We resolve men’s bladder, bowel, intimacy and pelvic pain conditions
You have found the right place. The men who come to us often have been to other providers and are seeking a physical therapist who understands and can resolve their pain or incontinence. Our licensed, doctors of physical therapy have advanced training in male pelvic health. We are committed to solving the unique pelvic health problems that men experience. Men’s health for the pelvis is not the same as women’s health! Our pelvic floor physical therapists know how to treat men who have all pelvic conditions, especially chronic pain in the pelvis, genitals, hips and back or bladder conditions such as frequency, urgency, pain and incontinence related to prostate cancer.
Your care begins with a comprehensive evaluation of your back, hips, abdomen and pelvis.
Your first step to feeling better begins with an evaluation with one of our male pelvic pain & bladder specialists. The men we treat tell us that they learn so much in the evaluation and find it relieves their stress and anxiety because they finally have found someone who is explaining their pain or bladder issues. Your evaluation and treatment will include a comprehensive treatment plan that is holistic. This means you can expect treatment to your low back, thoracic spine, hip girdles, pelvis, abdomen and thighs. Solely treating the pelvic floor, the group of muscles within your pelvis that contribute to your bladder, bowel and sexual function as well as your organ support will not give you the results you need.
Men leave appointments feeling better! We often are the first provider to bring clarity to their circumstance. And they tell us these things:
“I feel so much better.” “I can stand and don’t feel any pain.” “My testicle doesn’t feel as tight.” “Everything feels looser.” “I’ve always suspected what you found, but no one would listen to me or check it out like you did.” “You’ve helped me find the muscles to control my urine.”
We treat all pelvic health conditions including, but not limited to:
- Chronic prostatitis, Chronic non-bacterial prostatitis
- Post-prostatectomy urinary incontinence
- Pelvic floor dysfunction
- High tone pelvic floor
- Chronic pelvic pain syndrome
- Myofascial pain syndrome
- Pudendal neuralgia, Pudendal nerve entrapment
- Posterior femoral cutaneous nerve neuralgia
- Interstitial cystitis/Bladder pain syndrome
- Urinary urgency and frequency
- Overactive bladder
- Urinary urge incontinence
- Stress urinary incontinence
- Insensible urinary incontinence
- Fecal incontinence and smearing
- Testicular pain (orchialgia)
- Anal pain
- Perineal pain
- Irritable bowel syndrome
- Abdominal pain
- Hip pain
- Groin pain
- Sports hernia
- Athletic pubalgia
- Hamstring injury (strain/tear/pull)
- Meralgia paresthetica
- Pain following sexual activity
- Diastasis rectus abdominis
- Scar tissue related pain
Bladder related conditions we treat in men:
Urinary frequency, urgency and urge incontinence. Pelvic health physical therapy for bladder issues can be very helpful for a man who is experiencing an overactive bladder, urinary frequency, urgency and urge incontinence. We are experts in treating bladder conditions in men and will get to your root causes so you can get your bladder back to normal again. With urinary urgency, frequency, overactivity or urge incontinence there is commonly a constellation of myofascial issues contributing to this problem. You can expect an evaluation to examine your abdomen, low back, hips, thighs and pelvis to determine where there are restrictions that might be contributing to your bladder being overactive. We also offer specialized biofeedback training for heart rate variability coherence to teach you to balance your autonomic nervous system, which plays an important role in bladder function.
Incomplete bladder emptying and slow urinary stream: Some men experience difficulty fully emptying their bladder because they have pelvic floor dysfunction and non-optimal strategies for urinating. We can help identify underlying myofascial factors and habits contributing to your incomplete bladder emptying and we will treat these and help you recover your bladder control. We recognize there may be underlying conditions, such as an enlarged prostate or a neurologic condition that may be contributing to your difficulty eliminating your urine and we partner with your physician providers to address these issues. However, even when these underlying conditions are present, there is still hope that you can improve if you also have pelvic floor dysfunction and non-optimal urinary habits. We have treated many men who have successfully improved their ability to empty their bladder. Some of them have been using a catheter to urinate or to empty their bladder following urinating. These individuals are measuring the volume of urine expelled via catheter and have found objective improvements through our skilled physical therapy.
