Pelvic health is often discussed in relation to women, but men can experience pelvic floor issues too. Symptoms such as pelvic pain, urinary urgency, leakage, discomfort during activity, or persistent pressure in the pelvic region can affect daily life, exercise, work, and overall well-being. The good news is that many of these conditions can be treated. This guide explains common men’s pelvic health concerns, what symptoms may indicate, and how physical therapy can help improve function, comfort, and confidence.

Reviewed and contributions made by Connie Clark, PT, DPT, Pelvic Floor Therapist

Key Takeaways

• Men can experience pelvic floor dysfunction, pelvic pain, and bladder-related symptoms.
• Pelvic health issues are common but often go undiscussed or untreated.
• Symptoms may affect daily activities, exercise, work, and quality of life.
• Pelvic floor physical therapy can help improve function and reduce symptoms.
• In most cases, no doctor’s referral is needed to begin care at ATI Physical Therapy.

What is Men’s Pelvic Health?

Pelvic health refers to the function of the muscles, ligaments, and connective tissues that support the bladder, bowel, and reproductive organs. In men, the pelvic floor also plays an important role in urinary control, sexual health, posture, and core stability.

When the pelvic floor is functioning properly, it works automatically in the background during daily activities. However, when these muscles become weak, tight, irritated, or poorly coordinated, they can contribute to a wide range of symptoms that affect comfort, confidence, and quality of life. Because pelvic health is not discussed as often among men, many people are surprised to learn that physical therapy can help address these concerns.

Understanding the role of the pelvic floor is an important first step toward recognizing symptoms and seeking appropriate care.

By the Numbers: Men’s Pelvic Health

Men’s pelvic health conditions are more common than many people realize, yet they often go undiscussed and untreated.

• Approximately 16% of men experience a pelvic floor disorder (Mayo Clinic).
• Urinary incontinence affects between 11% and 31% of older men, with prevalence increasing with age (NIH / PubMed).
• Overactive bladder affects approximately 14.5% of U.S. men, and prevalence has increased over the past two decades (Nature Scientific Reports).

These numbers highlight an important reality: pelvic health concerns in men are not rare, and many symptoms that people assume are simply part of aging may actually be treatable.

If you are experiencing pelvic health concerns, come to ATI Physical Therapy for an initial evaluation. We will connect you with a pelvic health specialist and develop a personalized treatment plan based on your needs and goals. In most cases, no doctor’s referral is needed to begin care.

Schedule Now

Common Men’s Pelvic Health Symptoms

Men’s pelvic health symptoms can present in many different ways, and not all symptoms involve pain. Some people notice changes in bladder habits, while others experience discomfort during exercise, prolonged sitting, or daily activities. Because symptoms can develop gradually, they are often mistaken for a normal part of aging or something that must simply be tolerated.

Recognizing these symptoms early is important because many pelvic floor conditions respond well to conservative treatment. Understanding what to watch for can help you seek care sooner and improve long-term outcomes.

Urinary Urgency or Frequency

Feeling the need to urinate frequently or urgently can sometimes be related to pelvic floor dysfunction.

Leakage or Loss of Bladder Control

Accidental urine leakage may occur during exercise, coughing, lifting, or other daily activities.

Pelvic Pain

Pain or discomfort in the pelvis, groin, tailbone, lower abdomen, or surrounding areas may be linked to pelvic floor muscle dysfunction.

Pain with Sitting

Some men experience discomfort that increases during prolonged sitting, driving, or desk work.

Sexual Health Concerns

Pelvic floor dysfunction can sometimes contribute to pain, tension, or changes in sexual function.

Common Causes of Pelvic Floor Dysfunction in Men

Pelvic floor symptoms can develop for a variety of reasons. In many cases, they are related to muscle tension, weakness, injury, surgery, or changes in movement patterns. Understanding potential causes can help explain why symptoms occur and how treatment may help.

While some causes are related to medical conditions or procedures, others develop gradually through daily habits, repetitive activities, or prolonged periods of stress on the body. Identifying contributing factors is an important part of creating an effective treatment plan.

