Male care
Men have pelvis, and those pelvises can have similar problems women have. This is not one of those clinics where we just give men exercises and perhaps a little internal stretching. We use as much specificity as we do for women for the following conditions:
Digestive Issues: These are treated for men the same way they are for women, so refer to the the digestive issues tab.
Genital Pain: men can have testes pain from the inguinal canal and the ilioinguinal nerve and spermatic cord getting restricted . We can treat that, often with good success rates. Most men feel improvement by the 6th visit. Penile pain is a bit more complicated: we can address the suspensory structres, the nerves that might be creating pain, and decompress any scar. Honestly, I’d say there is around a 50% success rate at 6 visits, as an estimate.
Bladder issues: Urgency and frequency often respond well to strengthening and manual therapy. Post prostatectomy urinary incontinence often depends on the resection: how much of the bladder neck was compromised, how good was the pelvic floor strength ahead of time, how much is the patient willing to eliminate bladder irritants. It varies, but please note, I can not see Medicare patients of any kind because of their laws for physical therapists in cash practices. I am happy to refer out.
Erectile Function: My personal experience is that patents who have a pain component have responded to care well, as the pain abates. But ED without pain is not something I have had greater than 25% success treating, unless there is scarring in the hip, or changes from spinal surgery or hernia repair, etc. If there is a mechanical/scar tissue component, it responds well. But if it is a chemical or vascular (blood supply) issue, I have not found PT to be helpful beyond 1-2 visits to teach home program to see if kegels will help in the long run.
Post hernia repair or post vasectomy: With scarring from surgery and the sequella of issues, patients with these two diagnoses seem to respond well to a 6 visit course of therapy.