Author: Dr. Adam Gvili, PT, DPT

It’s no secret that an ankle sprain takes a lot of weeks to recover. But with physical therapy, we can significantly reduce the time frame. Pelvis NYC can speed up your ankle sprain recovery time and give exercises that can improve your range of motion and strength.

If interested in how physical therapy can help you recover from an ankle sprain, please contact us today at www.pelvis.nyc. We would be happy to schedule a consultation with you. And if ever you want to learn more, continue reading this blog.

Ankle Injury 

Ankle sprains are a common sports injury. The ligaments that stabilize the ankle can be stretched or torn when the foot twists or turns beyond its normal range of motion. This can happen when landing after a jump, making a sudden change in direction or stepping on an uneven surface. While ankle sprains can occur in anyone, they are most common in athletes who participate in sports. Examples are running and jumping, such as basketball, football, and soccer. 

Most people recover from an ankle sprain within four to eight weeks with proper treatment. If you suffer from an ankle sprain and are looking for ways to speed up your ankle sprain recovery time, look no further! Physical therapy can help reduce swelling, regain strength and range of motion, and get you back on your feet quicker. 

To reduce your risk of suffering an ankle sprain, it is important to warm up properly before participating in any physical activity. Wearing supportive shoes and using caution when walking on uneven surfaces can also help to prevent this type of injury.

Home Remedy

A sprained ankle can range from mild to severe depending on the case. Symptoms typically include pain, swelling, bruising, and difficulty bearing weight on the affected foot. In some cases, the ligament may be completely torn, which can result in instability of the joint. While rest, ice, and elevation are usually effective in treating a mild sprain, more severe injuries may require immobilization of the joint or surgery to repair the ligaments. If you suspect you have sprained your ankle, you must see a doctor or physical therapist. They can help give an accurate diagnosis and accelerate your ankle sprain recovery time.

Treatment with Physical Therapy

While most ankle sprains are minor and heal within a few weeks, some require more extensive treatment. The good news is that physical therapy is one option that can help speed up the ankle sprain recovery time healing process and reduce pain. By working with a physical therapist, patients can learn exercises that stretch and strengthen the muscles and ligaments around the ankle. These exercises and treatments are designed to improve range of motion, flexibility, strength, and proprioception (the ability to sense the position of one’s body in space). In addition, electrical stimulation or other modalities may be used to decrease inflammation and promote healing.

If you’re looking for first-rate physical therapy services in New York, look no further than Pelvis NYC. We will customize you with a proper treatment plan to help you make a full recovery in no time. So whether you’ve suffered an ankle sprain or just need some general help getting back into shape, our skilled doctor of physical therapy can help. Trust us – your body will thank you!

Contact us today for more information about our physical therapy services. We’ll help you get back to doing the things you love as quickly as possible!

Ditch the old wives’ tale that a sprain will heal on its own. Having physical therapy should be at the top of your list if you’ve recently sprained your foot or suffered another type of foot injury. Research has shown that getting a physical therapist can speed up your healing process and help you avoid further injury down the line. 

And no, you don’t have to be a professional athlete to benefit from physical therapy. Whether your goal is to walk pain-free or simply improve your mobility, we can create a treatment plan that’s tailored specifically for you. So if you’re ready to get on the road to recovery, book now and we’ll have you back on your feet in no time. But if you are still in doubt about whether you see a PT or not, take time to read this.

How to know if you have one?

If you have ever sprained your foot, you know how painful the experience is. It is because a sprain is defined as a ligament injury that is caused by a sudden overstretching or tearing. A foot sprain occurs when the ligaments that support the foot are stretched or torn. This can happen due to an awkward fall, sudden movement, or direct impact. The most common symptom of a foot sprain is pain, swelling, and bruising. In severe cases, the foot may also feel weak or unstable.

Sprains and strains are common injuries, especially for athletes. But even if you’re not an athlete, you can still sprain your foot by simply walking or running on uneven ground. Foot sprains are unfortunately all too common, but the good news is that they’re usually not serious. However, if the pain is severe or you suspect that you may have fractured a bone, it’s always best to see a doctor just to be safe.

If you need some help to recover from a sprained foot faster, consider physical therapy because it can help you with exercises that can strengthen the muscles around your foot and ankle.

Treatment At-Home

For milder injuries, foot sprain can be treated at home. Here are some simple treatments you could do to ease the discomfort and enhance your recovery.

