Enhancing Men’s Health with Pelvic Floor Physical Therapy 

July 1, 2023

Pelvic floor physical therapy treatment has been associated with treatment for women especially since the pelvic floor is directly impacted from childbearing and birthing. However, men can also benefit from pelvic floor physical therapy. This blog will discuss some of the symptoms that men may experience in the pelvic floor that can be addressed by a pelvic health physical therapist.  

Urinary incontinence: involuntary leakage of urine. Urinary leakage may be caused from prostate surgery, bladder and/or pelvic floor dysfunction. 

Pelvic pain: pain in the pelvic floor muscles from conditions such as prostatitis, pudendal neuralgia, pelvic girdle fractures, hernias, athletic pubalgia, increased tension in the pelvic floor muscles, or other underlying musculoskeletal and neuromuscular disorders. 

Erectile dysfunction (ED): characterized by decreased ability to maintain an erection. It is commonly related to increased age but it can be impacted by pelvic floor muscle dysfunction or nerve compression and damage as well. 

Post-prostatectomy rehabilitation: following a procedure involving the prostate, men may need therapy to address complications such as urinary incontinence of erectile dysfunction. 

Chronic constipation: involving bowel dysfunction including straining, pain, decreased frequency of bowel movements, hard or loose stool.

Post-surgical rehabilitation: any surgeries involving the pelvis and abdomen including but not limited to hernia repairs, prostatectomy, repair for athletic pubalgia. 

What can you expect from an initial evaluation during pelvic floor physical therapy for men’s health? A physical therapist will ask questions regarding your symptoms that are related to bladder, bowel, and sexual function. They will perform an objective exam observing posture, pelvic girdle alignment, general movement and strength, pelvic floor muscle function, breathing mechanics, and any other structures that may be related to pelvic floor dysfunction such as the abdomen, hips, and spine. This information will guide the physical therapist on what to address and provide an individualized home exercise program. 

During follow up sessions, pelvic floor physical therapy utilizes manual therapy techniques, exercise, posture and breathing education, dry needling, bladder and bowel training, modalities, and neuromuscular re-education to restore mobility, improve strength, alleviate pain, address scar tissue to facilitate overall recovery.

Need help? Contact me at Activcore Littleton to get started now.

Disclaimer: The views expressed in this article are based on the opinion of the author, unless otherwise noted, and should not be taken as personal medical advice. The information provided is intended to help readers make their own informed health and wellness decisions.

Dr. Chelsea Speegle

Physical Therapist
Chelse Speegle is a Doctor of Physical Therapy (DPT) who specializes in pelvic health with a particular interest in helping pregnant and postpartum moms. She works primarily at Activcore in Littleton, Colorado which is located inside the Womens Health Care Associates OBGYN clinic.
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