Chronic Nonbacterial Prostatitis
Chronic Pelvic Pain Syndrome
Symptoms include:
- Dysuria (pain with urination)
- Penile and/or scrotal pain
- Perineal pain
- Rectal pain
- Suprapubic (above the pubic bone) and/or groin pain
- Post-ejaculatory pain
- Erectile dysfunction
- Sitting pain
Chronic Nonbacterial Prostatitis is a pelvic pain syndrome without evidence of infection. Symptoms of male pelvic pain can be caused by tight pelvic floor muscles, connective tissue restrictions, and nerve irritability. Connective tissue restrictions in the lower abdomen, pelvis, buttock and lower extremities lead to decreased blood flow resulting in tissue hypersensitivity and erectile dysfunction. Tight pelvic floor muscles or pelvic floor myofascial trigger points can refer pain to the perineum, genitals, and anus as well as cause urinary, bowel and/or erectile dysfunction, and post-ejaculatory pain. Because the Pudendal Nerve innervates the majority of the pelvic floor muscles, the genitals, and anus, when it is irritated it can contribute to male pelvic pain.
Your physical therapist will normalize the tight muscles and tissue with manual therapy techniques. A home exercise program will be prescribed to you to facilitate recovery and maintain the gains made. Resolution of the musculoskeletal dysfunction will result in the elimination of your symptoms.
Disclaimer: The Pelvic Health and Rehabilitation Center seeks to educate the community on musculoskeletal causes of pelvic pain. Specific medical advice and/or answers to your personal health questions will require a full examination by one of our physical therapists. This website is not intended to be a substitute for a medical evaluation, but rather as an educational resource.