Certain men’s health issues, like Chronic Pelvic Pain Syndrome (CPPS, and also known as Chronic Non-bacterial Prostatitis), Pudendal Neuralgia, Levator Ani Syndrome, and Post-prostatectomy urinary incontinence, can benefit from physical therapy of the pelvic floor.
Men’s Health Issues which can cause pelvic pain include prostatitis, pudendal nerve entrapment, constipation, Levator Ani Syndrome (also known as coccygodynia) and post-prostatectomy urinary incontinence. Symptoms may include burning, pressure or aching in the rectal, groin, low back, buttock, abdominal or thigh regions. Symptoms may also include increased urinary frequency and urgency, painful urination and bowel movements, voiding dysfunction or pain with normal activities (i.e. walking, climbing stairs, lifting objects).
Treatments for men’s health issues include patient education to address bowel and bladder habits as well as diet and exercise. Physical therapy treatment may include manual therapy to target painful internal and external muscles. Trigger Point Dry Needling can eliminate taut bands in muscles causing pain., Modalities, including biofeedback for relaxation or muscle re-education, strengthening exercises and postural education may also be utilized.
Urinary Incontinence is the inability to hold urine. This represents another common men’s health issue that Orthopedic Physical Therapy specializes in treating. Normally, the bladder stores the urine that is continually produced by the kidneys, until it is convenient to urinate. Sometimes, as a result of accidents, certain infections, diseases or types of surgery, this complex and delicate process is upset.
Physical therapy treatment for urinary incontinence includes exercises for the pelvic floor muscles (Kegel exercises), biofeedback, behavioral training, and patient education. In mild to moderate cases, proper instruction in pelvic floor exercises should cure 70% or more cases in 3-6 months.