pelvic pain rehab

Symptoms

  • Commonly involves sensations such as burning, itching, aching, or other forms of pain in the penis, scrotum, testicles, perineal, and/or anal area.
  • Men dealing with pelvic pain frequently encounter discomfort triggered by sitting, specific exercises, and certain types of clothing.
  • Alongside pelvic pain, men often contend with urinary urgency, frequency, hesitancy, as well as pain and a slower or diminished urinary stream.
  • Men experiencing pelvic pain may also feel discomfort in their penis, scrotum, and perineum during ejaculation.
  • Some Men experience signs of erectile dysfunction, accompanied by reduced ejaculation strength.
  • Men may endure gastrointestinal distress, bloating, and/or constipation.
  • Symptoms of GI distress can be aggravated by actions like ejaculation or exercise, or unprovoked and spontaneous.
  • Men may experience these symptoms intermittently or constantly.

Symptoms

  • Commonly involves sensations such as burning, itching, aching, or other forms of pain in the penis, scrotum, testicles, perineal, and/or anal area.
  • Men dealing with pelvic pain frequently encounter discomfort triggered by sitting, specific exercises, and certain types of clothing.
  • Alongside pelvic pain, men often contend with urinary urgency, frequency, hesitancy, as well as pain and a slower or diminished urinary stream.
  • Men experiencing pelvic pain may also feel discomfort in their penis, scrotum, and perineum during ejaculation.
  • Some Men experience signs of erectile dysfunction, accompanied by reduced ejaculation strength.
  • Men may endure gastrointestinal distress, bloating, and/or constipation.
  • Symptoms of GI distress can be aggravated by actions like ejaculation or exercise, or unprovoked and spontaneous.
  • Men may experience these symptoms intermittently or constantly.
Chronic Pelvic Pain

Many discover their symptoms only when they visit our website, blog, or social media. Some diagnosed individuals lack a local pelvic floor physical therapist. Others with a therapist feel stuck or don’t experience improvement. Some seek opinions from other trusted experts, and in uncertain times, some prefer not to leave their homes. Whatever your needs, we’re here and ready to assist!

Our team members with expertise in pelvic floor disorders are available for digital appointments. We are committed to assisting you, whether it be in person or through virtual consultations. Please be aware that virtual visits require upfront payment and are non-refundable.

Associated Diagnoses

Pelvic pain syndromes such as Chronic Pelvic Pain Syndrome/Male Pelvic Pain, Chronic Nonbacterial Prostatitis, Pudendal Neuralgia, Hard Flaccid Syndrome, and Interstitial Cystitis/Painful Bladder Syndrome are all caused by dysfunction in the pelvic floor, resulting in chronic discomfort.

pelvic pain rehab

Associated Diagnoses

Pelvic pain syndromes such as Chronic Pelvic Pain Syndrome/Male Pelvic Pain, Chronic Nonbacterial Prostatitis, Pudendal Neuralgia, Hard Flaccid Syndrome, and Interstitial Cystitis/Painful Bladder Syndrome are all caused by dysfunction in the pelvic floor, resulting in chronic discomfort.

pelvic pain rehab

Causes of Pelvic Pain

  • Surgical trauma (vasectomy, benign prostatic hyperplasia (BPH) interventions, prostatectomy)
  • Orthopedic injuries or other traumas (spine, hip, knee, and/or ankle injuries/pathology, accidents)
  • Biomechanical or structural dysfunction (hip dysfunction, piriformis syndrome, scoliosis, leg length discrepancy)
  • Excessive exercise or changes to exercise routine
  • Excessive sitting
  • Chronic constipation and straining
  • Jelqing and/or attempts at genital enhancement or foreskin regeneration
  • In rare cases, bladder, prostate, or sexually transmitted infections after successful resolution of infection
  • Many men who experience pelvic pain, with or without issues related to urination or digestion, often have pelvic floor dysfunction.
Chronic Pelvic Pain

Causes of Pelvic Pain

  • Surgical trauma (vasectomy, benign prostatic hyperplasia (BPH) interventions, prostatectomy)
  • Orthopedic injuries or other traumas (spine, hip, knee, and/or ankle injuries/pathology, accidents)
  • Biomechanical or structural dysfunction (hip dysfunction, piriformis syndrome, scoliosis, leg length discrepancy)
  • Excessive exercise or changes to exercise routine
  • Excessive sitting
  • Chronic constipation and straining
  • Jelqing and/or attempts at genital enhancement or foreskin regeneration
  • In rare cases, bladder, prostate, or sexually transmitted infections after successful resolution of infection
  • Many men who experience pelvic pain, with or without issues related to urination or digestion, often have pelvic floor dysfunction.
Chronic Pelvic Pain