Prostate Surgery Recovery

Some men experience pelvic floor weakness or urinary symptoms following prostate-related procedures.

Chronic Muscle Tension

Tight pelvic floor muscles can contribute to pain, pressure, and difficulty relaxing.

Repetitive Strain

Heavy lifting, prolonged sitting, and repetitive physical activity may contribute to irritation over time.

Injury or Trauma

Previous injuries involving the pelvis, hips, lower back, or abdomen can sometimes affect pelvic floor function.

How Pelvic Floor Physical Therapy Helps

Pelvic floor physical therapy focuses on improving how the muscles of the pelvic region function during everyday activities. Depending on the condition, treatment may focus on strengthening weak muscles, improving coordination, reducing excessive muscle tension, or restoring normal movement patterns.

Many people are surprised to learn that treatment often extends beyond the pelvis itself. Because the pelvic floor works closely with the hips, abdomen, lower back, and diaphragm, therapy frequently addresses these areas as well. A comprehensive approach can help improve movement, reduce symptoms, and restore confidence during daily activities.

Treatment may include:

• Pelvic floor muscle training
• Relaxation and breathing techniques
• Mobility and flexibility exercises
• Core strengthening
• Movement and posture education
• Activity modification strategies

With the right treatment plan, many men experience meaningful improvements in comfort, function, and confidence.

Simple Exercises to Support Pelvic Health

Pelvic health exercises often focus on improving muscle awareness, coordination, and overall core function. These exercises are commonly used as part of broader pelvic health programs and may help support healthy movement patterns.

While these exercises are not intended to replace individualized treatment, they can be a helpful starting point for improving body awareness and supporting pelvic floor function. Consistency and proper technique are often more important than intensity.

Move slowly and stop if pain increases.

Diaphragmatic Breathing

• Lie comfortably on your back or sit upright
• Inhale slowly through your nose
• Allow your abdomen to expand naturally
• Exhale slowly through your mouth
• Perform 5 to 10 breaths

Pelvic Tilts

• Lie on your back with knees bent
• Gently flatten your lower back against the floor
• Return to a neutral position
• Perform 10 repetitions

Glute Bridges

• Lie on your back with knees bent
• Lift your hips toward the ceiling
• Lower slowly
• Perform 2 sets of 10 repetitions

When to See a Physical Therapist

Many men wait months or even years before discussing pelvic health symptoms. However, issues such as pelvic pain, urinary leakage, urgency, or discomfort during activity are not simply things you have to live with.

If symptoms are affecting your comfort, confidence, exercise routine, work, or daily activities, it may be time to seek professional guidance. Early intervention can often improve outcomes and help prevent symptoms from becoming more persistent.

A pelvic health physical therapist can evaluate your symptoms, movement patterns, muscle function, and overall mobility to identify contributing factors and develop a personalized treatment plan.

Ready to take the next step?
Book an Evaluation Today

Frequently Asked Questions

Can men have pelvic floor dysfunction?
Yes. Men can experience pelvic floor dysfunction that affects bladder control, bowel function, pain levels, and quality of life.

What does male pelvic pain feel like?
Symptoms vary but may include pain in the pelvis, groin, tailbone, lower abdomen, or during sitting.

Can physical therapy help pelvic pain in men?
Yes. Pelvic floor physical therapy can help address muscle dysfunction, improve movement, and reduce symptoms.

Do I need a referral for pelvic floor therapy?
In most cases, no referral is needed to begin care at ATI Physical Therapy.

The post Men’s Pelvic Health: Common Symptoms and How Physical Therapy Helps appeared first on ATI.

Pelvic health is an important part of overall well-being, but many women are unsure what is normal and what may need attention. Symptoms like pelvic pain, leakage, or pressure are common, but they are not something you have to live with. This guide explains common pelvic health symptoms, what they may mean, and how physical therapy can help improve comfort and function.