• Rest- This is probably the most important thing you can do for a sprain. Put your foot up and avoid walking or standing for long periods. This will help give your body a chance to heal.
• Ice: Ice can help reduce swelling and pain. Apply an ice pack for 20 minutes at a time several times a day to the affected area.
• Compression: A compression bandage can also help reduce swelling. Wrap your foot tightly, but not so tight that it cuts off circulation.
• Elevation: Keeping your foot elevated above heart level will also help reduce swelling. Prop it up on a pillow or cushioned surface when you’re sitting or lying down.

When to see a Physical Therapist?

If you’ve recently suffered a sprain, you might be wondering when it’s time to consult a professional. The answer, of course, depends on the severity of your injury. If you’re able to put weight on your foot and walk relatively normally, you can probably wait a few days before seeking help. However, if the pain is severe or you’re unable to bear weight on your foot, it’s best to see a physical therapist right away.

A physical therapist can help you heal your sprained foot properly. Severe sprains may require a splint or cast. But, most people with a sprain will be able to heal with the help of a physical therapist. A physical therapist can help you with the range of motion and improve your flexibility. He will also teach you how to properly walk and stand to avoid putting pressure on your injured foot. In addition, a physical therapist can create an at-home exercise program for you to follow. This will help speed up the healing process and reduce the risk of re-injury.

So if you have a foot sprain, don’t hesitate to visit Pelvis NYC and book an appointment now.  We will help you assess the damage and create a treatment plan to help you get back on your feet in no time.

Time to Recover with Physical Therapy

Depending on the severity of the injury, it can take weeks or even months to recover. However, with the help of physical therapy, most people can regain their full range of motion and strength. The exact timeline for recovery depends on many factors, including the type of sprain, the location of the injury, and the person’s age and fitness level. However, in general, it takes around four to six weeks to recover from a minor sprain, while more severe injuries may take three to four months.

Pudendal neuralgia is a relatively unknown condition that can cause pain and numbness in the genitals, buttocks, and thighs. Although it is not well known, there are treatments available that can help treat the symptoms with the help of physical therapy.

In this blog post, we’ll take a closer look at what pudendal nerve entrapment is, why men are still at risk for it, and what treatment options are available. So if you are unaware of pudendal nerve entrapment in males and how can this affliction be cured this one is for you.

Definition

The pudendal nerve is essential to sensation and function in your pelvic region, including the anus and genitals. You can use this nerve to send movement (motor) and sensation information from your genital area. Pudendal nerves pass through the pelvic floor muscles which support your organs, ending at your external genitalia. But what if this nerve becomes compressed?

Pudendal nerve entrapment is a condition in which the nerve becomes compressed or damaged, leading to pain, numbness, or weakness in the affected area. Most of the time it is underdiagnosed, poorly treated, and causes significant impairment of quality of life. A person can experience such intense agony in the genital area and seat region that they are unable to urinate, have intercourse, or even sit down without experiencing intense, shooting, burning pain.

Though it can be very uncomfortable and distressing for most men, don’t worry because the cure is available.

Why Men Are Still at Risk?

Pudendal neuralgia is most common in women but can also affect males. The possible causes are:

• Prolonged Sitting
• Cycling
• Horse Riding
• Pelvic Surgery
• Pelvis Broken Bone
• Constipation
• Contraction of the pudendal nerve by the nearby muscles or tissue

But take note that sometimes in some cases causes are not found. But there are still ways to know whether you experiencing are symptoms of pudendal neuralgia. Here are some examples:

• Pain sensitivity increased
• Pain and numbness in the pelvis
• Swelling or sting on your perineum
• A frequent and sudden need to go to the bathroom
• Hard to reach orgasm, pain during sex, and erectile dysfunction

If ever you are experiencing these, it’s better to seek medical attention especially if the pain is causing you trouble. Early treatment can be a great help to prevent more pain and discomfort.

Physical Therapy for Pudendal Neuralgia

In the realm of treating pudendal neuralgia, our approach to physical therapy is comprehensive and personalized. The initial steps involve delving into your medical history and lifestyle choices, crucial for identifying the underlying factors contributing to your pain. This meticulous analysis also lays the foundation for a targeted treatment plan.

