I have not seen a PT yet. I've heard of some ppl being cured by stress relief centred approaches. I'm gonna look into these, as I am a bit of a caffeine fuelled stressball at the best of times.
Neo,
The root of the problem is indeed in the mind/nervous system. If you do nothing but address the physical issues through PT, you will not find long term relief from HF. You have to address the mental/emotional side of this problem which can only be done through things like meditation and CBT. That is not to say that PT is not part of the healing process.
Don't try to just cure it with the stress relief. It may take away your natural tendency to clench, but thats only a fraction of the battle. You will need internal releases inside your rectum, because once a muscle goes dysfunctional down there, it spreads like fire on hay.
Stress relief, in my opinion (and in most of those who have healed fully) should be the primary method of healing HF. If you don't focus on finding a calm state within your mind, no amount of stretching will "release" those muscles because the very reason they are tensing is due to state of your mind/emotions surrounding the symptoms of HF. It's a terrible feedback loop.
Stress management is the root of your healing. You have to address the nervous tension through meditation and learn to "let it go"/"separate" your sense of well being from the symptoms of HF because the more you focus on/react to it the worse it gets. When you go into a state of deep relaxation, those muscles will begin to return to their normal state.
It's the reason why some people heal quickly from the onset of HF and others take years like myself. Even when the initial issue that caused the symptoms of HF is addressed (excessive masturbation, porn addiction, sexual anxiety, minor physical injury, etc), the problem can still persist and that is because the person is caught in the nervous system loop of going into the "fight or flight" state because in their mind they still think something is wrong. It is this reaction pattern that continues to tense the muscles even when the initial cause has been addressed and "healed" or "overcome".
So for me, being 13 when developed HF, I was obviously not prepared to deal with this from a logical and calm perspective. Thus, the very important formative years of my sexual experience were wired around me thinking something was continually wrong with me. You could imagine how much "unwiring" has been needed to get on the other side of this issue. It's the reason I'm still not 100% healed. Neural pathways can be weakened but learning how to do this is a form of "inner art". It is not easy because it is not something we are taught in our society. We are not equipped to deal with this issue and that is why I believe it is such a haunting issue for most men who suffer from HF. It takes a raising of your overall consciousness which in the end can make you a more capable human on so many levels.
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Also, just as a side note, if you are using any kind of drugs to help you through this, it is not going to help in the long run and you will eventually have to address your drug use which will be a whole other battle. This includes alcohol, marijuana, most prescription meds especially those for ADHD (vyvanse, adirol), hard drugs like cocaine, psychedelics, etc...I think you get the drift. Honestly, it even includes caffeine because this can cause an addiction pattern which is rooted in the limbic system of your brain which controls dopamine production and reception. When you partake in these activities you quickly cause the brain to lower its amount of dopamine receptors which can lead to increased anxiety, depression, and other mental/emotional issues.
Now in our case of HF, do we really need to be altering our brain in a way that makes us prone to MORE mental instability? I think not. We need to do everything we can to find equilibrium in the brain because that's how this syndrome will heal itself.
Also, this same addiction mechanism is at play with porn. When you partake in watching porn, your brain produces higher levels of dopamine than it does with real sex and therefore the brain responds in the same way by lowering its amount of dopamine receptors. This lowering of dopamine receptors is what ALL OF US HF sufferers want to avoid because it causes serious issues in regard to the natural functioning of the brain.
I say all this because it is something that I personally have had to come to terms with. I would get real clean and stop smoking with my pot buddies and stop drinking and stop watching porn and yada yada ya, and it really would help. After a month or two I would start feeling so much better and my HF would be sh*t tons better from meditation etc. But then, I would flip that switch because I was "doing better" and slowly start watching porn again, slowly start drinking and smoking hear and there and then all the sudden a month or two later I realize I'm back in the same pit again with all my issues both mental and physical.
If you are not partaking in ANY of these dopamine boosting activities, then GOOD FOR YOU. Don't start. But if you find yourself doing any of these activities as a means of "feeling better" you need to be honest with yourself about whether or not you really want to be doing that to your brain. It's most likely as much of a contributor to your HF as anything else and after quitting these things, it takes the brain time to return back to it's normal state, but it DOES return eventually...and quicker if you are eating healthy, doing cardio, stretching, etc.
Sorry to rant fellas, I've just been facing this stuff again lately after falling out of the clean life and it's just stupid. I hope you guys will take it to heart and do some research and realize why it is a major hinderance to your healing.
Your Brain On Porn | Evolution has not prepared your brain for today's Internet porn has some very good info regarding the brain processes surrounding addiction and especially why porn is a bigger issue than most guys realize. Get healthy so you can have the real thing!
Cheers
Voodoochild