Pelvic floor physical therapy can help! You are not alone in what you are experiencing. It may feel embarrassing but we promise we have seen patients before who are in the same position as you. Please see below for directories to help you find a provider near you pelvicguru.com/directory/ pelvicpain.org/IPPS/Patients/Find_A_Provider/IPPS/Content/Professional/Find_A_Provider.aspx?hkey=ac3c51ec-0939-499f-a6a0-c72d0aa2f427 pelvicrehab.com/ pelvicguru.com/directory/

Did you seek treatment? I’m just now in the same place you were a year ago….am curious if it helped you.

You're welcome!

Thank you!

Stress can affect the body in so many ways; especially in the pelvic floor! We are happy that the pelvic health field is gaining more recognition. Everyone has a pelvic floor, and pelvic floor muscles. We see men & women equally in our patient load, and are appreciative every time they get referred (as this is a growing field).

It is so great to hear how the PT, exercises and a better chair allow you to feel close to normal! Some level of fatigue is expected, especially if you are doing more exercises or being more active than you were. Getting good sleep and nutrition are essential. If the exhaustion interferes with your daily activities or continues for many days, then talk to your doctor about it.

Please find providers on this list here pelvicpain.org/IPPS/Patients/Find_A_Provider/IPPS/Content/Professional/Find_A_Provider.aspx?hkey=ac3c51ec-0939-499f-a6a0-c72d0aa2f427 pelvicrehab.com/ pelvicguru.com/directory/

Yes, you are absolutely right to see a pelvic PT and a doctor. Surgeries to the lower buttock have the potential to cause pudendal nerve problems because of the location. If you report all these symptoms and your suspicion that the pudendal nerve is involved, then you and your PT and doctor should be able to solve this puzzle. If your providers are not familiar with your condition, reach out to us for a virtual appointment. Good luck on your healing journey.

We think you might benefit from this blog linked below. Whether we are actively using a muscle or not, being mindful of it can help alleviate pain and help our muscles work together. pelvicpainrehab.com/female-pelvic-pain/5968/mindfulness-meditation-is-it-actually-effective-for-treating-chronic-pain/

We currently do not have any male therapists on our staff but we will leave a few directories below to help you find a provider. pelvicrehab.com/ pelvicguru.com/directory/ pelvicpain.org/IPPS/Patients/Find_A_Provider/IPPS/Content/Professional/Find_A_Provider.aspx?hkey=ac3c51ec-0939-499f-a6a0-c72d0aa2f427

We have several locations including virtual services. From coast to coast- you can see all of our locations here pelvicpainrehab.com/location-numbers/

This is an international directory and should help! pelvicpain.org/IPPS/Patients/Find_A_Provider/IPPS/Content/Professional/Find_A_Provider.aspx?hkey=ac3c51ec-0939-499f-a6a0-c72d0aa2f427

Yes we have treated it before.

Hi there! This sounds like seeing a gastroenterologist would be a good first step with these symptoms and then going from there. Pelvic floor physical therapy may be considered following an evaluation with a gastroenterologist. Hope this is helpful!

@@PelvicHealth yes I have already consulted GI and also Colo-Rectal doctor. They didn’t anything wrong and asked me to take care of diet habits, so meditation etc. among these things, I was asked to consult for PT.

These are the common components of an exam, but it will vary based on each individual. There are many things a PFPT can assess and teach without doing any manual work or having a patient undress. The treatment ideas will depend on the details of your case. When you do call, it's appropriate to ask what level of knowledge and comfort the therapist has with working with survivors of abuse and trauma. Let them know what you are and are not comfortable with, and how they can make you feel safe. If you have a talk therapist who helps you, ask them for ideas, too. If you don't feel ready to tackle this now, talk it through and revisit it when the time is right.

Hi, I am similar to you with history. I did read somewhere trauma to these areas can bring on all the miserable symptoms....hope it helps you!

Yes pelvic floor PT can help with incontinence/bladder issues and it absolutely does work on men. Pelvic floor pt is for everyone. Please let us know if you need help finding a provider.

@@PelvicHealth Today is the first that I even became aware of these topics. All that I "do know" is that after five (5) spinal surgical procedures, both hips having been rebuilt and now living with the after effects of "foot drop" from the right hip procedure I seem to be going downhill rapidly in every area between by ribs and knees. Can you recommend a location within northwest Ohio?