Central to our strategy is pelvic floor physical therapy, a conservative yet highly effective option for pudendal nerve entrapment. This specialized therapy guides your body in a multifaceted journey—restoring structures, releasing tension in pelvic floor muscles, and ensuring proper alignment of the tailbone. The diversity of physical therapy strategies at Pelvis NYC encompasses manual therapy as well as tailored exercises, and strengthening routines, addressing specific muscle issues and promoting overall pelvic health.

At Pelvis.NYC, we firmly believe in the individuality of each patient. Our commitment to a personalized approach means that every treatment plan is unique, and crafted to address your specific symptoms and concerns. Our goal is to not only alleviate pain but also prioritize your comfort. Take the first step towards relief by visiting us and experiencing a FREE 15-minute teleconsultation.

Do you constantly experience shoulder pain? If so, you’re not alone. Many men suffer from shoulder pain on a regular basis but this is something not to worry about. But remember that while some cases of shoulder pain in men are relatively minor and can be treated with over-the-counter medication, others may be more serious and require professional attention. 

In this blog post, we’ll explore the various causes of shoulder pain and how physical therapy can help you to prevent, reduce, and eliminate shoulder pain. Check it out if it interests you!

Shoulder Pain Overview

If you’re like most people, you probably don’t think much about your shoulder until it starts to hurt. And even then, you might not realize that there are different types of shoulder pain, each with its own implications.

One of the most amazing joints of the body is the shoulder. It’s the most movable joint in the human body, thanks to a group of muscles and tendons called the rotator cuff. This group gives the shoulder a wide range of motion. But it also means that the shoulder is more susceptible to pain than other joints. 

Shoulder pain can result from swelling, damage, or changes to the bone surrounding the rotator cuff. Your arm may hurt when you lift it above your head or when you move it forward or behind your back. But don’t worry – there are treatments available to help relieve your shoulder pain and get you moving again.

Common Causes

The most common cause of shoulder pain is when the rotator cuff tendons become trapped under the bone. This condition causes inflammation or damage to the tendons and is known as rotator cuff tendinitis or bursitis.

Possible causes:

• Shoulder joint arthritis
• Shoulder bone spurs
• Bursitis
• Broken bone on the shoulder
• Shoulder Dislocation
• Separation of the shoulder
• Frozen shoulder
• Long use or injury of nearby tendons
• Rotator cuff tendons tear
• Poor shoulder mechanics and posture

Shoulder Pain Treatment

Shoulder pain is a common complaint that can be caused by a variety of issues. Most often, shoulder pain is the result of overuse or injury and arthritis, bursitis, or tendonitis.

For many people, the best way to treat shoulder pain is with rest, ice, and over-the-counter pain medication. If these first steps don’t provide relief, your doctor may suggest a corticosteroid injection. This anti-inflammatory medicine can help to reduce swelling and pain. In some cases, surgery may be necessary to repair the shoulder. 

Exercises are likely to be part of your treatment plan if you have issues with your shoulder. These exercises will stretch and strengthen the joint, and increase your range of motion. However, most shoulder problems can be resolved with nonsurgical treatments.

If you are experiencing shoulder pain, talk to your doctor to find the best treatment option for you.

Physical Therapy for Shoulder Pain

Physical therapy involves exercises and stretches that help to strengthen the muscles and tendons around the shoulder. It helps reduce pain, improves range of motion, and prevents more injury.

In addition, physical therapy can help to improve posture and reduce stress on the shoulder joint. As a result, it is often an important part of any treatment plan for shoulder pain.

If you are having shoulder pain for a long time without getting relief from medication, visit Pelvis NYC and get a FREE 15-minute teleconsultation.

Related Blog: How to Heal Lower Back Pain Fast with Physical Therapy?

Most of the time, it is hard to seek treatment from a variety of doctors for men with pelvic floor dysfunction. But, unfortunately, even if they go from one specialist to another the results come back as normal.

In turn, they are naturally looking for information on the internet but the internet searches are mostly for me. That is why it is also difficult to find someone with experience treating men with pelvic health issues, so finding someone who can help is quite challenging.

However, know that you are not alone and some physical therapists can help you. Physical therapists use pelvic floor exercises as part of treatment for pelvic floor dysfunction since they help strengthen the pelvic floor. So you do not have to suffer from your symptoms for the rest of your life!

