Thus, traditional exercises such as Kegel exercises, which are used to strengthen pelvic muscles, can provoke pain and additional muscle tension. A specially trained physical therapist can provide direct, hands on evaluation of the muscles, both externally and internally.A therapeutic wand can also be used to perform pelvic floor muscle myofascial release to provide relief. Surgery
Surgery is rarely used for IC/BPS. Surgical intervention is very unpredictable, and is considered a treatment of last resort for severe refractory cases of interstitial cystitis. Some people who opt for surgical intervention continue to experience pain after surgery. Typical surgical interventions for refractory cases of IC/BPS include: bladder augmentation, urinary diversion, transurethral fulguration and resection of ulcers, and bladder removal (cystectomy).Neuromodulation can be successful in treating IC/BPS symptoms, including pain. One electronic pain-killing option is TENS. Percutaneous tibial nerve stimulation stimulators have also been used, with varying degrees of success. Percutaneous sacral nerve root stimulation was able to produce statistically significant improvements in several parameters, including pain. Alternative medicine
There is little evidence looking at the effects of alternative medicine though their use is common. There is tentative evidence that acupuncture may help pain associated with IC/BPS as part of other treatments.
Formulations
Fenofibrate is available in several formulations and is sold under several brand names, including:

Tricor by AbbVie
Lipofen by Kowa Pharmaceuticals America Inc
Lofibra by Teva
Lipanthyl, Lipidil, Lipantil micro and Supralip by Abbott Laboratories
Fenocor-67 by Ordain Health Care
Fibractiv 105/35 by Cogentrix Pharma (India)
Fenogal by SMB Laboratories
Antara by Oscient Pharmaceuticals
Tricheck by Zydus (CND)
Atorva TG by Zydus Medica
Golip by GolgiUSA
Stanlip by Ranbaxy (India)The formulations may differ in terms of pharmacokinetic properties, particularly bioavailability; some must be taken with meals, whereas others may be taken without regard to food.The choline salt of fenofibrate is available in the United States, sold as Trilipix, and may be taken without regard to meals. Environmental presence
Fenofibric acid was one of the 12 compounds identified in sludge samples taken from 12 wastewater treatment plants in California that were associated with estrogenic activity in in vitro. History
Fenofibrate was first synthesized in 1974, as a derivative of clofibrate, and was initially offered in France. It was initially known as procetofen, and was later renamed fenofibrate to comply with World Health Organization International Nonproprietary Name guidelines.Fenofibrate was developed by Groupe Fournier SA of France. In the United States, Tricor was reformulated in 2005. This reformulation was controversial, seen as an attempt to stifle competition from generic equivalents, and was the subject of antitrust litigation by Teva. References
External links
"Fenofibrate". Drug Information Portal. U.S. National Library of Medicine.