Prostate related bladder problems: Bladder conditions for men can sometimes be a complex problem, exacerbated by an enlarged prostate that disrupts your urinary flow and prevents you from emptying your bladder fully. Other times the prostate size is fine and not a contributor to the issue. In either case, physical therapy can help. If you are experiencing changes to your urinary system, whether it be slow stream, urinary frequency, incomplete emptying of the bladder, nocturia, urinary urgency or other problems, we will evaluate you to determine whether physical therapy can help you.
Prostatectomy rehabilitation, both before and after surgery: Undergoing a prostatectomy necessarily results in a man experiencing urinary incontinence and sexual dysfunction for a period of time. Our licensed pelvic physical therapists are trained specifically in prostatectomy recovery. We stay current with best practices, including emerging evidence for how we can help you get dry quicker and improve erectile function. We work with men before surgery to help them learn how to control the urinary muscles and what it should feel like to engage these muscles. After surgery we have a complete prostatectomy recovery program, that uses a combination of hands-on treatments and exercises, that help improve your ability to control urine and achieve erections. Research has shown that by completing this program you will get dry sooner than your cohorts who do not complete the program. The psychological relief alone is worth it. It is pretty miserable to be losing urine for months on end; if you have a way to shorten that experience for yourself, you should do it.
Stress urinary incontinence: Stress incontinence is the involuntary loss of urine related to activities such as coughing, sneezing or running. While this is more common in women than men, we have helped men who have stress incontinence. In men stress incontinence may occur following prostate surgery such as after BPH (benign prostatic hyperplasia) TURP surgery or post-prostatectomy. We’ve also worked with men who have this condition unrelated to their prostate, such as body builders. The male pelvic floor has unique characteristics that need focused, skilled rehabilitation to recover your continence. Your treatment will be specific to your body so you get the results your need.
Insensible incontinence: This incontinence occurs without you realizing it is happening. Incontinence of this manner can be particularly frustrating and can occur following surgery for your prostate. We have worked with men who have had this problem and have helped them recover urinary control. In addition to providing you manual therapy, neuromuscular coordination exercises and behavioral recommendations, we will teach you how to properly and effectively rehabilitate your pelvic floor and bladder control muscles to gain control over this problem.
Post Void dribbling: Do you finish urinating and then find yourself experiencing dribbles of urine afterwards? We can evaluate you to determine if pelvic floor dysfunction is contributing to this problem. We have experience working with men just like you and helping them to stop this bothersome problem.
Nocturia (getting up to urinate during the night): Nocturia is a common problem that pelvic health physical therapy can improve. We typically find that with nocturia there are pelvic floor dysfunction and myofascial restrictions in areas related to the bladder. Our comprehensive evaluation will examine your bladder control muscles as well as your low back, hips, pelvis, abdomen and thighs. It is here that we find restrictions that can benefit from treatment and, in turn, the bladder can calm down and allow you to sleep without needing to urinate. As with all conditions we treat, we are happy to partner with your physician providers, as well, to ensure your care is comprehensive.
Slow urinary stream: A slow urine stream, when caused by pelvic floor dysfunction, responds quite well to skilled PT. Your underlying pelvic floor dysfunction might be making it hard for your urine to flow. You shouldn’t have to push your urine out. We can help your bladder and pelvic floor muscles to function more normally so you can urinate without hesitation in your stream.
Interstitial cystitis/Bladder Pain Syndrome: Bladder pain syndrome and interstitial cystitis cause you to experience pelvic pain and more widespread pain outside of your pelvis as well as urinary urgency and frequency. In one study 75% of people with IC/BPS reported their pain to be outside of the pelvis while only 25% of patients reported the pain was isolated to the pelvis. For this reason, we evaluate and treat your thoracic and lumbar spine, hips, thighs, abdomen and your pelvis. Physical Therapy has been shown through research to play an important role in treating interstitial cystitis/bladder pain syndrome. We offer expert care that can help calm down your pain and bladder and help you to feel better. Treatment for IC & BPS is best done with multidisciplinary care and we are happy to work with your other providers to optimize your outcome.
