Male Pelvic Pain

Chronic Non-Bacterial Prostatitis is one of the most common diagnoses in men suffering with pelvic floor dysfunction or pain.  This diagnosis is usually given after you’ve had multiple visits to specialists and the prescribed antibiotics and anti-inflammatory medications have not reduced your symptoms for a significant period of time.

WHAT MAY BE THE CAUSE?

Your symptoms are most likely due to restricted muscles, skin and fascial tissues in and around your pelvic hip, lower back and pelvic “floor”.  At EMH your pelvic physical therapist will first examine which myofascial structures are tight, restricted or have trigger points. They can measure the electrical activity of your pelvic floor muscles with biofeedback to note whether your muscles are on “high alert” or at a normal relaxed resting tone.  Most of our patients with Chronic Non Bacterial Prostatitis present with hyperactive, overly tense muscles of the either all or some regions: pelvic floor, inner thigh, buttocks, lower abdominals and hip.

WHAT TREATMENTS DO YOU OFFER?

Your pelvic physical therapist will figure out what faulty habits, postures and tension patterns you may be doing daily to cause or exacerbate your symptoms and then will educate on how to reverse these patterns.  We implement a wide variety of manual therapies such as myofascial release, skin rolling, trigger point release and nerve mobilization techniques to lengthen and normalize tone.  We use cold laser (light therapy used by many sports teams for healing injured tissues) and biofeedback training.  We’ll teach you an individualized stretching, relaxation, and include some yoga poses for your exercise program.  We’ll direct you to do a daily 10 minute deep breathing /meditation to further calm your highly reactive pain system.

Below is one example of an exercise your therapist may assign for you, “Child’s Pose”. The position incorporates deep breathing to allow a widening of the lower abdominal and pelvic floor regions, relaxing the muscles and releasing tension. By resting your forehead on the floor or on a towel, this positon calms the nervous system.

Step 1 of Child's Pose Step 2 of Child's Pose Step 3 of Child's Pose

You can find this exercise and more by downloading the PelvicTrack app for iPhones.  The PelvicTrack app not only allows you track your pelvic floor dysfunction symptoms, but also has a library of commonly assigned home exercises to treat pelvic floor dysfunction.  For more information, check out our blog post on the PelvicTrack app  or visit the PelvicTrack website. For an individualized and comprehensive exercise program, please schedule a visit with one of our staff pelvic physical therapists, who are under the direction of Evelyn Hecht, PT, ATC.

 

HOW MANY SESSIONS WILL I NEED?

Most patients start to notice significant improvement between the 2nd and 3rd month of consistent twice a week pelvic physical therapy, supplemented by completing daily awareness and home exercise program.  The initial focus is on releasing holding patterns then a pelvic/core strengthening and stabilization program is taught which lowers the frequency to once a week. So an average of 15-20 visits, sometimes more or less, depending on the severity of symptoms.  We have helped many men overcome this debilitating condition and look forward to working with you.