Hey guys I'm here to make another big post about everything I've learned over the past year about this problem and (hopefully) the cure. I'm sure I'll forget something so I'll be editing this over time.
As I've already said in this thread, if you are diagnosed with prostatitis you should definitely look at the muscles around the pelvis. I'm confident that in 95% of cases all of the pain is caused by trigger points in these muscles. Since last December I've been concentrating on the pelvic floor muscles thinking that they are the only muscles that can cause pelvic pain, but I was wrong. I got my pelvic floor biofeedback level to where my physical therapist said I shouldn't be having any more symptoms and she basically told me there wasn't much more she could do. At first this really scared me but all it really meant was that I needed to stop relying on her so much and I needed to take my treatment into my own hands. I started poking around at all of the muscles in my pelvis and found a lot of trigger points and tight muscles around my pelvis but not in my pelvic floor like the obliques and adductors.
After working on my adductor magnus for the past four days I've noticed a huge relief. After the first night of doing it I had a huge overnight difference, which anyone with this problem knows is very rare. Trigger points in the adductor magnus can cause pain to be felt deep inside the pelvis including the bladder which is where I was getting most of my pain when I smoked. Here is a diagram of where common adductor trigger points are, and where they refer pain (
http://www.triggerpoints.net/sites/default/files/Adductor Magnus.jpg). I'm still having pain, but the dramatic reduction over the past few days has me very confident that this is the solution to mine, and probably a lot of other people's pain. I'll be checking in over the next few weeks and months to update my recovery.
My suggestion to anyone with this problem is to go get a tennis ball and a theracane. These help you work out trigger points. The ball is to sit on and relax your pelvic floor muscles. Put the ball under your perineum and sit on it until you feel the muscles start to relax. Don't do it more than about 20 minutes. At first it will hurt but over time the muscles will relax and it will get easier to do. The theracane is a weird looking cane thingy (
http://ecx.images-amazon.com/images/I/41IEGMquySL._SX466_.jpg) that you can use to reach trigger points easier. Use this and the tennis ball to find tender areas in the muscles around your pelvis and work them out.
Another thing you will need to do is to strengthen weak muscles. When one muscle is weak, the opposing muscles has to compensate and it causes tension. Everyone is different so I don't know what muscles you might need to work on, but common ones are the glutes and core. You can strengthen these with planks and gluteal bridges.
Finally, you should always pay attention to tension in your pelvis. A lot of people with this problem hold their stress in their pelvis. This can prolong, or even initiate pain. You should pay attention throughout the day of how much tension you're holding in your pelvis.
As for why smoking makes it worse... I still don't know that. There's a lot of information on the internet about weed making inflamed muscle tissue more sensitive (
http://forum.grasscity.com/medical-marijuana-usage-applications/722330-marijuana-seems-intensify-my-pain.html,
http://news.marijuana.com/community/threads/does-smoking-increase-pain-in-severely-inflamed-muscle-tissue.148707/page-2). I've been going on some hikes lately and I've noticed that when I smoke part way into my hike the back of my legs really start to ache. This makes me think that weed makes tired and inflamed muscles more painful. Like a lot of people say online, the strain really does make a difference. I don't live in a medical state so I don't always have reliable access to different kinds of weed. A week ago I got some stuff in called the ox which is a high CBD strain. I only get flares ups half of the days that I smoke now, and only the first time I smoke in the day. But that also might have something to do with working out the trigger points in my adductor magnus.
I'm really hoping some people read this and give it a try. It's essentially the Wise-Anderson protocol without paradoxical relaxation or internal trigger point release. I think it will work for a lot of people. If it works for me I plan on coming out with some YouTube videos on it or something because currently the only good treatment option is to attend the Wise-Anderson clinic in CA for a week and spend $6,000 which most people can't do. They vehemently say that it's unsafe to try their protocol at home because the internal trigger point release could cause a flare up if done incorrectly. But I personally don't think it's necessary to stick an $800 patented electronic wand up your butt to fix your symptoms. Even if internal work in necessary, I don't see why you can't buy a therawand (
http://www.amazon.com/TheraWand-Premium/dp/B00DN6PIE6) and work out the trigger points. The only thing special about their wand is that it tells you how much pressure you're putting on it. Don't you think you can figure out for yourself how much pressure is needed?