Neurogenic bladder: Individuals with neurologic conditions may experience challenges with bladder and bowel control including urinary urgency, incontinence, inability to start the flow of urine and difficulty emptying their bladder. Some men with a neurogenic bladder may require a catheter to empty their bladder. There is research backed evidence that physical therapy can help your neurogenic bladder. We have worked with individuals with numerous neurologic conditions, such as following a stroke (CVA), multiple sclerosis, small fiber peripheral neuropathy and spinal cord injury. This can be a challenging condition and with the right evaluation and treatment you might find your body responds and you can improve your bladder control. As always, interdisciplinary care can provide you the best results and we are happy to communicate with your physician providers.
Pelvic pain conditions that we treat for men:
We often hear from men that following their appointment they immediately feel improvement. You will know when we are on the right track with your plan of care. As with every condition we treat, we are happy to partner with your other medical providers because multidisciplinary care is the gold standard for chronic pain.
Chronic Prostatitis and Chronic non-bacterial prostatitis: Chronic prostatitis is a common diagnosis we treat for men for their complaints of pelvic pain and bladder symptoms. What we tend to find is myofascial restrictions in multiple areas including the abdomen, thoracic and lumbar spine, hip girdles, thighs and pelvic floor. Additionally, there is typically underlying pelvic floor dysfunction and discoordination of the core muscle complex leading to the chronic pain and genitourinary symptoms. We will use our experience helping other men with this condition to help you get relief. We understand you are tired of taking antibiotics that don’t work, we know that you feel an ache and discomfort in your pelvis and you might have odd things happening with your ability to urinate and defecate. We have experience working with this condition and helping men get real results so they can get rid of their pain.
Pelvic Pain, Chronic pelvic pain (CPP), Myofascial Pain Syndrome (MPS): There are many causes of male pelvic pain and in our 20+ years of experience in pelvic health we offer you the experience necessary to get you results. The most important thing to know is that physical therapy is an effective, research backed, first line treatment for treating your chronic pelvic pain. When the right evaluation and treatment are conducted, we can identify multiple things contributing to your pain and help you get relief. There is hope. We offer you expert care, utilizing numerous techniques and methods to help you improve. We have helped many men overcome their chronic pelvic pain and get their life back. Chronic pelvic pain is typically a multifactorial problem that may involve your pelvic floor, musculoskeletal, genital, urological, neurological (peripheral nerves, central nervous system and autonomic nervous system), gastrointestinal, neuroendocrine and immune systems. We will treat all areas that are contributing to your pelvic pain and we will teach you what exercises, strategies and behavioral modifications are helpful for you to overcome this pain. We often find patients have reduced blood flow to their myofascial tissues, underlying pelvic floor dysfunction, trigger points and myofascial restrictions in the abdomen, back, hips and thighs. We have many techniques to treat these problems. Through our heart rate variability coherence training program, we can teach you to improve your autonomic nervous system, to optimize your Vagus Nerve function, and to regulate and improve your body. The gold standard of care for chronic pain is multidisciplinary and we are happy to work with your other providers to help you. Most importantly, we offer you effective treatment that can resolve your pain.
Male chronic genital pain syndromes: A man can experience genital pain that is often associated with sexual dysfunction and lower urinary tract symptoms and can therefore be categorized as chronic genital pain syndrome. Typically, the men we treat with genital pain (penile, testicular or perineal pain) also report some or all of the following symptoms: discomfort or pain when urinating (dysuria), feeling of incomplete bladder emptying, urinary frequency, slow urinary stream, urinary urgency and painful sex (dyspareunia) either during or after sex. What we often find when we evaluate the low back, hip girdles, pelvis, thighs and pelvic floor muscles is a series of myofascial restrictions, trigger points and connective tissue restrictions that contribute to their pain and their bladder symptoms. We also may find scar tissue (from prior abdominal surgery) that might be painful and, if you have it, we will treat this. We evaluate your breathing mechanics to optimize your core muscle coordination. For your trigger points we offer functional trigger point dry needling, as an augmentation to other manual therapy techniques to resolve your trigger points. We check your abdominal wall to see if you have a diastasis rectus abdominus (DRA: separation of your abdominal muscles). While DRA is a condition more widely known by women, men can have it, and we have treatment to help it to resolve. We review your daily habits and interests to uncover hidden sources of pain and the things you would like to be able to return to. You will be provided exercises and self-care recommendations to help you recover from your symptoms, whether they are bladder, pain, bowel or sexual. We base our treatment on your specific findings and your goals, so that you can experience meaningful results and get your life back.
