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Unlocking the mystery of chronic pelvic pain syndrome

The condition is an all-too-real problem for men, and one of the more difficult to treat.

After age 50, men often have periods of discomfort "down there." It could be a cramping, aching, or throbbing pain in and around your pelvis and genitals. You also may have issues in the bedroom and bathroom. While the problems are real, the cause is often difficult to pinpoint.

It's called chronic pelvic pain syndrome (CPPS) — also known as chronic prostatitis — and it's one of the most puzzling and difficult-to-manage conditions for older men.

Stuck at home?

You can get a good workout anyway.

The winter months present numerous challenges to maintaining your fitness in a typical year. This year, with the COVID-19 pandemic, it may be harder than ever to get to the gym or your usual exercise class.

What can you do to keep your body in motion and not lose ground as the weather turns colder? The answer, luckily, is plenty, says Dr. Beth Frates, an assistant professor physical medicine and rehabilitation at Harvard Medical School. There are many effective workouts that don't require a large space, a gym, expensive equipment, or even a live instructor.

Easy ways to fight pandemic-era inactivity

Interrupt your sitting time with a break every hour.

For many people, the effects of the pandemic include less physical activity. But long periods of sitting are bad for health. They're associated with increased risks for obesity, diabetes, heart disease, stroke, cancer, and metabolic syndrome (a cluster of health conditions that include abdominal obesity, unhealthy cholesterol levels, high blood pressure, and high blood sugar). Too much sitting is even linked to an early death. The good news: staying active throughout the day helps reverse the effects of too much sitting.

Doctor's orders

"Take a two-, five-, or 10-minute break at least once per hour," advises Dr. Beth Frates, director of wellness programming for the Stroke Research and Recovery Institute at Harvard-affiliated Spaulding Rehabilitation Hospital.

Illness-related fatigue: More than just feeling tired

It’s normal to feel tired, especially during the pandemic, and most people are able to push through the feeling and deal with their daily tasks. But fatigue that is caused by a specific illness is different, and it’s important to recognize these differences so you can be properly diagnosed and treated.

Fibromyalgia: Exercise helps — here's how to start

For people with fibromyalgia, pain is a part of daily life, and exercising is probably not something they feel like doing. But experts say it’s one of the most effective strategies to help manage the condition. So what’s the best approach to getting started?

The skinny on fatty liver disease

Rates continue to rise, but there are ways to protect yourself and even reverse the effects of this dangerous disorder.

Your liver is your largest internal organ and your body's workhorse. Among its many jobs are converting food into fuel, processing fat from your blood, clearing harmful toxins, and making proteins that help your blood clot. Yet this hard-working, supersized organ is susceptible to a dangerous and often hard-to-diagnose condition called nonalcoholic fatty liver disease, or NAFLD.

NAFLD is defined as the presence of fat in more than 5% of liver cells. It is the most common liver disease and affects up to 25% of American adults, 60% of whom are men.

Recharge your sexual energy

If lack of energy has drained your sex life, there are ways to reignite the passion.


 Image: © nautiluz56/Thinkstock

Your sexual drive can stay high late in life, but often your energy for sex can diminish. Low energy not only affects your sex life, but can carry over to other parts of your life, too. You can become apathetic, no longer find pleasure in favorite activities, and become more sedentary.

However, many of these issues related to lost sexual energy can be addressed. "Never think lack of energy means an end to your sex life, and there is nothing you can do about it," says Dr. Sharon Bober, director of the Harvard-affiliated Dana-Farber Sexual Health Program. "There are many strategies you can adopt to get back in the game."

New guidelines for aches, pains, and strains

When a minor injury leads to soreness or discomfort, what’s the best first treatment choice? The American College of Physicians and the American Academy of Family Physicians recently developed new recommendations based on reviews of more than 200 studies involving nearly 33,000 subjects.

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