An estimated 10 to 15% of all men will suffer from pelvic pain at some point in their lives.

Chronic Nonbacterial Prostatitis and chronic pelvic pain is the most common and least understood form of male pelvic pain. It is fairly common that our male patients are misdiagnosed with Chronic Nonbacterial Prostatitis, even though their cultures are typically negative. 

Erectile Dysfunction (ED) affects about 65% of men by 50 years old. Although there are many factors that influence ED (weight, cardiovascular health, medications), 75% of men can improve their erectile function through pelvic floor muscle training.

Post-Prostectomy rehabilitation is highly effective to reduce or eliminate incontinence and restore erectile function after radical prostatectomy. The physical therapy should be considered part of the surgical process. 

Evaluation and Treatments:

Wellest therapists are specifically trained to effectively assess and treat internal (vaginal and rectal) and external pelvic floor tissue restrictions that can contribute to pelvic floor dysfunction. During a patient's first appointment at Wellest, a physical therapist will perform a musculoskeletal examination internally and externally. 

The initial evaluation will include:

  • Postural screening and assessment
  • Evaluation of myofascial restrictions or areas of tightness around the pelvis
  • Examination to assess and identify trigger points in the pelvic girdle and pelvic floor muscles that could contribute to dysfunction
  • Pelvic floor examination is done by gently inserting a gloved, lubricated finger into the rectal opening to assess muscle tone, motor control, and strength
  • Skin inspection
  • Evaluation of muscle strength

After the examination, the physical therapist will discuss the physical findings and your prescribed treatment plan. Typically, patients are seen once per week for one-hour long treatments. 

The treatment you will receive is 100% one-on-one with the physical therapist. We do not have physical therapy aides or assistants. We utilize a multidisciplinary approach in order to have a comprehensive treatment plan for our patients. We coordinate will all other providers and recommend adjunct therapies that we believe can play a role in your healing. 

Types of treatments utilized include (see advanced body work page):

  • Myofascial Release
  • Internal pelvic floor muscle release 
  • Visceral Manipulation
  • Craniosacral Therapy

 

 

 

Common Symptoms Include:

  • Penile pain
  • Scrotal/testicular pain
  • Anal pain
  • Coccydnia (tailbone pain)
  • Pelvic pain
  • Erectile dysfunction
  • Painful intercourse
  • Urinary: frequency, urgency, hesitancy, retention
  • Constipation
  • Hip labral pathology/sacroiliac joint dysfunction 

Often misdiagnosed conditions that can be treated through pelvic floor PT: 

  • Chronic Nonbacterial Prostatitis 
  • Interstitial cystitis/painful bladder syndrome
  • Pudendal Neuralgia
  • Irritable Bowel Syndrome (IBS)
  • Persistent Genital Arousal Disorder (PGAD)