Perineal pain, Pain in the perineal body. The perineal area has a lot of fibro-muscular structures. This area is between your legs, under your testicles and in front of your anus. Pain in this location can vary from achy, sore, tense or shooting pain. We commonly see men who have pain in this area, as well as other areas around this region. Pain here is a symptom of pelvic floor dysfunction, but typically there are also other contributing factors we identify and treat. We will evaluate your hips, thighs, abdomen, pelvis and low back to identify any myofascial issues contributing to your perineal pain. We often find issues related to high tone pelvic floor, reduced blood flow, connective tissue restrictions and impairments in the regions where your nerves traverse. Our treatment program will help restore these areas and will also educate you in how to care for these problems so that you can resolve your pain.
Testicular pain (orchialgia): Physical therapy can help your testicular pain! When men have been referred to us for their testicular pain, typically they have been to specialists who have told them that there doesn’t seem to be anything wrong with their testicle and they suggest physical therapy treatment. What we often find is an underlying pattern of trigger points and myofascial restrictions in the abdomen, hip and pelvic floor, leading to compromise of muscles, blood flow, and nerve firing and contributing to referred pain into the testicle. We will assess and treat your hips, abdomen, low back, pelvic floor and inner thighs to identify the areas of restriction in your joints, muscles, fascia and nerves. Guided by these evaluation findings we can customize your treatment plan of care and teach you what to do to help yourself.
Pudendal neuralgia (PN), pudendal nerve irritation and pudendal nerve entrapment (PNE): Pain arising from the pudendal nerve is its own beast and, yes, we have worked with men who have had Pudendal neuralgia. The pudendal nerve contributes to anal, perineal and genital innervation, so a person with pudendal neuralgia can experience symptoms in any of these regions. Yes, we have been able to help them get back to their active lives, free from constant pain. Yes, there is hope for you. Physical therapy has proven to be effective at helping to resolve your pudendal pain.
The pudendal nerve carries fibers that are sensory (give you feeling), motor (give you strength) and autonomic (specifically the sympathetic nervous system, which control fight or flight, among other things). Therefore, when your pudendal nerve is irritated you may experience changes in your sympathetic nervous system, as well. These could include increased heart rate, changes in blood flow, anxiety, changes in bowel motility (constipation, diarrhea) and sweating. You can imagine these symptoms alone might make you miserable. Unfortunately, because the nerve is 80% sensory, pudendal nerve problems also include pain. Painful signs and symptoms of pudendal neuralgia, nerve irritation or entrapment can include: pain with sitting, burning pain, sharp pain, sensation of a golf ball or fullness in the anus, itching, shooting pain, bladder or bowel symptoms including difficulty starting your urinary stream, urinary urgency, urinary retention, constipation, painful sex, genitalia pain and discomfort wearing constrictive clothing.
The literature notes both non-mechanical injury and mechanical injury can be culprits in causing your pain. We have predominantly seen mechanical causes in our patients, such as an excessive stretch of the nerve during a fall/injury, excessive compression such as sitting long hours during tax preparation season and chronic constipation, causing strain. We have also treated women who have pudendal neuralgia related to childbirth, surgery and pelvic trauma/injury. Examples of non-mechanical causes of pudendal neuralgia in the literature include infections (such as herpes), multiple sclerosis and diabetes. Our thorough evaluation and treatment program is designed to help you feel better, to restore your myofascial restrictions and to help your pudendal nerve calm down. We have helped men accomplish this and we can help you, too.