Diagnostic Challenges

Studies indicate that men with pelvic pain may take up to seven years to receive an accurate diagnosis. This prolonged diagnostic journey is attributed to the fact that the symptoms of male pelvic pain closely resemble those of prostate, bladder, and/or sexually transmitted infections. Due to the laborious nature of testing for prostate infections, many urologists opt to empirically prescribe antibiotics without conducting tests. Additionally, a significant number of medical providers are unaware that men can experience pelvic floor dysfunction. Adding to the complexity, numerous pelvic floor physical therapists are primarily trained to treat women. However, at PHRC, this is not the case, and in fact, on some days, we treat more men than women.

Men with pelvic pain often receive a misdiagnosis of “prostatitis” and are prescribed antibiotics, even when there is no infection present. Studies reveal that more than 90% of men experiencing pelvic pain symptoms do NOT have a prostate infection. Instead, they are classified as having Chronic Pelvic Pain Syndrome (CPPS) under the National Institutes of Health Classification for prostatitis syndromes, specifically categories IIIa and IIIb.

The National Institute of Health Classification of prostatitis syndromes are:

Category I: Acute bacterial prostatitis – a condition characterized by severe symptoms, systemic infection, and acute bacterial urinary tract infection.

Category II: Chronic bacterial prostatitis is a condition characterized by a long-term bacterial infection in the prostate gland. It can occur with or without symptoms, often leading to recurrent urinary tract infections caused by the same bacteria.

Category IIIa: Inflammatory Chronic Pelvic Pain Syndrome: Indicators include the presence of white blood cells in semen, expressed prostatic secretions, or third midstream bladder specimen.

Category IIIb: Chronic pelvic pain syndrome without inflammation (absence of white blood cells in semen and/or expressed prostatic secretions)

Category IV: Asymptomatic Inflammatory Prostatitis means inflammation of the prostate without any symptoms in the urinary or reproductive system.

Diagnostic Challenges

Treatment:

How We Can Help You

pelvic pain rehab

Men dealing with pelvic pain can find valuable assistance through an evaluation with a pelvic floor physical therapist specializing in pelvic pain. You can access healthcare services from the comfort of your own home through Telehealth before coming in for an assessment. The virtual healthcare option can help you answer basic questions about symptoms and your overall condition. After your virtual consultation, simply follow the recommendations provided by the health professional.

Generally, you will be subjected in an assessment. In this assessment, the physical therapist thoroughly reviews your medical history, symptoms, past diagnoses, and the effectiveness of previous treatments. Understanding the frustration often experienced by men seeking help, the therapist conducts a physical examination that includes an assessment of muscles, tissues, joints, nerves, and movement patterns. After completing the examination, the physical therapist discusses the findings, develops an assessment explaining the origin of pain, and establishes short and long-term treatment goals. Typically, physical therapy sessions occur once to twice a week over approximately 12 weeks. A home exercise program is provided to complement in-person sessions, and the physical therapist collaborates with other members of your treatment team to coordinate your recovery. Our goal is to assist you in recovering and living your best life!

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Treatment:

How We Can Help You

How Can We Help You?

Feel free to use the form provided to share any questions or comments with us. To receive a response, make sure to include your email address. Be assured that all the information you provide will be kept confidential.

pelvic pain rehab

How Can We Help You?

Feel free to use the form provided to share any questions or comments with us. To receive a response, make sure to include your email address. Be assured that all the information you provide will be kept confidential.

pelvic pain rehab

Join The Newsletter. Win a copy of our book, “Pelvic Pain Explained!”

We love getting to know our website visitors. Please tell us a little bit about yourself and get the latest info via PHRC e-newsletter!
*Subscribers automatically eligible to win our book, “Pelvic Pain Explained.”

Pelvic Pain Explained

At its heart, Pelvic Pain Explained is the story of how patients develop pelvic pain, the challenges patients and providers face throughout the diagnosis and treatment process, the difficult task of sifting through the different available treatment options, and the impact that an “invisible” condition has on a patient’s life and relationships, and much more.

Join The Newsletter. Win a copy of our book, “Pelvic Pain Explained!”

We love getting to know our website visitors. Please tell us a little bit about yourself and get the latest info via PHRC e-newsletter!
*Subscribers automatically eligible to win our book, “Pelvic Pain Explained.”

pelvic pain explained

At its heart, Pelvic Pain Explained is the story of how patients develop pelvic pain, the challenges patients and providers face throughout the diagnosis and treatment process, the difficult task of sifting through the different available treatment options, and the impact that an “invisible” condition has on a patient’s life and relationships, and much more.