Pelvic Floor Dysfunction is the pain and disruption of bladder, bowel &/or sexual function due to restrictions of the muscles and nerves of the pelvis. Often, men experiencing core weakness and/or persistent back, hip and groin pain may have an underlying pelvic floor condition. Physical therapists specializing in pelvic floor dysfunction discovered that tight, weak, uncoordinated muscles of the pelvic floor, lower abdominals, lumbar spine and hips, along with nerve and visceral restrictions were the primary cause for a wide range of pelvic floor symptoms.
Pelvic Physical Therapists at EMH offer men evidence-based treatments of:
- Pelvic Pain
- Urinary Dysfunction
- Sexual Dysfunction
- GI and Bowel Dysfunction
- Back/Coccyx Pain
Each hour evaluation and 50 minutes treatment session is private with a Doctor of Physical Therapy who specializes in treating pelvic issues.
Men of all ages and backgrounds can experience pelvic pain. Adverse Childhood Events; Sport injuries to the pelvic/abdomen/lower back; Post Hernia/Abdominal surgery, GI issues; Sexual Trauma and more can lead to developing pelvic pain.
The few men who were brave enough to reach out to a specialist to discuss their pelvic issues may have tried a number of medications without any long term relief nor a clear understanding of their condition.
Most men’s pelvic pain are diagnosed with prostatitis, but test negative for an infection. Research shows that amongst the 2-10% of men diagnosed with prostatitis, 90-95% have pelvic pain. Their pain may be located at the perineum, scrotum, rectum, penis or lower abdomen, and may even refer to the thighs, sacrum or coccyx. Our experience at EMH Physical Therapy, with the thousands of men hat we helped to heal, demonstrates that physical therapy can provide understanding, education, effective treatment and relief of pelvic pain.
Pelvic Pain Diagnoses we treat:
- Chronic Non Bacterial Prostatitis
- Chronic Pelvic Pain
- Pudendal Neuralgia
- Abdominal Adhesions
- Testicular and Scrotal Pain
Men may feel uncomfortable discussing sexual issues or concerns, so may tend to ignore or avoid dealing with issues. Which can make issues worsen. Pain during masturbation, erection, ejaculation and post-ejaculation can be treated effectively with pelvic floor physical therapy. Our DPT’s are trained in pelvic and sexual health and offer education, biofeedback, manual and movement therapies such as external and internal myofascial release, stretches, nerve glides, strengthening exercises and more to help men regain pleasurable sexual function.
Sexual Dysfunction Diagnoses we treat:
- Pain with Erection/Ejaculation/Post-ejaculation
- Persistent Genital Arousal Disorder (PGAD)
- Erectile Dysfunction
- Premature Ejaculation
Leaking a little each time you stand up from sitting, using the bathroom frequently, inability to fully void, experiencing bladder/penile pain can be frustrating. Men with prostate or bladder issues may have muscle imbalances of the pelvic floor and/or a hypersensitive bladder. The Pelvic floor can be trained to lower its resting tension and take charge of the bladder, instead of the bladder taking control of your life. Our therapies can help improve urinary stream, decrease urinary urgency & frequency, eliminate post-void dribbling and incontinence.
Urinary Dysfunction Diagnoses we treat:
- Urinary incontinence
- Urinary urgency/frequency
- Interstitial cystitis
- Prostate issues
- Post-prostatectomy incontinence
- Benign Hypertrophic Prostate
- Prostate Cancer
- Bladder and Urethral pain
- Feeling of Incomplete Bladder Emptying
- Nocturia (frequent urination at night)
GI and Bowel Dysfunction
Nutrition, hydration, toileting posture, muscle coordination and breath are involved in stool passage and healthy elimination. Being constipated can result in abdominal bloating, less mobility of our organs and more restriction of the pelvic floor. Constant high levels of stress can wreak havoc on the digestion process. All this can be reversed. Our DPT’s offer biofeedback training, manual therapies, exercise, and education to help you breath better, lower fight/flight response, improve your sense urge to go and achieve good bowel function.
GI and Bowel Dysfunction Diagnoses we treat:
- Fecal Incontinence
- Rectal Pain
- Irritable Bowel Syndrome
- Small Intestinal Bacterial Overgrowth
- Abdominal Pain/Cramping
- Anal fissures
Lower Back and Coccyx Pain
Pain anywhere along the spine, from the neck to the tailbone (coccyx), can be debilitating and interfere with activities of daily living. Acute back pain can arise from poor postural habits and weakness in the core stabilizing muscles. A sudden movement or repetitive strain can create pain. Chronic back pain can be related to an hypersensitive brain and nervous system which keeps your back muscles on guard 24/7.
The deepest muscles that makes up our core – those located at the top/bottom and sides of our abdomen are considered a “biological corset”. The Diaphragm muscle is at the top of the abdomen, the key muscle for breathing. The Transverse Abdominus is located at the lower front and sides of our abdomen. The Multifidi are located along our spine and the Pelvic Floor muscles are located at the base. These four groups work in sync to provide stability and protection for the spine.
Our DPT’s offers pain neuroscience education, manual therapies and teach specialized exercises with focus on breath-work, core activation, and pelvic floor engagement to build stability and function of your core and heal back pain.
Lower Back and Coccyx Diagnoses we treat:
- Low back pain
- Sacroiliac Joint Dysfunction
- Muscle spasm
- Lumbar Disc Herniation
- Spinal Stenosis
- Rheumatoid Arthritis
- Ankylosing Spondylitis
(212)288-2242 or email firstname.lastname@example.org to schedule a PT appointment or ask a question to our director, EVELYN HECHT, PT, ATP