Anatomical overview of the pudendal nerve: When coming out of the sacrum the nerve passes between two muscles, the piriformis and coccygeus. We will evaluate these muscles to determine if they have tension, tightness, shortness or dysfunction that might be impairing your pudendal nerve and, if so, you will receive treatment to them. The nerve then leaves the pelvic cavity through a space that is near a thick, stabilizing ligament, the sacrotuberous ligament. We will evaluate this ligament, as well, to determine if it might have issues contributing to your pudendal neuralgia. We will also look at your hamstring insertion into the same region as the sacrotuberous ligament, as your hamstring might be contributing to tension in this region. There is another nerve in this area that we will evaluate, as well: the posterior femoral cutaneous nerve. Though not mentioned as often as pudendal neuralgia, we have found posterior femoral cutaneous nerve (PFCN) problems to be a large contributor to pelvic pain and sometimes it is only the PFCN and not the pudendal nerve that is the issue. Next, the pudendal nerve must pass near a prominent small portion of the bone of your pelvis, your ischial spine, and continues underneath another ligament, the sacrospinous ligament, to re-enter the pelvic cavity through another hole that allows the nerve to pass. From here the pudendal nerve continues to travel through an area called Alcock’s canal or the pudendal canal. In this region is also an important pelvic muscle, your obturator internus, that we will assess and treat. We evaluate these areas to identify any myofascial restrictions that would benefit from treatment to give you relief. The ischiorectal fossa (also known as ischioanal fossa) is an important area to evaluate and treat to optimize blood flow and reduce tension and myofascial restrictions in and around your pudendal nerve and associated structures. The pudendal nerve branches into 3 segments, the inferior rectal, the perineal branch and the dorsal sensory nerve that goes either to the penis or the clitoris. Keep in mind that the nerve is traveling all this distance within your other myofascial tissues, so connective tissue restrictions, blood flow restrictions and high tone pelvic floor will be addressed to optimize the health of your nerve. Because of the complexity of this condition, it takes years of experience to develop proficiency with treating it. We have been treating individuals with pudendal neuralgia for years. As with all pelvic pain conditions we treat, multidisciplinary care is the gold standard and we are happy to partner with your other medical providers to optimize your treatment plan.
Posterior Femoral Cutaneous Nerve Neuralgia: This is another nerve that can contribute to pelvic pain and pain in the thigh. We will evaluate this nerve as part of your exam to determine if you have problems related to this nerve.
Interstitial Cystitis/Bladder Pain Syndrome (BPS): You have finally found the right place to treat your interstitial cystitis and bladder pain syndrome! Yes, we’ve treated men who have interstitial cystitis/bladder pain syndrome. Yes, they improve. Yes, you can feel better. Yes, there is hope. We are expert pelvic health physical therapists and we have spent our career helping people like you, studying pelvic pain and bladder conditions, attending professional conferences and teaching other professionals advanced treatment techniques. We will evaluate you and, together, we will discover what is going on, what skilled treatment you require and how to make you feel better again. We will design a custom treatment program for your interstitial cystitis/bladder pain syndrome, based in research backed treatments and rooted in over 20 years of experience working with individuals like you. We will teach you what you can do for yourself to feel better. In the skilled hands of your physical therapist you will find a path forward that actually works. Our treatment addresses your pain and bladder function so you feel better. Our evaluation usually reveals numerous things contributing to your interstitial cystitis pain and bladder dysfunction such as tissues that are not optimally healthy and that lack optimal blood flow, restrictions in connective tissue, trigger points in muscles, pelvic floor dysfunction and altered breathing patterns. When these items are treated, you will feel improvement and, in time, you will start to see a light at the end of the tunnel, a pathway forward to a full and complete life where your bladder and pain do not govern your every thought.
Irritable bowel syndrome (IBS), chronic constipation, chronic diarrhea and associated abdominal/pelvic pain. Gastrointestinal issues, such as IBS and chronic constipation, in some men, can lead to abdominal and pelvic pain. We often find myofascial restrictions in muscles of the core, hips and pelvic floor. For example, the chronic strain of constipation can lead to pelvic floor muscles that do not effectively contract and relax. Or, the IBS can cause abdominal muscle cramping that leads to trigger points in the abdominal wall and these trigger points generate ongoing pain. Treating these problems of the musculoskeletal system responds quite well to skilled physical therapy.
