Vitality Therapy And Performance

Men Pelvic Health

Pelvic floor therapy is commonly prescribed for those with female anatomy, but men suffer from pelvic floor dysfunction too. Speaking about your pain, incontinence, or dysfunction can be very taboo as a man. Your concerns matter though, and at Vitality Pelvic Health we want you to feel comfortable sharing your experience so you can get the help you need.

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Can We Help?

What causes pelvic floor dysfunction in men

Pelvic floor tension or weakness can contribute to dysfunction in men much like in women. You may be experiencing urinary urgency or trouble emptying, rectal pain, incontinence, erectile dysfunction, or abdominal pain due to pelvic floor dysfunction.

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How does PT help?

At Vitality Pelvic Health you’ll work 1:1 with your physical therapist to develop a plan of care to restore strength and extensibility to the pelvic floor. Your treatment plan may include exercises for strengthening, manual therapy, or lifestyle modifications that promote good pelvic floor health.

How long will it take?

A typical plan of care depends on symptoms, but is typically 10-12 weeks long.

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What the research says

Chronic Pelvic Pain Syndrome is the most common pelvic floor disorder in men and can be present for years before reaching a proper diagnosis and subsequent treatment

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A recent study shows 16% of men suffer from pelvic floor disorders, likely a low number due to the stigma around seeking treatment

Common complaints

“My urinalysis is always negative but I still constantly feel the need to pee”
“Sex doesn’t feel the same anymore”
“I have to bear down to urinate”
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Frequently Asked Questions

Pelvic floor dysfunction in men can look like urinary urgency, penile pain, tailbone or low back pain, pain prior or during/after an erection, chronic constipation, weak urinary stream, testicular pain, and pain with bowel movements. This is not an exhaustive list however, and symptoms vary from person to person.

Prostatitis is inflammation of the prostate gland. It is a common diagnosis among men with pelvic pain, but it is important to understand that pelvic floor dysfunction can occur with, or in the absence of prostatitis. Often caused by a bacterial infection, a round of antibiotics can typically clear this up. Sometimes though, the muscles of the pelvic floor become hypertonic and continue to create symptoms of prostatitis, and this can not be addressed with antibiotics, but can be addressed with physical therapy.

Category 1: acute bacterial prostatitis – flu like symptoms on top of pelvic floor symptoms, typically treated with antibiotics.

Category 2: Chronic bacterial prostatitis – also caused by a bacterial infection but develops slowly and can take a long time to clear up (weeks to months of treatment). Usually associated with urinary tract infections.

Category 3: Non-bacterial/non-inflammatory prostatitis – also known as Chronic Pelvic Pain Syndrome (CPPS) or Prostadynia. This is typically pelvic floor dysfunction commonly inappropriately treated with antibiotics as there is no infection present.

Category 4: Asymptomatic prostatitis – no symptoms but labs show infection is likely present (leukocytosis).

The answer is… sometimes. Just like women, men can have an overactive pelvic floor where kegels really should not be the first line of treatment. Your physical therapist can help you determine what is appropriate for you during your evaluation.

Men’s Pelvic Floor Dysfunction Quizzes
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Can pelvic floor physical therapy help your situation? Take this quick quiz!

Get To Know Our Pelvic Health Team...

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Tristen Swengle

PT, DPT, Director of Pelvic Health
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Nikki Randolph

PT, DPT, Pelvic Health Specialist
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Kally Owen

PT, DPT
Deena Winham, PT

Deena Winham

PT, DPT, PCES
Testimonials

What Clients Are Saying

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Stacy B

I have been coming to Vitality Pelvic Health for several weeks. I was looking for options to help strengthen my pelvic floor following an injury during childbirth and just aging in general. I am 44 years old, and my youngest child is 13, but Tristan explained that we are always in that postpartum phase. Tristan is extremely knowledgeable and so incredibly thorough! I’ve never met anyone who knows so much about pelvic dysfunction and ways to combat it. She’s created a strengthening program for me that I can continue to use long after my sessions are completed. I highly recommend her to any woman seeking help in this area. You will not regret it!

Illustration of a woman with long, flowing brown hair, depicted in a minimalist style with soft earth tones. She is wearing a sleeveless top and appears to be in a thoughtful pose, reflecting on
Shannon F

Dr. Nikki is truly amazing. I came to her a year and half after having my baby because I felt like something was off and that I was still not fully recovered. She gave me a whole toolbox of movements and practices to get myself back together and feel confident that my body could safely pick up my growing daughter. She figured out exactly what I needed to do, and gave me a realistic plan all while being so kind and patient. I could not recommend her more to any new moms or moms to be (or really anyone struggling with functional movement).

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A smiling woman with curly hair wearing a black top, specializing in physical therapy and pelvic health, standing against a plain white background.

Tristen Swengle

PT, DPT, DIRECTOR OF PELVIC HEALTH

Tristen, a Doctor of Physical Therapy, is passionate about treating active women and men who are dealing with various types of pelvic floor dysfunction so that they are able to return to their preferred exercise routine and lifestyle. She received her doctorate from the University of Arkansas for Medical Sciences in Fayetteville, AR. Since graduating, Tristen has continued to pursue further education through the Herman and Wallace Pelvic Rehabilitation Institute.

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Nikki Randolph

PT, DPT, PELVIC HEALTH SPECIALIST

Nikki is a Doctor of Physical Therapy who graduated with a bachelor’s degree from the University of Tulsa in 2015. She then received her doctorate from Washington University in St Louis in 2022. During her time there she became passionate about pelvic floor rehabilitation, specifically in both the active population and post-oncologic. Nikki is continuing to pursue her education through Herman and Wallace Pelvic Rehabilitation Institute. The opportunity to help patients achieve their goals, live free from pelvic pain, and feel empowered with the tools and knowledge to live a healthy life is incredibly meaningful to her.

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Kally Owen

PT, DPT, Pelvic Health
Kally holds a Bachelor of Science in Nutritional Sciences and a minor in Microbiology from Oklahoma State University graduating in 2019 and from there went on to earn her Doctorate of Physical Therapy from the University of Oklahoma Health Sciences Center in 2022. Kally enjoys treating all orthopedic conditions with a special interest in pelvic floor physical therapy and she is Dry Needling certified. She enjoys working with patients who desire to take an active role in their recovery and loves learning unique and holistic ways to provide the best to the clients she treats. Kally is continuing to pursue her education through Herman and Wallace Pelvic Rehabilitation Institute.
Deena Winham, PT

Deena Winham

PT, DPT, PCES

Deena is a Doctor of Physical Therapy and a Pregnancy and Postpartum Corrective Exercise Specialist. She is passionate about treating women through their pregnancy to maintain a higher level of function and exercise capability throughout their pregnancy and postpartum to help mothers recover quicker from pregnancy without any pelvic floor dysfunction. Deena also enjoys treating pelvic floor dysfunction in the pediatric population as well. Since graduating in 2019 with her doctorate from South College in Knoxville, Tennessee, Deena has continued to pursue further education through Herman and Wallace Pelvic Rehabilitation Institute.