Men’s Pelvic Floor Therapy

The Scenario:

Admittedly most women would say that men have it easier in so many ways. Men do not have menstrual cycles, will never have to endure a pregnancy, let alone a vaginal delivery, and then there is menopause. However, if men do develop a problem in the pelvic region, it is difficult for them to talk to their doctor mostly because men never go to a doctor. Sadly, physicians just do not have as many options for men who experience incontinence and pain in their pelvis, so the problem is often treated with medications and advice to stop their physical activity. These options can then lead to irritability, poor work functioning and often depression.

Chronic Pelvic Pain

Pelvic pain is reported by 15% of adult men worldwide, 90% of those men will have symptoms consistent with chronic pelvic pain syndrome, while 8.2% will experience prostatitis-like symptoms.

Symptoms of Chronic Pelvic Pain Syndrome can include

Penile/scrotal/perineal pain

Urinary urgency/frequency

Erectile dysfunction

Post-ejaculatory pain

Painful bowel movements or delayed genital/bladder pain after bowel movements

Coccyx and Sacral pain

Saddle Numbness/Ischial pain

 

Symptoms of prostatitis can come on slowly or suddenly. They can be mild or quite severe. In nonbacterial prostatitis, symptoms often come and go.

 

Symptoms of prostatitis may include:

Needing to urinate frequently and/or urgently (especially at night)

Pain or burning while urinating

Difficulty urinating

Blood in the urine

Psychological stress

Lower abdominal pain or pressure

Rectal or perineal discomfort

Lower back pain

Fever or chills

Painful ejaculation

Impotence (due to inflammation around the gland)

 

A Pelvic Health Physical Therapist can help with pain symptoms by evaluating the pelvic floor both with an internal examination and through surface electromyography (sEMG). Surface Electromyography uses electrodes that are applied externally to pelvic floor muscles to assess pelvic floor muscle tone, strength, muscular endurance and speed of contraction. Doctors of Physical Therapy can use internal and external manual intervention to give relief to increased tone and muscle spasms and through exercise and help restore normal muscular tone and bladder function.

Prostate Cancer

Radical Prostatectomy Rehabilitation

BODYCENTRAL Physical Therapy pelvic health specialists can restore quality of life following a radical prostatectomy by offering men a comprehensive physical therapy rehabilitation program. Partnering with the our Doctors of Physical Therapy, our prostate cancer patients benefit from a customized rehabilitation program focused on the healthcare needs of men experiencing urinary incontinence and erectile dysfunction following prostatectomy.

WHY PHYSICAL THERAPY?

Our Doctors of Physical Therapy play an important role in the rehabilitation of men following treatment for prostate cancer by teaching and assigning exercises and techniques that strengthen the pelvic floor muscles. Stronger pelvic floor muscles help alleviate symptoms of urinary incontinence and maintain normal pelvic floor muscle function. Physical therapy also focuses on restoring cardiovascular fitness which helps the body battle the effects of cancer treatments. Enhanced cardiovascular fitness improves blood flow, which has been shown to improve symptoms associated with erectile dysfunction.

PELVIC FLOOR PHYSICAL THERAPY FOR POST PROSTATECTOMY INCONTINENCE

Urinary incontinence is a common side effect of radical prostatectomy surgery. Most men experience a return to normal bladder function in time. However, some men have continued problems with urinary incontinence that can be improved with physical therapy and pelvic floor rehabilitation.

Our physical therapists work with patients after a radical prostatectomy, teaching appropriate pelvic floor muscle exercises and administering manual techniques to release scar tissue after surgery. Strengthening exercises help prevent the leakage of urine. Pelvic floor muscle exercises can be taught pre-surgery or provided post prostatectomy. Research has shown that pelvic floor physical therapy instituted prior to radical prostatectomy aids in the earlier resolution of urinary incontinence.

PELVIC FLOOR PHYSICAL THERAPY FOR POST PROSTATECTOMY ERECTILE DYSFUNCTION

Treatment to restore erectile function should be part of every man’s recovery plan following prostatectomy. The health of the penis depends on adequate blood flow and oxygen. Blood flow directly impacts the ability to get and maintain an erection, which is why physical therapy also focuses on fitness and cardiovascular health. Connective tissue massage performed by pelvic health physical therapist helps to increase local blood supply and, together with the strengthening of the pelvic floor muscles which are also active during sexual intercourse, assists in speeding up erectile function and recovery.

Please allow us to help you with the following problems:

Urinary Incontinence

Fecal Incontinence

Need to urinate frequently (greater than every 3-4 hours)

Getting up more than one time per night

Hip pain

Groin pain

Low back pain

Testicular/perineal pain

Rectal pain

Sacral/Coccyx pain

Abdominal pain

Constipation

Irritable Bowel Syndrome

Urinary retention (straining to start or finish urine stream)