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Prostatitis: But why do I still hurt?

Do you have these symptoms?

Pain in the testicles, penis or perineum?

Difficulty initiating your stream of urine? 

Urinary incontinence?

Pain with urination and ejaculation? 

Low back or lower abdomen pain?

Does this sound like YOU?!

                                          Muscular man with back pain on a gray background

Most likely you ended up in your doctors office or the emergency room with some/all of these symptoms and were diagnosed with prostatitis. Blood work and urine samples were collected and then you were probably started on a course of antibiotics. 

Symptoms started to get a little better right? And then they hit a plateau. Now its been a few months and several different rounds of antibiotics but you're still having pain! 

How many types of prostatitis are there?

There are four different kinds of prostatitis: 
  • Chronic Prostatitis/Chronic Pelvic Pain Syndrome
  • Chronic Bacterial Prostatitis 
  • Acute Bacterial Prostatitis 
  • Asymptomatic Inflammatory Prostatitis

Many of our patients with prostates end up stuck in the pain cycle of chronic prostatitis. So often these patients avoid care because of the private and sensitive nature of the symptoms. Or they incorrectly assume that "it's a women's issue". Pelvic floor therapists treat all genders, sexual orientations and identities. 

BUT the good news is a pelvic floor physical therapist can help treat this!

Assessing the pelvic floor

The first step is a check of the pelvic floor muscles. This can be done externally by assessing the perineum, but a more informative assessment is through the rectum. At the same time your therapist assesses the muscles for their tone (how tight or relaxed they are), they can also treat them.       

                                          pelvic floor

We can treat them through a combination of stretching, and trigger point release. Both internally and externally. We also will teach you how to properly breathe and relax the pelvic floor. Proper toileting positioning can also help reduce the strain on the pelvic floor. 

Your physical therapist will also give you homework to practice some of these stretches on your own. 

Physical therapy for prostatitis

If you are ready to start physical therapy and address the symptoms of chronic prostatitis then reach out to our team at Glackin Physiotherapy today!