Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (2022)

BOOK APPOINTMENT NOW

BOOK VIRTUAL APPOINTMENT NOW

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (1)

Male Pelvic Pain Physical Therapy San Francisco

BOOK APPOINTMENT NOW

BOOK VIRTUAL APPOINTMENT NOW

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (2)

Studies have revealed that due to pelvic floor dysfunction, 10% of men will encounter symptoms of pelvic pain. Due to misdiagnosis, many patients are prescribed antibiotics thinking they have prostatitis. Physical therapy that is focused on strengthening pelvic floor muscles is the answer, not irrelevant antibiotics.

Symptoms

  • Typically refers to burning, itching, aching, or other types of pain in the penis, scrotum, testicles, perineal, and/or anal area
  • Men suffering from pelvic pain often times experience pain caused by sitting, certain types of exercises, and certain types of clothing
  • In addition to pelvic pain, men often experience urinary urgency/frequency/hesitancy as well as pain and slower / diminished urinary stream
  • With pelvic pain, men may have discomfort in their penis, scrotum, and perinea upon 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

Studies show that 10% of men will experience pelvic pain symptoms caused by pelvic floor dysfunction at some point during their life. These symptoms are commonly misdiagnosed as ‘prostatitis’ resulting in men being unnecessarily prescribed antibiotics, often repetitively. Pelvic floor physical therapy is the answer, antibiotics are not.

(Video) The BIGGEST Male Pelvic Pain Myths | Pelvic Health & Rehabilitation Center

Symptoms

  • Pelvic pain generally refers to burning, itching, aching, or other types of pain in the penis, scrotum, testicles, perineal and/or anal area
  • Men suffering from pelvic pain often have pain with sitting, certain types of exercises, and certain types of clothing
  • In addition to pelvic pain, men often experience urinary urgency/frequency/hesitancy and pain and slower/diminished urinary stream
  • Ejaculation can cause penile, scrotal or perineal pain
  • Men may experience erectile dysfunction and decreased force of ejaculate
  • Men may suffer from gastrointestinal distress, bloating, and/or constipation
  • Symptoms can be provoked, such as in response to ejaculation or exercise, or unprovoked and spontaneous
  • Symptoms may be intermittent or constant

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (3)

Associated Diagnoses

Chronic Pelvic Pain Syndrome/Male Pelvic Pain, Chronic Nonbacterial Prostatitis, Pudendal Neuralgia, Hard Flaccid Syndrome and Interstitial Cystitis/Painful Bladder Syndrome are all pain syndromes that cause pelvic pain due to pelvic floor dysfunction.

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (4)

Associated Diagnoses

Chronic Pelvic Pain Syndrome/Male Pelvic Pain, Chronic Nonbacterial Prostatitis, Pudendal Neuralgia, Hard Flaccid Syndrome and Interstitial Cystitis/Painful Bladder Syndrome are all pain syndromes that cause pelvic pain due to pelvic floor dysfunction.

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (5)

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 gential enhancement or foreskin regeneration
  • In rare cases, bladder, prostate, or sexually transmitted infections after successful resolution of infection
  • The majority of men with pelvic pain, with or without urinary or bowel complaints, have pelvic floor dysfunction

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (6)

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 gential enhancement or foreskin regeneration
  • In rare cases, bladder, prostate, or sexually transmitted infections after successful resolution of infection
  • The majority of men with pelvic pain, with or without urinary or bowel complaints, have pelvic floor dysfunction
(Video) Answering Questions About Male Pelvic Pain

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (7)

Diagnostic Challenges

Research reveals it can take men with pelvic pain up to seven years to get an accurate diagnosis. This is because the symptoms of male pelvic pain mimic prostate, bladder and/or sexually transmitted infections. Because testing for prostate infections is a laborious process for the patient and the medical provider, most urologists empirically prescribe antibiotics without testing. The majority of medical providers are also unaware that men can suffer from pelvic floor dysfunction. To complicate the matter further, many pelvic floor physical therapists are only trained to treat women. This is not the case at PHRC, in fact, some days we treat more men than women.

Men with pelvic pain are almost always misdiagnosed with ‘prostatitis’ and are prescribed antibiotics even though they do not have an infection. Research shows that over 90% of men with genitourinary symptoms of pelvic pain do NOT have a prostate infection and fall into the National Institutes of Health Classification of prostatitis syndromes categories IIIa and IIIb, Chronic Pelvic Pain Syndrome (CPPS).

The National Institute of Health Classification of prostatitis syndromes are:

Category I: Acute bacterial prostatitis which is associated with severe prostatitis symptoms, systemic infection and acute bacterial urinary tract infection.

Category II: Chronic bacterial prostatitis which is caused by chronic bacterial infection of the prostate with or without prostatitis symptoms and usually with recurrent urinary tract infections caused by the same bacterial strain

Category IIIa: inflammatory chronic pelvic pain syndrome (white blood cells in semen and/or expressed prostatic secretions and/or third midstream bladder specimen)

Category IIIb: noninflammatory chronic pelvic pain syndrome (no white blood cells in semen and/or expressed prostatic secretions)

Category IV: asymptomatic inflammatory prostatitis which is categorized by prostate inflammation in the absence of genitourinary tract symptoms

Diagnostic Challenges

Research reveals it can take men with pelvic pain up to seven years to get an accurate diagnosis. This is because the symptoms of male pelvic pain mimic prostate, bladder and/or sexually transmitted infections. Because testing for prostate infections is a laborious process for the patient and the medical provider, most urologists empirically prescribe antibiotics without testing. The majority of medical providers are also unaware that men can suffer from pelvic floor dysfunction. To complicate the matter further, many pelvic floor physical therapists are only trained to treat women. This is not the case at PHRC, in fact, some days we treat more men than women.

