Reviewed and contributions made by Occupational Therapist Kevin Amarantos, OTR/L, C/PAM
In June, we celebrate Men’s Health Week. This month, we encourage men to approach their health proactively. Of course, men face their unique health concerns and challenges, but they too can experience issues commonly associated with women – like pelvic floor dysfunction. For men experiencing incontinence, sexual dysfunction, or even low back, groin or hip pain, pelvic floor dysfunction may be the culprit. Unfortunately, because pelvic floor dysfunction is often thought of as a female issue, male pelvic floor disorders are often improperly diagnosed. But, with some knowledge and help from a pelvic floor physical therapist, men can also find relief.
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Weak Pelvic Floor Symptoms in Men
The pelvic floor muscles make up a dome-shaped structure in the pelvis. These muscles, along with tissues and nerves, help support and maintain bladder, bowel, and sexual function. However, like anywhere in the body, when these muscles are too tight or weak, problems can arise.
Men experiencing pelvic floor dysfunction can feel a range of symptoms:
- Low Back Pain
- Groin and/or Hip Pain
- Pelvic, Rectal, and/or Genital Pain
- Abdominal Aches and Pains
- Sexual Dysfunction
- Urinary Frequency/Difficulty Urinating
- Constipation/Diarrhea
- Pain with Bowel Movements
What Causes Pelvic Floor Dysfunction in Men?
Any of these symptoms may be the result of any number of causes. For example, anything from trauma to surgery to long bouts of sitting may all contribute to pelvic floor disorders. A more complete list includes:
- Trauma
- Surgery
- Long Durations of Sitting
- Heavy Lifting
- Sudden Increase in Activity Level
- Previous Infections
- Scar Tissue
- Stress
- Poor Posture
Whatever the cause, taking care of your pelvic health is important. If left untreated, pelvic issues can potentially worsen over time.
Diagnosing Pelvic Floor Dysfunction in Men
Suppose you have explored other options to alleviate your symptoms but have yet to find relief. In that case, it may be time to try physical therapy. ATI’s pelvic health physical therapists receive specialized training in pelvic floor disorders. They can guide you through the recovery process. Their expertise, analysis, and direction ensure you will be on the path to relief - sooner rather than later.
What to Expect During Pelvic Floor Physical Therapy for Men
When you begin physical therapy, you can expect a detailed conversation with your therapist about your symptoms, possible causes, previous treatments and general health. Discussing these factors will help your therapist determine the right care plan for you.
After the initial discussion, your physical therapist will most likely perform a physical exam. During this assessment, the therapist will note the range of motion, strength and flexibility in your pelvis, hips and back. They may also suggest an internal rectal pelvic floor muscle exam to test for muscle tension, coordination concerns and weakness. The internal exam may or may not be completed at your first visit, depending on your consent and level of comfort.
Common Recommendations During Pelvic Floor Physical Therapy for Men
What helps pelvic floor dysfunction in men depends on your needs. Once your therapist has evaluated your symptoms, they will create a treatment plan tailored to your situation. Depending on your circumstances, they may recommend one or more of the following types of treatment:
- Muscle Awareness and Coordination Training
- Manual Therapy
- Therapeutic Exercise
- Core Strengthening
- Activity Modification
- Postural Education
- Stretching
- Relaxation Techniques
- Biofeedback – Internal and External
- Electrical Stimulation
- Home Exercise Program Instruction
Your therapist will determine, recommend, and discuss the number and frequency of treatment sessions required based on your specific needs.
Men's Pelvic Floor Physical Therapy at ATI
While it may be uncomfortable talking about your symptoms, know that you are not alone. Pelvic floor dysfunction happens to a lot of people, not just women. So take control of your health and your symptoms. Schedule an appointment with one of our pelvic health specialists today and take your first step toward relief with pelvic floor physical therapy for men.