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Hand Therapy Center NJ

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Atlantic Hand Therapy Center

Men’s Pelvic Health

Men’s Pelvic Health

One of the most common conditions that men go to Pelvic Floor Physical Therapy are for incontinence and/or pain after having a prostatectomy.  The prostate sits below the urethra, and helps to provide support to stop the flow of urine.  The pelvic floor muscles then need to work harder to maintain continence after surgery.  Leakage can occur with everyday activities, getting up from the chair, sneezing, coughing and/or laughing.  Strengthening these muscles, and working to improve movement and breathing patterns helps incontinence.

Many of these pain syndromes have a muscular and/or nerve component.  For example, testicular pain can be referred from the thoracolumbar area, psoas and/or nerves into the groin.  Physical therapy can address muscle imbalance with soft tissue work and myofascial release, combined with stretching as well as nerve gliding.  Imbalances in the pelvic floor can also be the missing link with sacroiliac dysfunction, groin strains and other hip/low back pain.

Other Diagnoses that can be treated:

  • Post Prostatectomy
  • Testicular/penile pain
  • Erectile dysfunction
  • Ejaculatory dysfunction
  • Pudendal neuralgia
  • Perineal pain
  • Post vasectomy pain

Men's Pelvic Health

What is that?  Am I doing them right?

What is a Kegel?

 A Kegel is a contraction of the pelvic floor musculature.  These muscles span that bottom of the “bowl” that is your pelvis, created by tailbone/sacrum posterior and at each side by the ilium (hips bones to pubic bones).  It is typically cued by “contracting the muscles that stop the flow of urine or gas,” “pulling up and in,” “zipping up the lower part of tight jeans”


Kegels are not for everyone.  As with any muscle group, the pelvic floor needs to be able to both contract and relax.  If your pain or dysfunction is coming from tightness in this muscle group, Kegels may not be appropriate for you.  In this case, the muscles of the pelvic floor need to be lengthened and stretched first.  Then strengthening can be addressed if it is appropriate.

Functions of the Pelvic Floor

The pelvic floor is part of the deep trunk stabilizers that create a canister of stability, working to: support internal organs, optimize respiratory function, stabilize to the pelvis and spine, and assist in bowel/bladder and sexual function.  The pelvic floor needs a balance of strength and flexibility, as with any other muscle group in the body to perform these functions.  When the muscles are unable to perform all these actions, they can cause pain, bowel, bladder, or sexual dysfunction.


Pelvic Floor Contractions

Endurance Contractions

A large percentage of these muscle fibers’ action is for endurance.   Your pelvic floor should be able to strongly contract and maintain that contraction for up to 10 seconds.   When the muscles cannot perform in this way, you can experience urinary incontinence, pain in sacrum/tailbone/pubic bone, or pain in hips or down the legs. 


Quick Flick Contractions

Your pelvic floor should be able to perform quick contractions, with the ability to fully relax between contractions.  Training these muscle fibers helps them to react in situations where there is sudden forceful intraabdominal pressure (sneeze, laugh or cough).



The pelvic floor muscles work together to create a bulge, or the bearing down that occurs during a bowel movement or with childbirth.  People who have chronic constipation or difficulties during labor can have dysfunction of the pelvic floor muscles creating weakness or areas of spasm.



Your pelvic floor also needs to relax to allow for the flow of urine and opening of the vaginal canal.  Muscles that are tight or in spasms are unable to relax causing pain during urination, gynecologial exams, tampon use, or vaginal penetrationan.  It can also cause pain in the tailbone, sit bones, hips or abdominal area at rest.

Yoga for Pelvic Pain Video

Pain in the pelvic floor can be from a whole host of reasons, diagnosis, or dysfunctions.  There are times when the pelvic floor is too weak and needs to be strengthened as well as those when it is too tight and needs to be stretched.  More often pelvic floor dysfunction is a combination of both.  This yoga video is created to utilize gentle poses and breathwork to help bring awareness to and gently stretch the pelvic floor.

Gut Health

Gut health is super important and commonly overlooked.  Your body works hard to eliminate toxins through the bowels.  When these bowels sit inside the body instead of being eliminated, your body begins to reabsorb the toxins back into your system, creating a more toxic environment.  Your body then needs to work harder, to eliminate old toxins again, as well as work to eliminate the new ones from the body.  During constipation, the backflow of bowels can lead to bloating, gas and create extra pressure on the pelvic floor and lower spine.  Straining to push out bowels, also creates excess stress to the pelvic floor.  Staying regular is so important for the overall health of your body.  Drinking plenty of water, having a healthy diet with natural fiber, and getting good exercise will help keep your digestive system on track!


Yoga for Constipation Video

The body works to eliminate toxins through the bowels.  When these are not efficiently eliminated, the toxins are reabsorbed into the body, resulting in the body overworking to eliminate these and then additional ones.  During constipation, the backflow of bowels can lead to bloating, gas and create extra pressure on the pelvic floor and lower spine.  Straining to push out bowels, also creates excess stress to the pelvic floor.  This yoga video is created to learn massage techniques for the digestive tract, as well as gentle twists and belly breathing to help stimulate the digestive system aiding in gut health.