cat. iii prostatitis may have no initial trigger other than anxiety, often with an element of obsessive compulsive disorder or other anxiety-spectrum problem. this is theorized to leave the pelvic area in a sensitized condition resulting in a loop of muscle tension and heightened neurological feedback (neural wind-up). current protocols largely focus on stretches to release overtensed muscles in the pelvic or anal area (commonly referred to as trigger points), physical therapy to the area, and progressive relaxation therapy to reduce causative stress. biofeedback physical therapy to relearn how to control pelvic floor muscles may be useful.