Pelvic Floor Dysfunction in men is often diagnosed as Prostatitis. It is important to understand that Pelvic Floor Dysfunction can occur whether prostatitis is present or not. Why? Well Stress, bacteria, and/or inflammation can cause the pelvic floor muscles to become tense as a protective reaction in response to what is going on in the body.

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Pelvic floor issues can be multi-layered and complex. Often times with our male clients, they have seen more than one provider: urologists, physical therapists, and primary care physicians before finding our clinic.

Common Symptoms of PFD Men:

• Difficulty starting urine stream/feeling of incomplete emptying

• Urinary frequency/nocturia (excessive nighttime voids)

• Low/weak urine flow

• Pain in sitting, “sitting on a golf ball or rock”

• Pain in the scrotum, perineum, testicles, and/or groin

• Rectal pain/pain that wakes at night (Prostatic Fugax)

• Pain during and/or after a bowel movement or urination

• Constipation

• Diarrhea

• Fecal incontinence or fecal smearing

• Pain during or after intercourse or ejaculation

• Pain with erection

• Hard flaccid

• Erectile Dysfunction

• Hip/Low back/Groin/pelvic pain

• SI Joint pain/SI dysfunction

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Treatment:

Our clinic provides individualized treatments, we do not follow a one size fits all method of treatment. What could treatment look like for you:

• Manual therapy including soft tissue massage, connective tissue manipulation, muscle energy techniques, and myofascial release to treat connective tissue dysfunction and myofascial trigger points

• Internal pelvic manual therapy to treat sensitive tissues, muscle spasms, trigger points, and muscle guarding that can cause issues like penis and testicle pain, pain with sex, frequency, and urgency of urination, and pain with bowel movements

• Therapeutic exercises to strengthen or relax the pelvic floor

• Biofeedback technology to help you focus on relaxing the pelvic floor

• Electrical stimulation using the Stim-10 device

• Training in self-treatment techniques so you can start to manage your systems at home.

• Neuromuscular re-education and autogenic relaxation to reduce chronic muscle over-activity and improve parasympathetic nervous system function, including pain management and digestion

• Patient Education and Empowerment

• Lifestyle modifications like sexual positioning, stress reduction, bladder and bowel habits, hygiene, optimal fluid intake, and dietary fiber intake.

• Relaxation Techniques

• Pelvic myofascial release techniques to improve pelvic alignment

• Myofascial release cupping

• Kinesiology taping

• Visceral Manipulation

• Postural exercises/training

• Core strengthening/training

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Your therapist will use the 60-minute evaluation to understand all the things that could possibly be contributing to your condition: movement patterns, musculoskeletal problems, and nerve impingement, among others. Once your therapist understands the driving causes of your condition, they will formulate a treatment plan to help you start feeling better, experiencing less pain, and getting back to the activities that you care about.

Call us today! We offer free phone consultations with a pelvic floor occupational therapist to help you get started with the best program for you.