Men with pelvic pain are almost always misdiagnosed with ‘prostatitis’ and are prescribed antibiotics even though they do not have an infection. Research shows that over 90% of men with genitourinary symptoms of pelvic pain do NOT have a prostate infection and fall into the National Institutes of Health Classification of prostatitis syndromes categories IIIa and IIIb, Chronic Pelvic Pain Syndrome (CPPS).

The National Institute of Health Classification of prostatitis syndromes are:

Category I: Acute bacterial prostatitis which is associated with severe prostatitis symptoms, systemic infection and acute bacterial urinary tract infection.

Category II: Chronic bacterial prostatitis which is caused by chronic bacterial infection of the prostate with or without prostatitis symptoms and usually with recurrent urinary tract infections caused by the same bacterial strain

Category IIIa: inflammatory chronic pelvic pain syndrome (white blood cells in semen and/or expressed prostatic secretions and/or third midstream bladder specimen)

Category IIIb: noninflammatory chronic pelvic pain syndrome (no white blood cells in semen and/or expressed prostatic secretions)

Category IV: asymptomatic inflammatory prostatitis which is categorized by prostate inflammation in the absence of genitourinary tract symptoms

(Video) Inguinal Hernias and Male Pelvic Pain | Pelvic Health & Rehabilitation Center

Treatment:

How We Can Help You

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (8)

Men experiencing pelvic pain can benefit from an evaluation with a pelvic floor physical therapist specializing in pelvic pain. During the evaluation, the physical therapist reviews your history and symptoms with you, what you have been diagnosed with in the past, the treatments you have undergone and how effective or not effective these treatments have been. Importantly, we understand what you have been going through and that most men are frustrated by the time they get to see us. During the physical examination the physical therapist examines muscles, tissues, joints, nerves, and movement patterns. Once your physical therapist completes the examination they review your findings with you. The physical therapist creates an assessment which explains how you developed pain and creates short and long-term goals for your treatment plan. Typically, the frequency of physical therapy treatment is one to two times per week for roughly 12 weeks. You are given a home exercise program to compliment your in-person sessions, and your physical therapist will help to coordinate your recovery with the other members of your treatment team. We are here to help you recover and live your best life!

BOOK APPOINTMENT NOW

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (9)

Treatment:

How We Can Help You

Men experiencing pelvic pain can benefit from an evaluation with a pelvic floor physical therapist specializing in pelvic pain. During the evaluation, the physical therapist reviews your history and symptoms with you, what you have been diagnosed with in the past, the treatments you have undergone and how effective or not effective these treatments have been. Importantly, we understand what you have been going through and that most men are frustrated by the time they get to see us. During the physical examination the physical therapist examines muscles, tissues, joints, nerves, and movement patterns. Once your physical therapist completes the examination they review your findings with you. The physical therapist creates an assessment which explains how you developed pain and creates short and long-term goals for your treatment plan. Typically, the frequency of physical therapy treatment is one to two times per week for roughly 12 weeks. You are given a home exercise program to compliment your in-person sessions, and your physical therapist will help to coordinate your recovery with the other members of your treatment team. We are here to help you recover and live your best life!

BOOK APPOINTMENT NOW

How Can We Help You?

Please use the form below to send us any questions or comments. You must include your e-mail address in order for us to send a response. Please be assured that all of your information will be kept confidential.

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (10)

BOOK APPOINTMENT NOW

BOOK VIRTUAL APPOINTMENT NOW

(Video) Penile Pain - Why it Happens and How to Fix it | Pelvic Health and Physical Therapy

How Can We Help You?

Please use the form below to send us any questions or comments. You must include your e-mail address in order for us to send a response. Please be assured that all of your information will be kept confidential.

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (11)

BOOK APPOINTMENT NOW

BOOK VIRTUAL APPOINTMENT NOW

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.”

Male Pelvic Pain Physical Therapy San Francisco | Pelvic Health and Rehabilitation Center (12)

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.”

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.

(Video) Hard Flaccid: A Deep Dive | Pelvic Health & Rehabilitation Center

Videos

1. Erectile Dysfunction and Your Pelvic Floor | Pelvic Health & Rehabilitation Center
(Pelvic Health and Rehabilitation Center)
2. Treating Your Penile Pain Symptoms | Pelvic Health & Rehabilitation Center
(Pelvic Health and Rehabilitation Center)
3. Most Common Causes of Penile Pain | Pelvic Health & Rehabilitation Center
(Pelvic Health and Rehabilitation Center)
4. Tips on Managing Your Pudendal Neuralgia Symptoms | Pelvic Health and Rehabilitation Center
(Pelvic Health and Rehabilitation Center)
5. An in Depth Explanation of Pelvic Pain in Both Men & Women
(Pelvic Rehabilitation Medicine)
6. How to Relieve Groin Muscle Pain in 30 SECONDS
(SpineCare Decompression and Chiropractic Center)

Top Articles

You might also like

Latest Posts

Article information

Author: Duane Harber

Last Updated: 11/11/2022

Views: 6670

Rating: 4 / 5 (71 voted)

Reviews: 86% of readers found this page helpful

Author information

Name: Duane Harber

Birthday: 1999-10-17

Address: Apt. 404 9899 Magnolia Roads, Port Royceville, ID 78186

Phone: +186911129794335

Job: Human Hospitality Planner

Hobby: Listening to music, Orienteering, Knapping, Dance, Mountain biking, Fishing, Pottery

Introduction: My name is Duane Harber, I am a modern, clever, handsome, fair, agreeable, inexpensive, beautiful person who loves writing and wants to share my knowledge and understanding with you.