What to do if you have low back pain due to benign prostatic hyperplasia

Benign prostatic hyperplasia and low back pain can be relieved by adjusting lifestyle, physical therapy, drug therapy, surgery, etc. Benign prostatic hyperplasia and low back pain are usually caused by local inflammatory stimulation, nerve compression, urinary system infection, prostate enlargement, pelvic floor muscle dysfunction and other reasons.

1. Adjust your lifestyle

Avoid sitting or riding for long periods of time, and get up and move around for 5 minutes every hour. Reduce alcohol and caffeine intake, and limit water intake before bed to prevent frequent nocturia. Adding tomatoes, pumpkin seeds and other zinc-rich foods to your diet can help improve prostate function. Maintain a sitz bath with moderately warm water, once a day for 15 minutes each time, and control the water temperature within 40°C.

2. Physical therapy

Under the guidance of a professional rehabilitation therapist, perform pelvic floor muscle training and use Kegel exercises to contract the perianal muscles, 3 groups a day, 10 times each. Low-frequency electrical stimulation treatment can improve local blood circulation, 2 times a week, 10 times as a course of treatment. Traditional Chinese massage can select acupoints such as Guanyuan and Shenshu, and cooperate with lumbar traction to relieve nerve compression symptoms.

3. Drug treatment

Tamsulosin hydrochloride extended-release capsules relax prostate smooth muscle by selectively blocking α1 receptors. Finasteride tablets inhibit the conversion of testosterone and reduce prostate size. Celecoxib capsules relieve radiating pain caused by sterile inflammation. Antibiotics such as levofloxacin tablets are needed for urinary tract infections. Severe pain can be controlled with loxoprofen sodium tablets for a short period of time.

4. Surgical treatment

Transurethral resection of the prostate is suitable for patients with moderate to severe difficulty urinating and low back pain. It removes hyperplastic tissue through an endoscope. Prostate laser vaporization has less bleeding and is suitable for elderly patients or patients with underlying diseases. Open prostatectomy is only used in extremely severe cases where the gland exceeds 80 grams. All surgeries require postoperative analgesia management and bladder function training.

5. Comprehensive rehabilitation

Acupuncture selects acupoints on the bladder meridian and Du meridian to improve local microcirculation. Ultrashort wave treatment can promote the absorption of inflammation and lasts for 15 minutes each time. Combine it with aerobic exercise such as swimming, brisk walking, etc. to strengthen your core muscles. Psychological counseling relieves anxiety caused by chronic diseases. Regularly review prostate-specific antigen and residual urine volume to monitor the condition.

It is recommended to maintain a regular schedule and avoid staying up late and overexertion. Pay attention to supplementing vitamin E and selenium in your diet, and eat oysters, salmon and other foods in moderation. Pay attention to keeping your waist and abdomen warm in winter, and you can use infrared physiotherapy equipment for auxiliary treatment. Strictly follow the doctor's instructions when taking medication, and it is prohibited to adjust the dosage of the medication on your own. When hematuria, severe low back pain, or complete obstruction of urination occurs, you should seek emergency medical treatment immediately. Postoperative patients need to review urodynamics as planned and adhere to levator training to prevent urinary incontinence.