Reviewed and contributions made by Abi Purvis, DPT

Key Takeaways

• Pelvic health symptoms are common but not always normal.
• Issues like leakage, pain, or pressure can often be treated.
• The pelvic floor plays a key role in bladder, bowel, and core function.
• Early treatment can improve symptoms and quality of life.
• In most cases, no doctor’s referral is needed to begin care at ATI Physical Therapy.

What is Pelvic Health

Pelvic health refers to how well the muscles, ligaments, and tissues in the pelvic region function together. These structures support the bladder, bowel, and reproductive organs, and they play a key role in core stability and movement.

When the pelvic floor is working well, it helps control bladder and bowel function, supports posture, and contributes to overall stability. When it is not functioning properly, it can lead to a range of symptoms that affect daily life.

Understanding how this system works can help you recognize when something feels off and when it may be time to seek help.

By the Numbers: Pelvic Health in Women

Pelvic health concerns are more common than many people realize, especially across different life stages.

• Up to 50% of women experience some form of pelvic floor dysfunction during their lifetime, including symptoms like leakage or pelvic pressure (World Health Organization).
• Urinary incontinence affects millions of women worldwide and becomes more common with age and after childbirth (World Health Organization).
• Regular physical activity and targeted exercises can help improve pelvic floor function and reduce symptoms (World Health Organization).

These trends highlight how common pelvic health issues are and why they should be addressed, not ignored.

What is Normal and What is Not

Pelvic health changes can happen over time, especially during major life events like pregnancy, postpartum recovery, or menopause. Because these changes are common, it can be difficult to know what is expected and what may need attention. Understanding the difference between temporary changes and ongoing symptoms can help you take the right next step.

What Can Be Normal

Some temporary changes may occur during pregnancy, postpartum recovery, or after changes in activity levels. Mild soreness or short-term changes in bladder control can happen as the body adapts and recovers.

What Is Not Normal

Persistent or worsening symptoms are a sign that something may need attention. These include:

• Leaking urine with coughing, sneezing, or exercise
• Ongoing pelvic pain or discomfort
• A feeling of pressure or heaviness in the pelvic area
• Difficulty controlling bowel movements
• Pain during everyday activities including sexual intercourse

If symptoms continue or interfere with your daily life, it is important to seek guidance.

If you or a loved one is experiencing pelvic health concerns, come to ATI Physical Therapy for an initial evaluation. We will connect you with the right specialist and build a personalized plan around your needs. In most cases, no doctor’s referral is needed to begin care.

Schedule Now

Common Pelvic Health Symptoms

Pelvic health symptoms can present in different ways and may affect daily routines, physical activity, and overall comfort. In many cases, symptoms develop gradually and may be dismissed or overlooked. Recognizing these signs early can help you address them before they become more limiting.

Bladder Control Issues

Leakage or urgency can occur when pelvic floor muscles are not coordinating properly or they are weak.

Pelvic Pain

Pain in the pelvic region may be related to muscle tension, weakness, or irritation in pelvic floor hips and low back.

Pressure or Heaviness

A feeling of pressure may indicate that the pelvic floor is not providing enough support.

Core Weakness

The pelvic floor works closely with the core. Weakness or imbalance can affect stability and movement.

Glute Bridges

• Lie on your back with knees bent
• Lift your hips toward the ceiling
• Lower slowly
• Perform 2 sets of 10 repetitions

Standing Hip Abduction

• Stand upright, holding a stable surface
• Lift one leg out to the side
• Lower slowly
• Perform 2 sets of 10 per side

Hip Flexor Stretch

• Step one foot forward into a split stance
• Gently shift your weight forward
• Hold for 20 to 30 seconds per side
• Repeat 2 times

How Pelvic Floor Therapy Can Help

Pelvic floor therapy focuses on improving how the muscles in the pelvic region function during everyday activities in coordination with muscles of the core and lower extremities. Many symptoms are related to muscles that are either too weak, too tight, or not working together properly. Addressing these underlying issues can lead to meaningful improvements in both comfort and function.

Treatment is personalized and may include:

• Targeted strengthening and stretching exercises
• Relaxation and breathing techniques
• Movement and posture training
• Education on daily habits and body mechanics

With the right approach, many women experience reduced symptoms and improved confidence in daily activities.

