Pelvic Pain in Men


Pelvic Pain in Men – Written by Ellen Barnett


Did you know that 1 in 12 men experience chronic pelvic pain?

Symptoms can vary from testicular pain, anal or penile pain, lower abdominal pain, groin pain or back pain and bladder irritation or pain. In many cases, the pelvic floor muscles are tense and have difficulty relaxing. Over time these tense pelvic floor muscles become painful and can lead to bladder, bowel or sexual dysfunction.


Why is it happening?

There are many causes of pelvic pain. It can be caused from an injury or trauma to the area, an infection of the prostate or bladder, a nerve injury or irritation, or poor posture. Stress, mood or lifestyle changes can also affect symptoms.


Where is the pelvic floor?

The pelvic floor muscles attach from the pubic bone at the front to the tail bone at the back and provides support under the pelvic organs. These muscles need to be working well to support normal posture along with other key core muscles including the diaphragm and the deep abdominal muscle, transverses abdominis. The pelvic floor muscles need to relax well to allow voiding and for normal sexual function.


What to expect from Physiotherapy treatment?

A trained pelvic floor physiotherapist can identify if your pelvic floor muscles are tense. Expect a whole body assessment of posture and movement. An assessment of postural adaptations is important to find if these may contribute to pelvic tightness and pain. Your physiotherapist will look at how you move, assessing good control and efficient movement patterns.


The Realtime Ultrasound is used as an assessment and treatment tool to visualise the pelvic floor externally and improve awareness of a voluntary contraction of these muscles. Internal manual assessment and facilitated release of the pelvic floor muscles can also help reduce tightness and improve symptoms.


You will learn how to engage and relax your pelvic floor muscles better. You will be given a rehabilitation plan which will likely include stability and control exercises including exercises for the pelvic floor muscles.


Not sure if this is the right treatment for you? Our pelvic floor physiotherapists would be happy to chat on the phone or you can call to make an appointment on 9387 1011 or if you would prefer send us an email.