Prostatitis and male pelvic pain therapy in Las Vegas
If you have had repeated courses of antibiotics that did not help, or tests that came back normal, this is the usual reason.
Symptoms men describe
Normal urine cultures and PSA tests do not rule this out, because they do not look at muscles, connective tissue or nerves.
- Burning: in the urethra, or at the tip of the penis
- Bladder: urgency, frequency and discomfort when it is full
- Aching: in the perineum, pelvis, tailbone or testicles
- Painful ejaculation
- Sitting and clothing: pain that builds with long sitting or with clothing rubbing
Why antibiotics have not helped
These symptoms feel like an infection, so repeated antibiotics are common. When there is no infection the antibiotics have nothing to treat, and the pain carries on, which leaves many men wondering whether it is all in their head. It is real pain with a physical source.
The nerve side of it
The pudendal nerve runs from above the tailbone through the hip and pelvic floor muscles to the genitals. Tension or irritation along that path can cause pain at the tip of the penis or in the perineum without any damage where you feel it.
A careful exam can reproduce your pain by changing the tension around the nerve or pressing along its path, which shows which tissues are involved.
How treatment works
Find the source
We assess the muscles, connective tissue and nerves involved, to find what reproduces your pain.
Calm the muscles and nerves
Hands-on work such as myofascial release, tissue distraction or dry needling, alongside positions and breathing that take tension off the nerve.
Retrain the pelvic floor
Pelvic floor mobility work, nerve glides, and exercises that help the muscles relax as well as contract.
A plan for home
Exercises chosen for where along the nerve your irritation is, so the work carries on between visits.
Your first visit, step by step
An hour, one-on-one in private. We start with a detailed conversation about your history and symptoms, then assess the abdomen, hips, pelvis and inner thighs from the outside.
If an internal exam would help and you want one, it is done rectally, and you can stop at any point. We explain what we are doing and why before we do it.
Book appointmentFrequently asked questions
Do I need to see a urologist first?
No. You can come to us directly. If you already see a urologist, keep up the follow-ups they recommend alongside physical therapy.
Can dry needling help?
Sometimes. It is one of the hands-on options, used alongside the exercises rather than in place of them.
Is the internal exam required?
No. It is always your choice, and we explain the clinical reasoning for it in your case before you decide.
How long are sessions, and how many will I need?
Sessions are one hour long. Most clients are with us for three to six months, though it varies from person to person.
Related care
More in pelvic floor physical therapy for men: penile tip pain treatment, post-surgical pelvic rehabilitation, pelvic pain treatment, and dry needling.
Prostatitis and male pelvic pain therapy for patients from Las Vegas, Spring Valley, North Las Vegas, Summerlin South, Summerlin and Summerlin West, at our clinic at 7381 Prairie Falcon Rd, Ste 110, Las Vegas.