Simple Exercises to Support Pelvic Health

Targeted exercises can help improve pelvic floor function and support overall stability. These movements focus on both strength and coordination, which are important for proper muscle function. Consistency and proper technique are key to seeing improvement over time.

Move slowly and stop if pain increases.

Pelvic Floor Contractions (Kegels)

• Gently contract the muscles used to stop urine flow
• Hold for 3 to 5 seconds
• Relax fully
• Perform 10 repetitions

Diaphragmatic Breathing

• Lie on your back or sit comfortably
• Inhale deeply through your nose
• Allow your abdomen to rise and rib cage to exapnd
• Exhale slowly
• Perform for 5 to 10 breaths

Glute Bridges

• Lie on your back with knees bent
• Lift your hips toward the ceiling
• Lower slowly
• Perform 2 sets of 10 repetitions

When to See a Physical Therapist

If pelvic health symptoms are persistent, worsening, or affecting your quality of life, it is important to seek care. These issues are common, but they are often treatable with the right support.

A physical therapist trained in pelvic health can evaluate your symptoms and create a personalized plan to improve function and reduce discomfort.

Ready to take the next step?
Book an Evaluation Today

Frequently Asked Questions

Are pelvic health issues normal after pregnancy?
Some changes are common, but ongoing symptoms should be evaluated.

Can pelvic floor therapy really help?
Yes. Many women see improvement with guided therapy and exercise.

Do I need a referral for pelvic health therapy?
In most cases, no referral is needed to begin care.

Is leakage something I have to live with?
No. Leakage is common, but it is often treatable.

The post Pelvic Health for Women: What’s Normal, What’s Not, and When to Seek Help appeared first on ATI.

If walking hurts, don’t ignore it. Pain in your feet, knees, hips, or back can be a sign of an underlying issue. This guide explains common causes of walking pain, what your symptoms may be telling you, and when to see a physical therapist.

Reviewed and contributions made by VP of Clinical Development Thomas Denninger

Key Takeaways

• Walking pain can occur in the feet, knees, hips, or lower back.
• Early treatment can help prevent symptoms from getting worse.
• Small changes in strength and movement can reduce pain and improve walking.
• In most cases, no doctor’s referral is needed to begin care at ATI Physical Therapy.

Understanding Walking Pain

Walking is part of everyday life, which is exactly why pain with every step can be so frustrating. Even minor issues, like muscle weakness, joint stiffness, overuse, or poor alignment, can put extra strain on your body and make walking uncomfortable. Pain can also show up after changes in activity, footwear, or terrain. Over time, those small stresses can build up, change the way you move, and lead to pain in your feet, knees, hips, or back.
Walking pain is not random. Once you understand what is causing it, you can start taking the right steps to feel better.

By the Numbers: Walking Pain and Mobility

Walking-related pain and mobility issues are extremely common and can impact daily life.

• Up to 1 in 4 adults experience chronic pain that can affect daily movement and activity levels (Centers for Disease Control and Prevention).
• Arthritis, a leading cause of joint pain during walking, affects millions of adults and commonly affects the knees and hips (Centers for Disease Control and Prevention).
• Foot and ankle problems are a frequent source of walking pain, especially when combined with improper footwear or overuse (American Academy of Orthopaedic Surgeons).

These trends highlight how common walking pain is and why early attention can make a meaningful difference.

If you or a loved one is experiencing pain while walking, come to ATI Physical Therapy for an initial evaluation with a licensed physical therapist. We will build a personalized plan around your needs. In most cases, no doctor’s referral is needed to begin care.

Schedule Now

What Pain When Walking May Be Telling You

Pain when walking does not always start with one clear injury. Often, it builds as repeated stress, weakness, stiffness, or changes in movement begin to catch up with you. The location of the pain can offer clues about what is driving it and what kind of treatment may help.

Foot Pain When Walking

Pain in the bottom of the foot is often linked to plantar fasciitis, irritated soft tissue, or strain from overuse. Unsupportive shoes, long hours on your feet, or a sudden jump in activity can trigger it.

