New York’s Men’s Pelvic Floor Physical Therapy Center
At Pivotal Physical Therapy, we recognize that men may experience pelvic floor dysfunction, pain, and unwanted post-surgical side effects. Our pelvic floor physical therapy clinicians are board-certified and specialize in treating male pelvic issues and we strive to improve your quality of life as we help you address pelvic pain, incontinence, or sexual discomfort. During your evaluation, we get a strong understanding of your medical history and perform a thorough exam. Over subsequent treatments, we implement a progressive rehabilitation program.
Pelvic Pain and Dysfunction
Pelvic floor muscle dysfunction and pain may occur when the muscles at the bottom pelvis (pelvic floor muscles) have inefficient muscle coordination or control. A variety of factors can also cause pelvic floor dysfunction and pain, such as Chronic Prostatitis, BPH (Benign prostatic hyperplasia), Erectile dysfunction (ED), Pelvic floor muscle spasms, Inguinal hernias, Interstitial Cystitis, and Painful Bladder Syndrome
Every man’s Pelvic floor muscle pain and symptoms are unique. Symptoms may be described as sharp, burning, deep pulling, aching, zinging, throbbing, numbing, electric, etc. Common pain locations are usually the lower abdomen, tailbone (coccyx), genital area, perineum, rectum, anus, or testicles or pain at the tip of the penis.
Bowel and bladder dysfunction are not only women’s issues. Many men suffer from urinary, bowel problems which often can be embarrassing, and can leave a traumatic sense of isolation. Common dysfunctions we see are
- Urinary urgency and/ or frequency
- Fecal urgency, smearing or leakage
- Constipation (I.e. functional)
- Difficulty urinating
- Frequent defecation or painful bowel movements
- Pain with intercourse, oral sex, arousal, or orgasm.
Male Pelvic Floor Surgeries We Treat
Pain and dysfunction are common after surgical procedures such as Transurethral incision of the prostate (TUIP), Open Radical Prostatectomy, Laparoscopic and Robotic Radical Prostatectomy, Prostate Laser surgery, Post-surgical Neo-bladder Reconstruction. We also address scar adhesions and pain at the incision site that may develop after pelvic and abdominal surgeries.
Comprehensive Treatment Options
We offer a holistic approach to regain control of your pelvic muscles, decrease your pain, and improve bowel/bladder control. Today’s increased understanding of pelvic floor muscle dysfunction/pain, bowel and bladder dysfunction, have made it much easier to treat these conditions.
Biofeedback: The most common method of treatment involves using biofeedback. During biofeedback, your therapists use specialized sensors, which measures how your pelvic floor muscles move as well as how well they’re working. During a session, we’ll guide you by giving you specific feedback on how to change and improve your muscle coordination.
Pivotal Physical Therapy combines biofeedback with other treatment methods to form a holistic approach to alleviate your symptoms and improve function. We may utilize other methods including:
Manual soft tissue mobilization: The pelvic floor muscles and genital areas may be tender, tense, and/or have trigger points. Manual therapy may alleviate or decrease muscle symptoms.
Core training and Postural Re-education: Pelvic floor muscles are an important part of the abdominal core system. Therefore, it is important that the patient has an understanding of a synergistic relationship and how intricately they are linked. An experienced therapist will be able to seamlessly link all the physical deficits together and provide you with an individualized treatment plan.
We provide a comfortable environment and pride ourselves on clear lines of communication with our patients and other healthcare professionals involved in your care.