Men’s Pelvic Health 

October 20, 2016

Article written by Nancy Droege, PT nancyDroege1

Feeling uncomfortable “down there”? Trouble below the belt? Discomfort with bowel, bladder, or sexual function? 

These are all common issues experienced by men as relates to their pelvic health. Help is available. You just need to ask. 

Research shows that men are less likely to seek help for health conditions that may be easily treatable. Social pressures on men may influence diagnosis and treatment, as well as rehabilitation, in that they are frequently uncomfortable or unaccustomed to asking for help, especially when their problem or concern may relate to pelvic health. 


PTOSI has Physical Therapists with special training to evaluate and treat men’s pelvic health disorders

Pelvic pain is described as pain and discomfort in the lower region of the abdomen, pelvis, genitals, and reproductive organs, as well as the pelvic floor. The pelvic floor refers to the sling-like structure that runs from the pubic bone to the tailbone and is made up of muscles and other tissues. It assists in supporting the abdominal and pelvic organs and helps in the control of bowel, bladder and sexual function. 

Pelvic floor dysfunction refers to a wide range of problems that may occur when the muscles of the pelvic floor are weak or tight, and may include issues related to the sacroiliac joint, low back, coccyx (tailbone), or hip joint. Pelvic pain issues may also include perineal pain as well as penile or testicular pain and may be associated with sexual dysfunction. Dysfunction of the urinary and gastrointestinal system may also be present. 

Physical therapy treatment may include external and internal manual therapy with myofascial and trigger point release, visceral manipulation, connective tissue and joint manipulation and craniosacral therapy. Biofeedback, electrical stimulation and TENS may also be utilized. Emphasis will be placed on education, exercise, and self care techniques with the goal of having the patient capable of self management of their condition. A multidisciplinary approach including stress management, nutritional counseling, massage therapy, and psychological services is encouraged. 

A few links that may be helpful are listed below.