Many people notice it most with their first steps in the morning or after sitting for a while.

Knee Pain When Walking

Knee pain often develops when the joint is taking more stress than it can handle. That can happen because of muscle weakness, poor alignment, or irritation in the cartilage and surrounding tissues. It may become more noticeable on stairs, hills, or longer walks.

Hip Pain When Walking

Hip pain can come from joint stiffness, muscle weakness, or overworked tissues around the hip. Some people feel it in the front of the hip, while others notice it along the outside. It may show up as a deep ache that makes walking feel less smooth and comfortable.

Lower Back Pain When Walking

Lower back pain during walking is often tied to posture, limited mobility, or weakness in the core and hips. It may start as mild discomfort and build the longer you stay on your feet, especially if your body is compensating for stiffness or poor movement elsewhere.

Steps You Can Take to Reduce Walking Pain

Reducing walking pain usually takes more than just resting and hoping it goes away. The goal is to take stress off the irritated area, improve how your body moves, and make a few smart changes that support recovery.

Get the Right Shoes for Your Feet

Do not just grab a new pair of sneakers and hope for the best. Go to a specialty running or footwear store where they can measure your feet properly, look at your arch type, and recommend shoes based on how you walk and where you feel pain. If your shoes are worn down, replace them. The right support can make a noticeable difference.

Build Strength Where You Need It

Weakness in the hips, glutes, core, or legs can increase stress on the feet, knees, and back. Start with targeted exercises that match your symptoms and increase gradually. If an exercise makes your pain worse during or after, that is a sign to back off and adjust.

Work on Stiff Areas

Tight ankles, stiff hips, and limited mobility through the lower back can all change the way you walk. Gentle stretching and mobility work can help you move more freely and reduce strain with each step. Focus on the areas that feel restricted, not just the place that hurts.

Adjust How Much You Are Doing

You do not have to stop walking completely, but you may need to scale it back for a bit. Shorten your distance, avoid hills, switch to flatter surfaces, or take breaks before pain starts to build. The goal is to stay moving without repeatedly aggravating the problem.

Pay Attention to Patterns

Notice when the pain is worst: first thing in the morning, after long walks, on stairs, or after sitting. Those patterns can help you figure out what is driving the problem and whether it is improving or getting worse.

Get Evaluated if it Keeps Coming Back

If walking pain keeps returning, starts changing the way you move, or limits how far you can go, it is time to get an evaluation. A physical therapist can help pinpoint the source and give you a plan that is more specific than trial and error.

Exercises to Try Based on Where It Hurts

The right exercises depend on where your pain stems from. If your symptoms are related to foot strain, knee overload, hip weakness, or lower back stiffness, a few targeted movements can help reduce stress on irritated areas and improve the way you walk. These exercises are simple starting points that support strength, control, and mobility in the areas most often linked to walking pain.

Move slowly, stay controlled, and stop if your pain gets sharper, starts spreading, or feels worse afterward. Mild muscle fatigue is fine. Increasing joint pain is not.

Heel Raises for Foot and Ankle Support

If pain is showing up in the bottom of your foot, around the heel, or through the arch, calf and foot strength can make a real difference. Heel raises help build support through the foot and ankle, which can reduce strain with each step. This can be especially helpful for pain related to plantar fasciitis, overuse, or poor push-off when walking.

How to do it:

• Stand near a counter, wall, or sturdy chair for balance
• Place your feet hip-width apart
• Slowly lift your heels off the ground so you rise onto the balls of your feet
• Pause for 1 to 2 seconds at the top
• Lower slowly and with control

Start with 2 sets of 10 repetitions

What to watch for:

• Keep your weight centered; do not roll your ankles outward
• Try not to rush the lowering phase
• If both feet feel easy, then progress to doing more of the work on one side at a time

Seated Knee Extensions for Knee Support

If walking bothers your knee, especially with stairs, hills, or longer distances, thigh muscle weakness may be adding extra stress to the joint. Seated knee extensions help strengthen the quadriceps, which support the knee and improve control during walking.