Groin pain: Groin pain is a vague term that can have numerous causes. We will evaluate you to determine the musculoskeletal contributions to your groin pain and to develop a plan of care to get you relief. Sometimes the culprit is related to your psoas muscle an important muscle of your hip, your abdominal wall muscles or your adductor (inner thigh) muscles. Because the psoas attaches to your hip and low back spine, we will evaluate both your back and your hip to determine what is going on, in addition to your abdomen and thighs. We will also review constipation, breathing patterns and other aspects of your
Sports hernia, athletic pubalgia, pubic symphysis pain. A sports hernia typically causes severe pain at the time of injury. When a person comes to physical therapy for athletic pubalgia, often the pain has become lingering and chronic, either a dull ache, intermittent sharp pain or pain that limits return to sport or work. We’ve treated men with this condition whose goal was to get active again by playing their sport and working. We will help you overcome the musculoskeletal contributions to your pain and to implement a fitness program that allows you to progress back to your sport. Because we are experts in pelvic health, we offer a high level of insight into musculoskeletal contributions to your pain. We go beyond strength and conditioning and also include hands-on manual therapy to address myofascial restrictions, trigger points and other problem areas that are discovered in your evaluation.
Inguinal or abdominal hernias: If you have a hernia and you do not need surgery, but you experience pain from it, we can help address underlying factors related to your hernia pain. We will evaluate and treat your pelvis, hips and spine, your core muscular coordination, breathing methods, posture and activities, mechanics when defecating and urinating and muscle or fascial imbalances. We work with your physician providers, as well, because you do need to have their input to have a comprehensive plan of care.
Scar tissue related pain: Scar tissue from prior abdominal surgeries may result in abdominal or pelvic pain, sometimes it may alter the function of your bladder. We assess and treat your scar tissue and all abdominal pelvic fascia to help resolve your pain.
Hamstring, adductor or gluteal strain or tear: These are important muscles in your thighs and hips that can experience injury and contribute to pain, stiffness, weakness and lack of speed & power during sports activities. If you have torn your hamstring, inner thigh or other muscle and experience lingering problems from this, we offer expert physical therapy to treat your problem and develop a plan to get you back to full activities.
Hip labral tears, Hip osteoarthritis, hip pain: Underlying issues in the hips can result in considerable hip and pelvic pain, difficulty walking and exercising and weakness in hip muscles. We can evaluate and treat your hip to optimize your range of motion, mobility, strength, balance, load transfer ability and to decrease your pain. Because we are pelvic health specialists, also, we offer the added benefit of truly, comprehensively treating your entire pelvic girdle, spine and hip region to optimize your biomechanics and reduce wear and tear on your hip.
High tone pelvic floor: you might not be familiar with this, but it is a common cause of pelvic pain. With high tone your pelvic floor does not lengthen and relax properly. Therefore, you may experience myriad pelvic symptoms ranging from pain to bowel/bladder disorders to sexual disorders. We will assess you and determine whether you have a high tone pelvic floor. If your pelvic floor has high tone we will treat this and you will find your pain eases. High tone pelvic floor and pelvic floor dysfunction are within the core of our specialty. When you choose Purple Mountain Physical Therapy for your pelvic needs, you are selecting very experienced physical therapists who can confidently advise you on what’s going on with your pelvis.
Pain during or after intimacy, genital pain, perineal pain, penile pain: Often this is related to nerve or muscular tension accompanied by myofascial restrictions and pelvic floor dysfunction. We will evaluate your pelvic floor and all associated myofascial tissues to identify why you are experiencing pain. Your treatment will be directed to restoring the connective tissues, muscle and nerve function of your pelvic floor muscles, hips, abdomen, midback and low back. We will use neuromuscular re-education techniques to help you to retrain the coordination of all of your pelvic muscles, so you don’t end up with spasm or pain. We have helped many men recover from this and will offer you effective treatment.
