Male Pelvic Floor Therapy

In most cases, no. Most states allows for "Direct Access," meaning you can come directly to a physical therapist for an evaluation and treatment without seeing a doctor first. This gets you on the road to recovery faster. However, if you are using insurance there are some specific plans that do have requirements regarding signatures or referrals. If your insurance has specific requirements, we will let you know before your first visit.  (Medicare does NOT require a referral to get started with therapy).

During your first visit, you'll undergo a comprehensive evaluation. We'll discuss your medical history, assess your current condition, and perform a physical examination. This helps us understand your specific needs and goals. Based on this information, we'll develop a personalized treatment plan tailored to your unique situation. You'll also have the opportunity to ask any questions and discuss any concerns you might have about your treatment.

Yes. When appropriate, we use manual therapy techniques like joint mobilization, soft-tissue work, dry needling, and directional loading strategies. These help decrease pain quickly so you can move more easily and progress into strengthening.

In many cases, yes. Most pain improves with the right combination of movement correction, strength training, and hands-on care. We’ll also tell you honestly if imaging or a surgical consult is appropriate.

Yes. One of our main goals is education. You’ll understand exactly what is causing your pain, why it’s happening, and how to fix it. Knowing the root cause reduces fear and speeds up recovery.

If pain limits your workouts, daily activities, sleep, or quality of life—even slightly—PT is the right next step. A short evaluation can determine exactly what’s going on and what your fastest path forward looks like.

Male pelvic floor PT focuses on the muscles, nerves, and tissues of the pelvis, core, hips, and lower back. Treatment often includes guided relaxation or strengthening of pelvic floor muscles, improving breathing and pressure control, mobility work, nerve desensitization, and strategies for reducing pain or improving bladder and sexual function.

Treatment is always guided by your comfort. Many issues can be addressed without internal work. When internal techniques are beneficial, your therapist will explain everything beforehand and only proceed with your consent. The goal is to relieve symptoms—not create discomfort.

Internal pelvic floor work is a gentle, medically safe technique performed through the rectum to access deeper pelvic floor muscles that cannot be treated externally. It can help release tension, reduce nerve irritation, improve coordination, and restore pelvic floor control. Your therapist will explain everything beforehand, move slowly, and only proceed with your full consent. Internal work is never required—many men improve with external techniques alone—but it can be one of the most effective tools for pelvic pain, urinary leakage, and sexual dysfunction.

More common than most men realize. Up to 1 in 8 men experience pelvic pain, 1 in 4 experience urinary leakage, and many deal with sexual performance issues at some point. You are not alone—and these conditions are highly treatable.

We specialize in helping men with issues that are difficult to discuss. Nothing you say will surprise us. Our role is to understand the problem and guide you toward solutions—without judgment, awkwardness, or uncomfortable conversations.

Yes. Chronic issues often persist because the underlying cause—tension, weakness, nerve sensitivity, poor coordination, or postural/pressure habits—was never addressed. Pelvic floor PT corrects the root drivers so even long-standing issues can improve significantly.

Both. You will receive a customized plan including breathing strategies, pelvic floor relaxation or strengthening drills, hip and core work, mobility exercises, and lifestyle or pressure-management changes—all tailored specifically to your symptoms. Manual therapy is used when it helps accelerate progress.

Symptoms often worsen over time, leading to increased leakage, pain, sexual dysfunction, reduced confidence, or decreased ability to exercise. Early intervention helps restore normal pelvic function and prevents chronic issues.

Yes. Many men with ED, premature ejaculation, or reduced erection quality have pelvic floor muscle dysfunction or tension. PT improves blood flow, reduces nerve irritation, retrains muscle activation, and teaches performance-enhancing strategies to restore confidence and function.

Yes. Pelvic PT can significantly accelerate return of continence and sexual function after prostatectomy. We focus on restoring coordination, reducing pelvic tension, retraining pressure control, and strengthening the pelvic floor in the specific ways men need post-surgery.

Often, yes. Many men have pelvic floor tension, weakness, or poor pressure control contributing to ED. Combining focused shockwave with pelvic floor PT produces faster, more reliable, and more long-lasting results—especially for men with stress-related ED or post-prostatectomy changes.

Yes. Focused shockwave is safe and commonly used in post-prostatectomy rehab to improve blood flow and accelerate return of sexual function. Pelvic floor therapy is typically paired with shockwave for best results.

Yes. Many men with long-standing ED improve because shockwave targets the underlying issue—blood flow and tissue quality. When paired with pelvic PT, even chronic ED often responds well.

Men with mild to moderate ED, decreased blood flow, performance issues, or post-prostatectomy changes often benefit most. An initial evaluation determines whether shockwave, pelvic PT, or a combination is the right fit for you.