How to do it:

• Sit tall in a chair with both feet flat on the floor
• Slowly straighten one knee until your leg is almost fully extended
• Hold for 1 to 2 seconds
• Lower back down with control
• Repeat on the other side

Start with: 2 sets of 10 repetitions per leg

What to watch for:

• Move slowly instead of snapping the leg straight
• Keep your posture upright rather than leaning back
• You should feel the front of the thigh working, not sharp pain in the knee

Bridges for Hip and Glute Strength

If you feel pain in the hip, or if your knee or low back starts to ache the longer you walk, weakness through the hips and glutes may be part of the problem. Bridges help strengthen the muscles that stabilize your pelvis and support better alignment with each step.

How to do it:

• Lie on your back with your knees bent and feet flat on the floor
• Place your feet about hip-width apart
• Tighten your stomach gently, squeeze your glutes, and then lift your hips off the floor
• Raise until your shoulders, hips, and knees form a gentle line
• Pause briefly, then lower slowly

Start with: 2 sets of 10 repetitions

What to watch for:

• Push through your heels, not your toes
• Do not arch your lower back to get higher
• You should feel this mostly in the glutes and the back of the hips

Hip Mobility for Stride and Lower Back Relief

If your hip feels stiff, your stride feels shorter, or your lower back starts tightening up during walks, limited hip mobility may be forcing your body to compensate. A gentle hip stretch can help you move more freely and reduce stress above and below the joint.

How to do it:

• Stand in a split stance with one foot forward and one foot back
• Bend the front knee slightly
• Tuck your pelvis under a bit and shift your weight forward until you feel a stretch in the front of the back hip
• Hold, then switch sides

Start with: 20 to 30 seconds per side, 2 to 3 times

What to watch for:

• Keep your chest upright
• Do not force the stretch
• You should feel a gentle pull in the front of the hip, not pinching

Standing Marches for Balance and Hip Control

If walking feels awkward, uneven, or unstable, standing marches can help improve single-leg control and hip stability. That matters because every step you take puts your body briefly on one leg.

How to do it:

• Stand tall near a counter or wall for support
• Slowly lift one knee toward hip height, then lower it
• Alternate sides in a slow, controlled rhythm
• Focus on staying upright and balanced

Start with: 2 sets of 10 marches per side

What to watch for:

• Avoid leaning side to side
• Keep your core gently engaged
• Use your hands for balance as needed

How These Exercises Connect to Walking Pain

These movements are not random. Each one supports a problem area commonly involved in pain when walking:

• Foot pain: heel raises can improve calf and foot strength to reduce stress on the plantar fascia and other overworked tissues
• Knee pain: knee extensions and bridges can improve support from the quads and hips, so the knee is not doing all the work
• Hip pain: bridges, marches, and hip mobility work can improve stability and reduce strain around the joint
• Lower back pain: stronger hips, better balance, and improved mobility can reduce the compensations that build tension in the lower back

A Simple Way to Start

If you want to try these on your own, start small. Pick 2 or 3 exercises that match where your pain is showing up and do them 3 to 4 times per week for 2 weeks.

A simple example:

• Foot pain: heel raises, hip bridges, standing marches
• Knee pain: seated knee extensions, hip bridges, standing marches
• Hip pain: hip bridges, hip mobility stretch, standing marches
• Lower back pain: hip bridges, hip mobility stretch, standing marches

If your walking feels easier, your pain comes on later, or recovery is quicker afterward, that is a good sign you are moving in the right direction. If symptoms keep getting worse, start limiting how far you walk, or change the way you move, then it is time to get evaluated by a physical therapist.

When to See a Physical Therapist

If walking pain continues, worsens, or begins to limit your daily activity, it may be time for an evaluation. A licensed physical therapist can assess how your body moves, identify the source of your pain, and create a personalized plan to help you move more comfortably.

If you or a loved one is experiencing pain while walking, come to ATI Physical Therapy for an initial evaluation with a licensed physical therapist. We will build a personalized plan around your needs. In most cases, no doctor’s referral is needed to begin care.

