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Comment by fugoogs | Hacker News Reader

If your prostatitis is still bothering you, look in to pelvic floor physiotherapy. After my experience I am convinced the chronic kind is a muscle condition (although it may first start as an infection).

I am symptom free a good 95% of the time, no longer have a problem with caffeine or spicy foods, and in the words of Krusty the Clown, I can ride a bike again.

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I did recently find a local office that does pelvic floor physiotherapy for men, and I would like to give that a try. I admit I'm skeptical (or perhaps pessimistic is a better word), but I have seen many anecdotes from people who have had some success with physiotherapy (although nobody ever seems to claim to be completely cured).

But thanks, I'm glad to hear that you are doing better.

To be able to have a painfully spicy green curry and a thai iced coffee again one day would be pretty awesome.

I don't think it is something you are completely cured from, but in my case I go many months without any symptoms now. When they do occur the level of pain and discomfort is minimal and I am usually able to get over it myself. I do go for more Physio two to three times a year and probably will until I'm dead, but I don't have any hangups about that or consider it a chore.

My other advice would be to eat well. Lots of fruits and vegetables. Avoid constipation. Also you are probably clenching your abdominal muscles throughout the day (I do it when stressed) and you need to stop doing that. Breathe with your diaphgram and not your abs. Try meditation or yoga (I think yin is the best from a meditative and stretching perspective).

Good luck and I'm positive you can at least improve your symptoms.

Thank you for the advice!

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