Pelvic pain in men isn’t often spoken about. It can include discomfort in the vicinity of the bladder, penis, testicles, perineum, anus or around your sacrum (tailbone) or coccyx. Whilst we specifically mention pain, symptoms can also include tingling, numbness or burning among others. The causes of these symptoms can be complex and varied.and a thorough assessment is necessary before any treatment can be employed. As such it is important that you consult with an experienced healthcare practitioner familiar with dealing with such issues to conduct an a thorough assessment prior to commencing any treatment.
More common causes of pelvic pain in men include irritation of the pudendal nerve or even abdominal nerves, referred pain from lower back conditions, sacroiliac joint (SIJ) dysfunction, hernias (which can compress certain nerves) and visceral pain (this is referred pain from one of you internal organs – in relation to pelvic pain this could be one of your kidneys). It is also possible to experience pelvic or back pain following vasectomy or other abdominal or pelvic surgery.
Physiotherapy can be used to successfully treat or manage many of these conditions. Techniques used may include manual therapy, pelvic floor or abdominal muscle strengthening, individualised exercise prescription and postural advice or training.