I have been searching for different kind of approaches of how to tackle CPPS and HF issues before I finally take action. I have been googling a lot for last 10 days and I stumbled upon an interesting scientific study from november 2018 about Lumbosacral entrapment syndrome. The titel of the study:
"Lumbosacral entrapment syndrome, a little-known but common cause of chronic pelvic and lower extremity pain"
Abstract
Lumbosacral plexus entrapment syndrome (LPES) is a little-known but common cause of chronic lumbopelvic and lower extremity pain. The lumbar plexus emerges through the fibers of the psoas major, and proximal sciatic nerve beneath the piriformis muscles. Severe weakness of these muscles may lead to entrapment neuropathy, resulting in diffuse and non-specific pain patterns throughout the lumbopelvic complex and lower extremities (LPLE), easily mimicking other diagnoses and is therefore likely to mislead the clinician. It is a pathology similar to that of thoracic outlet syndrome, but for the lower body. This manuscript was written in an attempt to demonstrate the existence, pathophysiology, diagnostic protocol as well as interventional strategy for LPES. The author documents the clinical course of 61 patients who were diagnosed and treated for LPES between May 2016 and October 2018. The main diagnostic criteria were compatible symptoms, 5 or more provocative Tinel’s tests yielding > 7 NRS, and weakness of one or more myotomes of the lower body. The most common complaints amongst the group were low back, groin, pelvic, posterior/lateral calf pain. Additionally, 17 patients (28%) stated that everything in the LPLE hurts, consistent with plexalgia. The group in its entirety were all treated with gentle strengthening of the psoas major and piriformis muscles. 13 patients were lost to follow-up as they did not reschedule treatment, for unknown reasons. Amongst the remaining 48 patients, 25 recovered fully (52%), 12 significantly (25%), and five moderately (10,4%). Five patients had a slight improvement (10,4%), and two no improvement whatsoever (4%). The average recovery times were mostly consistent with the time of affliction. Patients with a symptom duration of less than one year, generally recovered within 4 months. One to four years, within 10,5 months. Five to nine years, 7,5 months. And, finally, more than 10 years, within 18 months. A high correlation between the diagnostic & interventional protocols, and beneficial patient outcomes were demonstrated. However, more statistical and long-term research is needed.
So basically they say that some symptoms caused by CPPS are related to weak Psoas Major and Piriformis muscles and that strengthening these muscles slowly over a period of couple of months can in many cases cure the symptoms. But this has to be done really, really carefully.
Could this be eventually an additional approach for some of us to cure HF? Is there anybody here who is familiar with this study?Has anyone tried strenghtening these muscles and due to it experienced any success?
Thanks
"Lumbosacral entrapment syndrome, a little-known but common cause of chronic pelvic and lower extremity pain"
Abstract
Lumbosacral plexus entrapment syndrome (LPES) is a little-known but common cause of chronic lumbopelvic and lower extremity pain. The lumbar plexus emerges through the fibers of the psoas major, and proximal sciatic nerve beneath the piriformis muscles. Severe weakness of these muscles may lead to entrapment neuropathy, resulting in diffuse and non-specific pain patterns throughout the lumbopelvic complex and lower extremities (LPLE), easily mimicking other diagnoses and is therefore likely to mislead the clinician. It is a pathology similar to that of thoracic outlet syndrome, but for the lower body. This manuscript was written in an attempt to demonstrate the existence, pathophysiology, diagnostic protocol as well as interventional strategy for LPES. The author documents the clinical course of 61 patients who were diagnosed and treated for LPES between May 2016 and October 2018. The main diagnostic criteria were compatible symptoms, 5 or more provocative Tinel’s tests yielding > 7 NRS, and weakness of one or more myotomes of the lower body. The most common complaints amongst the group were low back, groin, pelvic, posterior/lateral calf pain. Additionally, 17 patients (28%) stated that everything in the LPLE hurts, consistent with plexalgia. The group in its entirety were all treated with gentle strengthening of the psoas major and piriformis muscles. 13 patients were lost to follow-up as they did not reschedule treatment, for unknown reasons. Amongst the remaining 48 patients, 25 recovered fully (52%), 12 significantly (25%), and five moderately (10,4%). Five patients had a slight improvement (10,4%), and two no improvement whatsoever (4%). The average recovery times were mostly consistent with the time of affliction. Patients with a symptom duration of less than one year, generally recovered within 4 months. One to four years, within 10,5 months. Five to nine years, 7,5 months. And, finally, more than 10 years, within 18 months. A high correlation between the diagnostic & interventional protocols, and beneficial patient outcomes were demonstrated. However, more statistical and long-term research is needed.
So basically they say that some symptoms caused by CPPS are related to weak Psoas Major and Piriformis muscles and that strengthening these muscles slowly over a period of couple of months can in many cases cure the symptoms. But this has to be done really, really carefully.
Could this be eventually an additional approach for some of us to cure HF? Is there anybody here who is familiar with this study?Has anyone tried strenghtening these muscles and due to it experienced any success?
Thanks
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