improving the functional state of muscle tissue;
• restoration of the functions of the gland;
• normalization of metabolism;
• stimulation of the protective properties of the body.

Physiotherapy for chronic prostatitis is well tolerated by most patients, has almost no contraindications. The course of treatment is selected individually for each patient. It can be used for a long time, alternating procedures. The indication for the appointment of physiotherapy is a chronic form of prostatitis with an inflammatory process and a painful syndrome.

Effective physiotherapy for prostatitis

Galvanization

Galvanization implies the application of a continuous current, due to which drugs penetrate the tissues of the prostate gland and have a stimulating, analgesic and local effect.

Electrophoresis

Electrophoresis for prostatitis is carried out using direct current or with the simultaneous use of drugs. The active substance of the drug penetrates the skin or the mucous membrane of the rectum, urethra. In this case, the current, interacting with the drug, has a beneficial effect on the gland, relieving inflammation and pain.

From medical drugs, when conducting electrophoresis, drugs containing calcium (calcium chloride), bromine (sodium bromide), analgesics (Amidopyrine, Novocaine) are used. Antibiotics are administered topically.

Recently, intracavitary electrophoresis is often used. Medicinal substances are injected rectally into the rectum after a cleansing enema. An electrode is inserted rectally and connected to an intravenous drug infusion system. The system contains 50-70 ml of the drug. Part of the drug is first injected in a stream, the rest is injected drip during the remaining time.

The endourethral technique also involves the use of electrodes, but they are inserted into the urethra, they can combine rectal and urethral administration.

Electrophoresis can be interstitial, in which the drug is injected subcutaneously, intramuscularly, intravenously or through the mouth, and then galvanization is done using a transverse technique.

Contraindications for electrophoresis:

• hemorrhoids in acute form;
• proctitis;
• the presence of cracks in the anus;
• diseases of the rectum.

3. Impulse currents of low frequency and low voltage

Diadynamic and sinusoidal modulated currents help to eliminate pain syndrome, increase muscle tone. The electrodes are placed over the pubis and on the perineum. Currents have a pronounced anti-inflammatory effect, normalize sexual functions.

One electrode is inserted into the rectum, which is cleaned before starting the procedure. And the second is placed under the pubis. With the help of these currents, drugs can be administered topically.

4. High frequency and high voltage currents

Ultra-high frequency (UHF) currents help relieve inflammation, have an immunomodulatory effect. For UHF, the apparatus "LUCH-2" and "LUCH-3" with rectal emitters are used. To eliminate pain syndrome, high frequency currents (EHF) are used.

Contraindications: UHF should not be performed when neoplasms appear in any area of the body.

5. Ultrasound

The ultrasound procedure today is one of the most effective in the treatment of the chronic form of the disease. Ultrasound has anti-inflammatory effects. It dissolves and softens scars and infiltrates, normalizes metabolism, activates tissue and cell regeneration, and increases sexual activity in men.

High-frequency waves are applied to the affected area. Exposure to ultrasound is performed through the skin or using a rectal emitter.

Medicines can be administered topically (phonophoresis). This method allows you to enhance the effect of drugs.

Contraindications: Do not use transrectal ultrasound if there are cracks in the rectum and bleeding from hemorrhoids.

6. Light therapy

Light therapy uses different types of radiation (laser, ultraviolet, infrared).

Laser therapy is divided into intravascular, supravascular, cavity, and external. Ultraviolet light stimulates the protective properties of the body, helps to dissolve infiltrates. Infrared rays have a thermal effect, due to which the pain syndrome passes, blood circulation and metabolism are normalized.

Magnetotherapy

For treatment, constant and alternating magnetic fields are used. The impact on the body is carried out by reflex (through acupuncture points), humoral (through plasma, blood, lymph) and direct (through organs and tissues) ways.

This method of treatment has practically no contraindications and side effects. Under the influence of magnetic fields, damaged tissues are restored, the blood supply process improves, and the inflammatory process is eliminated.

Prostate massage

The massage is performed by an experienced urologist. Massage is carried out with sterile gloves, the index finger is lubricated with petroleum jelly and inserted into the anus, the gland is felt and massaged with light movements. The course of treatment takes 5-7 sessions.

Spa treatment can include the following procedures:

• paraffin, ozokerite, mud applications;
• warm baths (sedentary and general);
• microclysters with drugs;
• anal shower;
• acupuncture.

The main contraindications for physiotherapy are:

• chronic form of prostatitis in the acute stage;
• benign neoplasms;
• prostate adenoma 2 and 3 degrees;
• active tuberculosis;
• diabetes mellitus in the stage of decompensation.

Physiotherapy for prostatitis at home

The device "Mavit" with a rectal sensor has a complex effect on the gland using a pulsed magnetic field, heat and vibration massage.

The device acts on all tissues of the gland, thereby improving blood flow, stimulating functions at the cell level. It can also be used to prevent the development of the disease. An important condition is that you need to consult a urologist before purchasing a device.

Herbal medicine can also be used at home. This is a reception of various decoctions and herbal infusions. So, you can grind the leaves of sage, nettle, calendula, horsetail.

Take 2 tablespoons of raw materials, pour 0.5 liters of water, put on fire for 5 minutes, then insist for half an hour and drink a quarter of a glass 3 times a day.

Mix the fruits of black elderberry and hawthorn with celandine herb and mistletoe leaf. Pour 0.5 liters of boiling water over two spoons, leave for half an hour. Strain and drink half a glass 3 times a day. The course is 2 months.

Care after procedures

Post-treatment care is simple. Immediately after they are carried out, the patient should rest, lie down for 20 minutes in a calm atmosphere. Physical activity is limited. The posterior opening after the insertion of the rectal emitter can be treated with cream or vegetable oil to relieve irritation.

Of course, physiotherapy gives a high effect, but only if all the recommendations of the attending physician are followed and after completing the full course of treatment. The methods of treatment described above allow to normalize metabolic processes in the body, as well as the process of blood circulation, to increase blood flow to the gland and the pelvic organs.

However, it should be noted that physiotherapy alone cannot produce the desired effect. They are prescribed in combination with the use of traditional methods of treatment - these are medicines that have anti-inflammatory and antibacterial effects.

Therefore, when the first signs of the disease appear, you should immediately consult a doctor in order to avoid the development of further complications.