Many men experience pain in the pelvis at some point in their life. Common symptoms may include difficult, painful, or frequent urination; pain in the area of the bladder, groin, anus, and abdomen or pain during ejaculation or pain with erections, painful sitting. The onset can be gradual or sudden.


  • Interstitial cystitis (IC /Painful Bladder Syndrome): Discomfort, pressure, tenderness, or pain in the bladder, lower abdomen, and pelvic area – can be mild or severe.
  • Chronic constipation.
  • Coccydynia: Pain in and around the coccyx (​tailbone).
  • Lumbosacral strain: Injury to the ligaments, tendons, and/or muscles of the low back.
  • Piriformis syndrome: Condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain.
  • Persistent pelvic pain syndrome.
  • Chronic prostatitis: Inflammation of the prostate that can cause pain, sexual dysfunction, and urination issues.
  • Pudendal neuralgia: A condition that causes pain, discomfort, or numbness in your pelvis or genitals.
  • Pelvic floor tension myalgia (muscle soreness).
  • Adhesions / scar tissue after urologic, intestinal, or cancer-related surgeries
  • Abdominal/inguinal hernia repair.
  • Mixed incontinence: A combination of stress and urge incontinence.
  • Nocturia: Frequent night time urination.
  • Stress incontinence: Unintended leakage of urine as a result of physical stress (e.g, coughing, sneezing, or lifting).
  • Urge incontinence: Leaking urine that accompanies a strong feeling or urge to urinate.


  • Urinary frequency, urgency, hesitancy, stopping and starting of the urine stream, painful urination, or incomplete emptying.
  • Constipation, straining, pain during or after bowel movements.
  • Low back, hip, groin or pelvic pain that has not responded to conventional physical therapy.
  • Pain in the back from the waist to tailbone – including flanks and buttocks.
  • Pain with ejaculation or erection.
  • Testicular, scrotal, penile, or groin pain.
  • Pain that increases with sitting.
  • Uncoordinated muscle contractions causing the pelvic floor muscles to spasm.

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If you need a specialized physical therapist, I highly recommend Rosie Radford. Rosie is very competent, kind and compassionate about her work. Rosie is truly professional and puts you at ease knowing how difficult and personal these issues can be. Rosie had genuine concern for my treatment and well-being. Most importantly, Rosie’s treatment worked!