Serving McKinney, Prosper, Frisco, Plano,
Dallas, North Dallas, Northeast Dallas, Richardson, Park Cities, Highland Park, University Park, Lower Greenville, White Rock, Prestonwood, Garland, Addison
Collin and Dallas Counties
Men's Pelvic Health
We work with men all the time to resolve these conditions:
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Groin Pain
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Rectal pain
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Scrotum and Testicular Pain
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Prostatitis
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Pain in the penis
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Constipation or difficulty emptying bowels
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Abdominal Pain
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Difficulty achieving or maintaining an erection
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Premature Ejaculation
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Prostatectomy recovery
What causes pelvic floor problems in men?
Pelvic Floor problems in men can be cause by a variety of factors. In pain conditions, the pelvic floor is usually tense which creates pain just like a cramp in the calf is painful. Other pain is caused by the nerves that supply the pelvic region including Pudendal, Genitofemoral, and Ilioinguinal which come from the spine. A history of back injuries or pain, or hip stiffness or pain is common in men with pelvic pain.
For those who've had a prostatectomy the pelvic floor may be weak causing urinary incontinence and erectile dysfunction.
What does Pelvic PT treatment include for men?
Whole body treatment is necessary for men to see full symptom resolution. The pelvic floor tension or weakness that's causing your symptoms isn't isolated from the rest of the body. The hips and back affect how well the pelvic floor can do it's job to prevent incontinence, support an erection, allow bowel movements and be pain free.
Pelvic Physical Therapy for men includes:
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manual therapy (joint mobilization/manipulation, fascial mobilization)
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exercises for the mobility and strength of the back, core and hips
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Internal rectal treatment including strengthening or relaxation exercises for the pelvic floor
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Treatment can sometimes include wands or dilators but we find this less common with a whole body approach to treatment
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Dietary or other lifestyle factors such as stress, poor sleep or exercise routine may be a factor in your symptoms so we will discuss and make recommendations or referrals if needed
Why didn't the prostatitis resolve with antibiotics?
Prostatitis is an inflammation of the prostate so this diagnosis is often given to men with pelvic pain, no matter the cause. For some this is an infection and the antibiotics will clear things up and pain will resolve. For others the antibiotics may work temporarily or not at all. In those men, the pelvic floor is usually the cause of the pain. Tension in the pelvic floor creates pain and can lead to difficulty emptying the bladder, pain with bladder filling, constipation and erectile dysfunction. We find that if antibiotics did not resolve your symptoms, Pelvic PT is very successful.
Written by Dr. Katy Girlinghouse PT, DPT based on clinical experience and current professional guidelines.
Last Reviewed August 2026 by:
Katy Girlinghouse PT, DPT
Pelvic Health Physical Therapist
The Fit Pelvis Physical Therapy and Wellness