Low back pain and Sciatica: Physical therapy is a first line treatment for low back pain and sciatica. You might be experiencing pain, numbness, tingling or weakness in your low back, hips, thigh, calf or foot. It is common to have an underlying mechanical issue contributing to the flare up of your pain. You may also have muscle guarding, trigger points, tightness and poor coordination of your core muscles. We will evaluate and treat you and so you can move freely and get back to your life.
Piriformis syndrome: The piriformis muscle is a hip muscle that can cause you to experience pain in your gluteal area. It is also a muscle that is part of your greater pelvis, so it can also play a role in your pelvic pain, urinary or bladder control issues. Because the sciatic nerve is near the piriformis muscle, if you develop Piriformis syndrome, you might also experience some sciatica symptoms, as well. Sometimes there is macrotrauma to this area contributing to overuse or strain to this muscle, such as when training for a long run or long walk or when having altered walking patterns following an injury in another area (such as ankle sprain or low back pain). We will evaluate your spine, hips and pelvic muscles to determine if you have muscle imbalances, non-optimal coordination of muscle firing during your activities, connective tissue restrictions, trigger points or tightness leading to compression. Your treatment will be customized to your findings to provide you with the results you want.
SIJ dysfunction (sacroiliac joint dysfunction): The sacroiliac joints, located between your sacrum bone and the ilium bones of your pelvis, are a key area for your body to transfer loads as you move throughout the day. This area has strong ligaments and helps us transfer load from one leg to the other. We will assess your low back, your SIJ, your hips and your pelvis. We will evaluate all of your core muscles, including your diaphragm, abdomen, back muscles, pelvic floor and hip muscles. We will have you demonstrate how you move so we can see how your body coordinates your movements and transfers load from one side to the other. Our evaluation findings, taken together, will guide your treatment program so that you can get back to moving freely, without fear of pain, nagging discomfort or ongoing SIJ dysfunction.
Central sensitization: Individuals who have central sensitization experience pain even though their tissues are healed, there is no injury and there is no obvious “reason” for them to be in pain. As a broad overview, the central nervous system (brain and spinal cord) is sending pain signals even in the absence of an injury, thus perpetuating your sensation of pain. We’ve seen this often and we will help unravel what is going on. We are members of the International Pelvic Pain Society, avid readers of pain science and have completed countless post graduate education courses on pain neuroscience and how to best treat it. As such, you will receive pain neuroscience education in your treatment program so you have a better understanding of what is going on and how you can mitigate the pain. Central sensitization has been a prevalent component of Dr. O’Keefe’s pelvic pain patients, which has driven her to seek out best practices and advanced techniques to offer you quality care that gives you results. If a person has central sensitization, multidisciplinary collaboration is best and we are happy to work with your other providers.
What about my problem, I don’t see it listed here? The licensed, doctors of physical therapy at Purple Mountain PT are male pelvic health specialists. We are not simply adapting “women’s health” to men. We have completed extensive training specific to male pelvic health, chronic pelvic pain, prostate problems, prostatectomy rehab and more. If you do not see your particular condition listed here, chances are high that we have helped someone just like you. Our holistic treatment, directed to you shoulder blades, low back, hips, abdomen and thighs will uncover problems contributing to your symptoms. We also assess and treat the pelvic floor and often in men we find an over-use of their abdominals, lack of awareness of the muscles that control urination and high tone pelvic floor causing pain and urinary or bowel problems. We have extensive experience and we will put that experience to work for you! Because we conduct comprehensive evaluations of your abdomen, low back, hips, thighs and pelvic floor we are able to uncover underlying myofascial restrictions, nerve issues, blood flow compromise and problematic areas in muscle strength, function, length and joint mobility. With our evaluation findings we can determine a plan of care forward for your unique condition. We’ve treated men with diagnoses not listed here, including small fiber peripheral neuropathy, fractured pelvic bones, joint hypermobility syndrome and other problems. Call us at 616.516.4334 and we’re happy to answer your questions! Alternatively, you can submit this online inquiry and we will be in touch.