Ready to take the next step?
Book an Evaluation Today

Frequently Asked Questions

Is it normal to have pain when walking?
Occasional discomfort can happen, but ongoing pain is often a sign something needs attention.

Should I keep walking through pain?
Mild discomfort may improve with movement, but persistent or worsening pain should be evaluated.

Can shoes cause walking pain?
Yes. Poor support or worn-out shoes can contribute to foot, knee, and hip pain.

Can physical therapy help walking pain?
Yes. Physical therapy can improve strength, mobility, and movement patterns to reduce pain.

The post Pain When Walking: Common Causes and When to Get Help appeared first on ATI.

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.

Get Your Free Physical Therapy Screening

Not sure where to start with physical therapy? Get a free screening and let us help you start the path to recovery today.

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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.

The post Understanding Pelvic Floor Physical Therapy for Men appeared first on ATI.

If you think of the pelvis as the home to major organs like the bladder, vagina, uterus (or prostate in men), and rectum, then the pelvic floor muscles are considered the home’s foundation. Everyone has a pelvic floor made up of pelvic and lower abdominal organs, nerves, veins, and an interwoven network of muscles, ligaments, and connective tissue.

This “network” is known as the pelvic floor, which forms a sling-like hammock or bowl in the lower part of the pelvis. It helps support and stabilize organs and aid in bladder, bowel, and sexual function. It also works in coordination with the deep abdominal muscles for core stability and strength.

Pelvic floor physical therapy is a branch of physical therapy. It involves everything that affects your abdominal and pelvic areas, including all the muscles, bones, ligaments, and fascia.

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Learn how physical therapy can relieve your pelvic floor discomfort. Get a free screening and let us help you start the path to recovery today.

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What is pelvic floor dysfunction and how common is it?

Pelvic floor dysfunction occurs when the pelvic floor muscles are unable to relax or work together the way they should. If these muscles can’t relax or work in a coordinated manner, one may experience several symptoms. Constipation, pain during sexual activity, and/or difficulty controlling your bowels or urine may be a sign that pelvic floor therapy might be right for you.

Many patients feel embarrassed by their symptoms, but they shouldn’t be! Approximately one in four women will suffer from a pelvic floor disorder in their lifetime. Right now, one-third of all women and more than 50 percent of women over the age of 55 are affected by a pelvic floor disorder.

What causes pelvic floor dysfunction?

Pelvic floor muscle changes can be caused by several factors. Such factors include pregnancy, childbirth, trauma to the pelvis, and pelvic surgeries. Other reasons may involve obesity, muscle straining because of pushing too hard to have a bowel movement, or from using the restroom too often.

Pregnancy and childbirth are main causes for women in developing a pelvic floor disorder. But men can also develop this condition. Additionally, surgery or radiation can cause nerve or tissue damage, which can also lead to a pelvic floor disorder. Other causes include a history of lifting or moving heavy objects as well as hereditary conditions.

How do you know if you need pelvic floor physical therapy?

Pelvic floor physical therapy seeks to relieve the symptoms of pelvic floor dysfunction. It also aims to make the pelvic muscles work the way they should. This type of physical therapy may be right for you if you experience one or more of the following symptoms:

• Frequently needing to use the bathroom
• Constipation or a straining pain during bowel movements
• Leaking urine (incontinence) or stool
• Painful urination
• Feeling ongoing pain in your pelvic region, genitals, or rectum (with or without a bowel movement)
• Feeling pressure or heaviness in your pelvic region
• Difficulty fully emptying your bladder or bowel
• Feeling pain in your lower back or hips with no other cause

What should I expect at my first appointment?

First Assessment

When you begin pelvic floor therapy, a physical therapist will learn more about your concerns by having a detailed conversation with you. You will discuss your medical history, symptoms, difficulties with activity completion and lifestyle. Your physical therapist will then check alignment and muscle function in your trunk, pelvis and hips. They will assess your core muscles to gauge how strong they are and how well they work together.

This assessment typically includes checking the control, strength, mobility, and endurance of core support and pelvic muscles. Your PT will also test these muscles in different activities and positions. It will help your physical therapist create a treatment plan to help you improve, so you can get back to your daily routine and start feeling better.

