Chronic Pelvic Pain Syndrome

Pelvic Pain in Men can be linked to Prostatitis or Neuromuscular impairments

Treatment interventions are available to alleviate your symptoms

Pelvic pain in men was typically thought to be due to prostatitis, or inflammation of the prostate due to infection. Interestingly, prostatitis is the most common urologic diagnosis in men under 50 years old. Prostatitis can indeed cause pelvic pain, but we now know that in many cases of pelvic pain in men, it is not due to dysfunction or pathology of the prostate. Pelvic pain in men is often due to causes other than the prostate, such as neuromuscular impairments (muscles, nerves, tissue).

Pelvic pain can cause pain in:

  • Testicles
  • Penis
  • Perineum
  • Rectum
  • Abdomen
  • Low back and thighs
  • Abdomen

Symptoms to CPPS can affect the way you pee. You may notice:

  • Peeing more frequently
  • Urgency to urinate
  • Poor urine flow and less pee comes out
  • Pain when urinating (dysuria)
  • Hesitating when peeing

It can also affect your sexual function:

  • Reduced erection quality
  • Difficulty achieving or maintaining an erection.
  • Reduced libido
  • Painful ejaculation (with or after)

How can Physio help?

You can get better! Whether you recently developed symptoms consistent with CPPS or you have persistent symptoms and haven’t yet found relief, there is hope. There are treatment interventions available to alleviate your symptoms at Six Physio Clinics. Often successful treatment is achieved through a combination of therapies initiated at the right time. Working with a team of specialized physiotherapists who are well-versed in treating pelvic pain is paramount. The team at Six Physio includes a pelvic health physio, a manual, and rehab physiotherapists who will help you to cure your symptoms and help you to return to your favourite sports activities.

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What are the Common symptoms of CPPS?

  • Pelvic pain: can be burning, shooting, aching, and/or itching in nature in the lower abdomen, groin, buttocks, and/or inner thighs
  • Genital pain: can include scrotal, testicular, and/or penile pain
  • Perineal and/or anal/rectal pain
  • Urinary dysfunction: can include urinary frequency, urgency, hesitancy, incomplete emptying, pain, and/or dribbling
  • Bowel dysfunction: can include pain with bowel movements, constipation, incomplete emptying, gastrointestinal distress, and/or bloating
  • Sexual dysfunction: can include erectile dysfunction and/or pain before, during, and/or after ejaculation
  • Pain with sitting, particularly in the perineum and/or “sit bones”
  • Pain with exercise, particularly with squatting or heavy lifting

Why do men develop Pelvic Pain?

  • Excessive sitting, such as with cycling, horseback riding, or long periods of required sitting
  • Surgical trauma: inguinal hernia repairs, vasectomy, benign prostatic hyperplasia (BPH)
  • Orthopedic injuries or trauma: spine, knee, ankle, and/or any other orthopedic pathologies
  • Biomechanical or structural dysfunction: hip dysfunction, leg length discrepancy, sacroiliac dysfunction
  • Excessive exercise or change of exercise routine
  • Excessive and aggressive sexual activity and/or aggressive lengthening of the penis, also known as jelqing
  • Chronic constipation or straining with bowel movements
  • Chronic infections, such as bacterial prostatitis or sexually transmitted infections

What other diagnoses cause Pelvic Pain?

  • Male Pelvic Pain
  • Chronic Nonbacterial Prostatitis
  • Pudendal Neuralgia
  • Hard Flaccid Syndrome
  • Interstitial Cystitis/Painful Bladder Syndrome

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