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Chronic pelvic pain syndrome

Chronic pelvic pain syndrome affects men. It manifests as pain or discomfort in the pelvic region (pelvis and lower abdominal organs) and is accompanied by urinary and/or sexual problems.

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What is chronic pelvic pain syndrome?

Chronic pelvic pain syndrome affects men. It manifests as pain or discomfort in the pelvic region (pelvis and lower abdominal organs) and is accompanied by urinary and/or sexual problems.

What causes chronic pelvic pain syndrome?

There are no clear causes, but several factors can increase the risk of developing chronic pelvic pain syndrome:

  • Physical and/or psychological stress;
  • Pelvic surgery (e.g. vasectomy, prostatectomy, etc.);
  • Pelvic trauma (e.g. fracture, fall on buttocks, accident, etc.);
  • Repeatedly lift loads while holding your breath;
  • Sitting for long periods;
  • Cycling regularly;
  • Certain inadequately treated medical conditions (e.g. bacterial prostatitis);
  • Compulsive sexual activity or masturbation.

What are the symptoms of chronic pelvic pain syndrome?

  • Constant or intermittent pain in one or more of the following areas: anus, rectum, penis (especially glans), pubis, perineum, coccyx, lumbar;
  • Pain during or after ejaculation;
  • Pain or relief after a bowel movement;
  • Pain when urinating;
  • Increased frequency of urination during the day and/or night;
  • Feeling of urgency to urinate;
  • Feeling of not being able to completely empty the bladder when urinating or the rectum when having a bowel movement;
  • Difficulty tolerating sitting;
  • Decreased libido.

How to diagnose chronic pelvic pain syndrome

Diagnosis is made by subjective and physical examination in the clinic. There are also medical tests that can be prescribed by a doctor to determine, among other things, whether an infectious or inflammatory condition is also present.

How physiotherapy can help chronic pelvic pain syndrome

Your perineal rehabilitation physiotherapist will first carry out a complete assessment (e.g. lifestyle habits, posture, breathing, pelvic floor muscle contraction/relaxation, etc.) to determine the cause(s) of your symptoms.

Based on the assessment results, your physiotherapist will:
  • Mobilize the muscles and soft tissues in the abdomen and pelvic floor;
  • Provide you with specific exercises to do at home to address the cause of the problem;
  • Teach you how to properly manage your daily activities and hobbies to optimize healing;
  • Provide advice on lifestyle habits, posture, and movements.
  • Refer you, if necessary, to a doctor or other healthcare professional.

When to seek physiotherapy for chronic pelvic pain syndrome

You should consult a physiotherapist if you have symptoms as described above or if your doctor has already ruled out any other cause that may be responsible for your pain.

You do not need to see a doctor before consulting a physiotherapist. If your condition requires you to see a doctor, your physiotherapist will be able to tell you.

What to do at home for chronic pelvic pain syndrome

  • Practice a stress management activity (e.g. mindfulness meditation, yoga, walking, other pleasant activity); 
  • Stay active every day and vary your positions frequently
  • (e.g. sitting, standing, lying down, etc.);
  • Reduce consumption of beverages that can irritate the bladder (e.g., tea, coffee, alcohol, soft drinks, etc.);
  • Reduce consumption of foods that can irritate the bladder (e.g. hot peppers, artificial sweeteners, citrus fruits, etc.).

To learn more...

You can check out the podcast

created by one of our physiotherapists, Alexis Gougeon.

Episode #23 discusses perineal and pelvic rehabilitation: .

Find the episode on YouTube :

Click below to listen to episodes on podcast platforms:

https://open.spotify.com/episode/4K8MhluZYTYDzmFNn2dDAt?si=a7a8e4a1a64f4cbd

https://podcasts.apple.com/ca/podcast/23-r%C3%A9%C3%A9ducation-p%C3%A9rin%C3%A9ale-avec-jennifer-l%C3%A9vesque/id1525206710?i=1000527277477&l=fr-CA

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