Secondary Assessment

For concerns involving bowel, bladder, sexual function or core weakness, an internal pelvic floor muscle assessment is needed. However, this evaluation may not be completed at your first session. Your physical therapist will recommend how often you should be seen based on their findings during your first visit and your doctor’s recommendations.

How do you do pelvic floor therapy?

Pelvic floor physical therapy is designed to improve muscle tone and strength. Our Women’s Health Specialists will take the time to determine what treatment is right for you. They will also be your guide throughout treatment. A list of our treatment options include:

• Patient, dietary and behavioral education
• External and internal soft tissue mobilization
• Appropriate strengthening exercises and muscle awareness activities
• Biofeedback, electrical stimulation and transcutaneous electrical nerve stimulation (TENS)
• Hot and cold therapy
• Home exercise program
• Vaginal dilator program

Visit our Women’s Health Care Services page for full list of our treatment options. You can also learn more about scheduling your first appointment.

How long does pelvic floor therapy take to work?

Some patients begin to see the benefits of pelvic floor physical therapy within three to four weeks. For others, it may take a few months. It is important to create muscle awareness and perform the strength exercises correctly. Regular check-ins with your physical therapist will ensure you’re doing them properly.

In addition to body awareness and/or exercises, you can improve the function and reduce symptoms of pelvic floor dysfunction through lifestyle choices. Patients may improve symptoms by eating more fruit and vegetables, by drinking more water and by losing weight. They can also talk to their doctor for concerns that may increase pressure on the pelvic floor organs or muscles, such as chronic cough.

Can pelvic floor therapy benefit me?

Absolutely! Our physical therapists can help ease the pain (and sometimes embarrassment) that accompanies this condition. They have the skills and tools available to help you live a fuller, more care-free life.

Let us be a part of your health journey! Visit our website to learn more about ATI’s Women’s Health Physical Therapy and to find a women’s health specialist near you.

The post Your Pelvic Floor and You: Answers to Common Questions About Pelvic Floor Physical Therapy appeared first on ATI.

A quick Google search on pelvic pain will yield such medical terms as vulvodynia, endometriosis, interstitial cystitis and other terms such as damage, infertility, and chronic pain.

Self-diagnosing is not something any of us should do and talking about pelvic pain doesn’t have to be scary.

Studies show that a multidisciplinary approach is most effective in managing your pelvic pain symptoms. This means that you need to talk to your doctor about your symptoms and the multifaceted ways that they impact your life.

Ask yourself if you have any of the following:

• Pain with wearing certain clothing
• Pain with prolonged sitting
• Pain with intercourse
• Pelvic heaviness, pulling and/or fatigue
• Changes in your urination (hesitancy, pain, burning, leaking)
• Changes in your bowel movements (constipation, incomplete emptying, anal fissures, straining, worsening hemorrhoids, leaking).

If you relate to any of the above, therapy can be a great place to start for answers.

Pelvic floor physical therapy is a great first step because it provides a conservative approach that often yields excellent results in addressing pelvic pain. Physical therapists focus on you as a whole person and they are committed to improving your quality of life, because “just surviving” should not be the goal.

With you as the lead, we utilize a combination of approaches that are tailored to your specific needs. Through a combination of manual therapy, gentle exercise, cognitive behavioral therapy, pain neurophysiology education and behavioral modification strategy education, we offer a wide range of strategies to help you better self-manage your pain. The things you will learn will help you through your lifespan.

Finally, because pelvic floor PT focuses on the musculoskeletal system, we can put your symptoms in the context of your entire body, often drawing connections in your body that you may have not considered. We will help you to change the conditions that created the problem in the first place, including muscular recruitment, movement, posture and behaviors.

Don’t leave your pelvic pain in the hands of a Google search. That will only take you down a rabbit hole. Instead, find out more about Pelvic Pain Physial Therapy and locate the closest ATI clinic providing these services.

The post Experiencing Pelvic Pain? appeared first on ATI.