@@stanleypoe7393 Hi Stanley, We are so happy to hear that this video has been helpful for you. We know how frustrating it can be to go so long without answers. While we do not have a specific recommendation, we have a few directories we will link to below for you to find a provider near you. pelvicpain.org/IPPS/Patients/Find_A_Provider/IPPS/Content/Professional/Find_A_Provider.aspx?hkey=ac3c51ec-0939-499f-a6a0-c72d0aa2f427 pelvicguru.com/directory/ pelvicrehab.com/

Your husband should make a visit with a pelvic health PT who sees male patients. Even if a rectal exam is not possible now, a visual pelvic exam can often help us get an idea of how the pelvic muscles are functioning. Exercises such as diaphragmatic breathing or stretches such as happy baby or child's pose can help the pelvic floor muscles more more effectively even without an internal exam. This can vary case to case and your husband should see a specialist who can work through this with him.

@PelvicHealth He was born with a genetic bone disease, he cannot bend the way most people can, extra cartilage grows in th joints and benign tumors on the middle of his bones, he has several of the tumors on his hips and pelvis, his bones grew curved. He cannot bend like most people. Think it may help?

It sounds like he is struggling with some limitations beyond what we typically see, but there are often things that can be done to address the muscular side, even within structural limitations. Without evaluating him in person, we would be unable to tell how helpful PT may be. I would recommend making an appointment with a skilled pelvic health PT to see if this could be a helpful treatment for him. @@janetw9430

Thanks for sharing your experience. Often physical therapy takes more than one session to be effective so it may be worth sticking with it. It is also important to remember that many people may need additional services such as an integrative nutritionist, MD support, medication, and/or acupuncture to help with their symptoms. Hopefully your providers are helping you to build the right team!

@@PelvicHealth Yes, I am very tired of it too....urologists and urogyn have not helped at all. so discouraging.

@@jeanniebrewer3550 If you ever need another consult, we are happy to help you virtually.

As a pelvic floor physical therapist, we want to assure you that professionalism, respect and empathy are at the heart of our practice. It's important to remember that everyone has their own comfort levels when it comes to discussing health issues, especially those of a sensitive nature. It's absolutely okay to feel embarrassed or uncomfortable. We acknowledge that these feelings are valid and we strive to create an environment where each patient feels safe and comfortable discussing their concerns. We are here to help, not to belittle anyone's fears or discomfort. Moreover, we want to stress that it's perfectly acceptable to request a healthcare provider of the same sex if that makes you more comfortable. (If you are able to depending on the clinic you are seen at). Our ultimate goal at our practice is to provide the best care possible and that includes respecting your preferences. Remember, seeking help for any health issue is a sign of strength, not weakness. We're here to support you every step of the way.

@@PelvicHealth you have to understand , that men dont seek medical treatment for this reason. female doctors and nurses wil say stuff like that. further more, a man knows when he goes to a doctors appointment, clinic appointment he will be met with females. female at check in, female nurse that takes vitals and ask him what brings him in today, and on top of all that . he better hope the doctor is a male if its a intimate issue . just one sentence from a female doctor, or nurse can make men never want to go back. so yeah, things like. we heard it all before, we seen it all before, you seen one you seen them all, dont be silly, im a professional. that can make men feel belittle and not want to seek medical treatment. oh yeah i almost forgot. with the way hospitals are now these days. if it turns out to be a female doctor, she brings in a chaperone or other female student doctors. makes me laugh, women can say what ever they want and if it demeaners a male patient . they can get away with it just by saying things like. we didnt mean to offend you, but if a male patient says something like that automatically disciplinary actions. in theses types of settings i find male doctors and nurses have more empathy towards male patients. you can respond with what ever you want but even you didnt realize by you saying "we heard it all before" is degrading.

That the provider has seen it all before. Don't make it any less embarrassing for the patient. The patient is in an extremely vulnerable situation where he has to answer questions about the most personal matters. Matters he may not even share with his wife. On top of that, he has to get naked so you can see and touch his genitals. I would suggest that the provider is also naked. It may make it less embarrassing and awkward for the patient.

Therapy is not intended to be arousing or sexual. Therapists are very professional and make an effort to keep people comfortable, but not aroused. That being said arousal is a natural state of being. Discussing this concern with your therapist could put you both at ease and help you come up with strategies to avoid uncomfortable situations.

Hello, you can find more information via this blog that goes into depth about the evaluation and follow up treatment appointments. pelvicpainrehab.com/pelvic-health/5974/part-1-of-2-what-is-a-good-pelvic-pt-session-like/

And what questions are asked.