Faqs

The evaluation and each subsequent visit are about 60 minutes long.

Urinary and Fecal Incontinence
Chronic Urinary Tract infections (UTI)
Erectile Dysfunction
Pre and Post Prostate Surgery
Pre and post Bladder surgery
Pelvic Pain, Testicular pain, Genital pain, Hip pain
Prostatitis
Inguinal hernias and hiatal hernias
Peyronie’s disease

The pelvic floor consists of several muscles that stabilize and connect to the underside of your pelvis. They also attach to or directly support your genitals, rectum, and prostate. Since they also connect to your hips, low back and pelvis, these muscles are instrumental in the synchronization of your entire trunk and midsection.

In addition, like many other musculoskeletal issues with the body, pelvic floor dysfunction can be influenced by the thoracic spine, lumbar spine, sacral spine, hip joint, as well as the surrounding musculature. All of these areas can be assessed and treated by a physical therapist.

Kegel exercises are an excellent way to make this area stronger. They consist of various type of contractions of the pelvic floor muscles. Everyone, from new mothers to high performing athletes to older men, should consider strengthening these muscles.

Not necessarily. It depends on the dysfunction present in the pelvic region. Some dysfunctions, such as fecal incontinence, directly involve the anal canal. In those situations, an internal rectal exam would most likely be necessary.

There are many ways that one can improve incontinence. Learning how to engage the pelvic floor muscles can directly increase your ability to control urination and defecation. Also, understanding the related physiological mechanisms will greatly help. For a basic understanding, please click this link:
Urinary incontinence - Diagnosis and treatment - Mayo Clinic

There are a variety of causes for erectile dysfunction. It can be caused by vascular (blood flow), neurogenic (nerves), metabolic (diabetes), or musculoskeletal issues. Having a physical therapist evaluate you can help determine the potential causes of your specific issues. For example, treating the thoracic spine, lumbar spine, sacrum, as well as the pelvic floor musculature may aid with improving erectile dysfunction. If you would like to learn more, please click this link:
Erectile Dysfunction Treatment Through Physical Therapy (menshealth.com)

After undergoing radiation and prostate surgery, the pelvic floor musculature, as well as the surrounding muscles in the low back, abdominal and hip region, can be severely compromised. It is extremely important to rehabilitate all of those areas. If you would like to learn more, please click the following link:
Physical Therapy After Prostatectomy (nafc.org)

Nerve roots from the thoracic spine, lumbar spine, and sacral spine are responsible for controlling sensation in the pelvic and groin region. In addition, many stiff muscles in that area can cause referred pain to the groin region. Therefore, any of the muscles in the gluteal, adductor, hip flexor, or pelvic floor may contribute to discomfort in the genitals or around the pelvis. If you are experiencing pain in the pelvic region, there could be a variety of causes. It is recommended that you check with your physician first, then schedule an appointment for physical therapy. If you would like to learn more, please click the following link:
Pelvic Pain in Men: Symptoms, Causes, and Treatments (healthline.com)

It is imperative that physical therapy be tried first, before surgery. Physical therapy is a scientifically proven method to help manage pain, improve mobility, prevent future injuries, restore function after surgery or injury, and enhance overall quality of life by addressing issues like muscle weakness, joint stiffness, and faulty movement patterns.