Men's Pelvic Pain Relief at Alinea Performance

Specialized pelvic floor and movement-based rehabilitation for men dealing with testicular pain, pelvic tension, prostatitis-like symptoms, nerve irritation, and chronic discomfort — so you can return to normal life with confidence.

Common Pelvic Pain Symptoms We Treat

At Alinea Performance, We Frequently Work With Men Experiencing:

  • Testicular pain or aching
  • Pain around the penis, base of penis, or perineum
  • Groin discomfort or deep hip pressure
  • Pelvic floor tightness or heaviness
  • Pain with ejaculation, bowel movements or urination
  • Feeling of a “golf ball” or “pressure” in the pelvis

Why Men's Pelvic Pain Doesn't Fix Itself

Pelvic pain in men is often misunderstood, misdiagnosed, or overlooked. Many men are told “everything looks normal” even though symptoms are very real. Pelvic pain can affect sitting, working out, urinating, sexual function, and daily comfort — and it rarely improves with rest alone.

Men’s pelvic pain typically involves a combination of pelvic floor muscle tension, nerve irritability, mobility restrictions, breathing dysfunction, stress, and movement compensations.  Left untreated, symptoms often become chronic, affecting confidence, activity level, and overall quality of life.

 

The good news: when treated properly, men’s pelvic pain is highly responsive to targeted pelvic floor therapy and movement retraining.

Discover the Core Benefits of Our Expert Approach

Our 3 Step Physical Therapy Approach to Addressing Your Pain

Our comprehensive physical therapy solutions are designed to alleviate your pain, rebuild your strength, and enhance your long-term mobility, ensuring a more resilient and healthy lifestyle.

Immediate Symptom Relief

Relieve

We address your immediate symptoms and enhance your low back's range of motion and mobility.

Restoring Strength and Function

Rebuild

Through targeted physical therapy exercises, we restore your low back strength and functionality, allowing you to do more with less pain.

Long-Term Mobility and Strength

Resilient

We focus on long-term recovery, ensuring full mobility, strength, and endurance for your lower back to make you as resilient as possible.

Common Conditions We Treat in Alinea Performance

At Alinea Performance, we specialize in treating a wide range of pelvic pain conditions:

Chronic Pelvic Pain Syndrome (CPPS)

Persistent pelvic, groin, or penile pain caused by pelvic floor tension, nerve irritation, and hip/core dysfunction.

Pelvic Floor Hypertonicity

Overactive or tight pelvic floor muscles that create pain, pressure, burning, and difficulty relaxing during daily tasks.

Pelvic Floor Hypertonicity

Overactive or tight pelvic floor muscles that create pain, pressure, burning, and difficulty relaxing during daily tasks.

Pudendal Neuralgia / Nerve Irritation

Pain, tingling, or burning along the pelvis, genitals, or rectal area caused by irritation of the pudendal or surrounding nerves.

Painful Ejaculation

Pelvic tension and nerve sensitivity affecting sexual performance, ejaculation comfort, and overall confidence.

Tailbone Pain (Coccydynia)

Pain at the base of the spine due to tight pelvic floor muscles, poor sitting mechanics, or nerve irritation.

Learn more about our Physical Therapy services. If you’re experiencing incontinence, visit our incontinence page.

Why People Choose Alinea Performance for Men's Pelvic Pain Relief

At Alinea Performance, we specialize in treating a wide range of pelvic pain conditions:

We Identify the Real Source of Pelvic Pain (It’s Not Always the Pelvic Floor)

Pelvic pain in men can come from pelvic floor tension, nerve irritation, abdominal dysfunction, hip issues, low back mobility, or postural/pressure problems. We assess the entire system so we treat the true cause—not just the painful area.

A Proven, Male-Specific Approach for Faster Relief

Most pelvic rehab was built for women. Men require a different evaluation and treatment strategy. Our approach addresses male anatomy, pressure demands, and the unique patterns that lead to testicular, perineal, groin, or deep pelvic pain.

We Don’t Just Do Kegels — We Correct the Entire Pressure System

One of the biggest false beliefs is thinking pelvic pain means you’re “weak.” In reality, most men with pelvic pain have overactive muscles. We help retrain the pelvic floor to relax, coordinate, and function properly so pain drops quickly.

Hands-On Treatment + Internal (If Needed) + Movement Retraining

We blend soft tissue work, mobility training, internal pelvic floor treatment (optional and done only with consent), nerve glides, and functional strengthening. This combination resolves pain far more effectively than exercises alone.

Specialized Care for Sexual Pain, Sitting Pain, and Chronic Tightness

Whether your pain worsens with sitting, lifting, erections, ejaculation, stress, or activity, we identify the pattern and treat the system behind it—restoring comfort, confidence, and normal function.

Private, 1-on-1 Care With a Therapist Who Understands Men’s Pelvic Health

Pelvic pain can feel isolating, frustrating, and embarrassing to talk about. You’ll work privately with a specialist who treats male pelvic pain daily and provides a safe, respectful environment to guide your recovery.

What to Expect at Your First Visit

When you choose Alinea Performance to help you become continent, you’ll experience improvement from the very first day. While individual results may vary, your initial appointment will include:

Here’s what we can guarantee you walk away with on the very first day.

  • A Private, Supportive Pelvic Health Assessment
  • Pelvic Floor Strength and Coordination Testing
  • Core and Pressure System Screening
  • Nerve Sensitivity and Tension Screening
  • Clear Explanation of What’s Causing The Pain
  • A Tailored Physical Therapy Plan To Help You

 

Testimonials

Don't Just Take Our Word For It

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Frequently Asked Questions

Get quick answers to our most frequently asked questions.

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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 pain can come from pelvic floor muscle tension, nerve irritation (pudendal, genitofemoral, ilioinguinal), postural or lifting mechanics that overload the pelvic floor, prior prostate or abdominal procedures, chronic stress, tight hips or low back, or irritation of tissues surrounding the bladder, testes, or perineum. A pelvic floor physical therapist’s job is to identify your specific driver so treatment can be targeted and effective.

Pelvic pain is more concerning if you experience burning or stabbing pain in the perineum, scrotal/testicular pain, pain with sitting, urinary retention, numbness, bowel/bladder changes, blood in the urine, or pain that worsens rapidly. Even mild pelvic discomfort is worth evaluating early—men often suffer longer than they need to because they wait too long to get help.

Most men benefit from guided movement, not total rest. Too much rest often increases pelvic floor tension and sensitivity. A pelvic floor PT will teach you how to move, breathe, and lift in a way that reduces pressure on the pelvic floor while helping calm irritated nerves and muscles.

Yes. Chronic male pelvic pain often persists because the true cause—tension, guarding, nerve irritation, pressure mismanagement, or postural habits—was never addressed. Pelvic floor PT focuses on restoring mobility, reducing hypersensitivity, releasing high-tone pelvic muscles, and retraining the system for normal, pain-free function.

Absolutely. Pelvic floor PT is one of the most effective treatments for conditions like chronic prostatitis/chronic pelvic pain syndrome (CPPS), pudendal neuralgia, perineal pain, saddle pain, testicular pain, and pain with sitting. Treatment reduces nerve irritation, calms overactive muscles, and restores healthy movement patterns.

Without treatment, pelvic pain can worsen or spread into the low back, groin, testicles, or abdomen. Nerves may become increasingly sensitive, sitting tolerance may decline, and tension patterns can become “learned” by the body. Early treatment helps restore comfort, function, and confidence—so symptoms don’t take over your daily life.

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