A Brief Overview of the Pelvic Floor

A pelvic floor is a group of muscles that reside in your pelvis. A man’s pelvic floor muscles support his bladder and bowel. The openings from these organs pass through the pelvic floor. The pelvic floor muscles wrap tightly around these openings to keep them closed.

The pelvic floor muscles can be stretched, weakened, or too tight. If you are unable to relax and coordinate these muscles, this causes pelvic floor dysfunction. A man with pelvic floor dysfunction may have weak or especially tight pelvic floor muscles, making urinating or bowel movements difficult as well as problems having or keeping an erection.

However, do not fret because pelvic floor physical therapy is proven to be beneficial for the treatment of pelvic floor dysfunction in men.

Symptoms and Causes of Pelvic Floor Dysfunction

A weak pelvic floor causes different symptoms. If you are experiencing any of these symptoms, you have a problem with your pelvic floor muscles. Among the conditions that have been linked to weak pelvic floor muscles are:

• Pelvic pain, genital pain, or rectum pain
• bowel discomfort or constipation
• Urinary problems, such as the urge to urinate or painful urination
• low back pain
• characterized by pressure or swelling in the pelvic region
• Erectile dysfunction
• Painful or premature ejaculation
• as well as spasms in the pelvis

Tho it’s scary to have these symptoms, treatment for pelvic floor dysfunction includes strengthening your pelvic floor through pelvic floor dysfunction.

While causes are still unknown, a few of the known factors include:

• Obesity.
• Getting older
• Those people involved in car accidents suffer trauma to their pelvic area
• Excessive pelvic muscle use (going to the bathroom too often, pushing too hard) eventually results in poor muscle coordination.
• Surgical procedures for the pelvis.

The Diagnosis

Pelvis NYC puts your comfort first for the initial consultation before asking about your symptoms or medical history because we know that when you are comfortable, you can disclose everything to us. 

After the initial consultation, you may be required to undergo a physical examination to check for muscle spasms or knots as well as assess your muscle weakness.

In some cases, we may also require you to run some tests for further verification.

The Treatment

Pelvic floor physical therapy uses pelvic floor exercises to address pelvic floor problems. Exercises in this specialized therapy help you manage pain, discomfort, and disturbances to your quality of life.

The goal of pelvic floor physical therapy is to strengthen and relax the pelvic floor muscles to improve core stability, and control over urination, bowel movements, and sexual function. It uses a variety of different techniques to increase pelvic floor muscle control, improve awareness of contraction and relaxation patterns, and decrease symptoms of pelvic floor dysfunction, including pain, disability, and symptoms of incontinence.

Why Choose Us?

A doctor who specializes in pelvic floor dysfunction should be your number one consideration. He should be knowledgeable about techniques that have been proven to be successful in the treatment of pelvic floor dysfunction.

Our expert at Pelvis NYC has been through pelvic floor dysfunction, which is why he understands what you are going through and is dedicated to treating your symptoms. He knows how difficult it is to live without knowing what is going on with your body.

We at Pelvis NYC ensure that you receive expert care, a comprehensive understanding, and a comfortable treatment environment for all patients.

Please visit Pelvis NYC to avail of the FREE 15-minute teleconsultation.

Almost everyone’s back hurts. Particularly those who spend a lot of time sitting on chairs, lifting heavy things on the job, or are overweight. The cause is usually a sedentary lifestyle. Regardless of the cause, physical therapy can help heal your lower back pain fast by pinpointing the problem and designing a stretch and exercise program to ease the pain.

Definition

Low back pain can result from many different injuries, conditions, or diseases. Most often, it is an injury to muscles or tendons in the back.

A person can suffer from mild to severe pain. Sometimes, pain makes it impossible to walk, sleep, work, or perform daily tasks.

In most cases, lower back pain can be treated with rest, pain medication, and physical therapy. During physical therapy sessions, they use hands-on treatment (such as osteopathic manipulation or chiropractic manipulation) to heal your lower back pain fast.

What Causes Lower Back Pain?

Back pain is due to one thing: activity. Pain is either caused by a certain activity or by a general lack of activity. This leaves your back unable to handle the daily demands. Fortunately, you don’t have to worry because these causes can heal fast with physical therapy. These are:

• Sprains and strains – This is the most common cause of acute lower back pain. It can happen when you twist or lift something incorrectly, pick up a heavy object, or overextend your reach and you strain a muscle and tear a tendon, resulting in a sprain.
• Sciatica – A sharp lower back pain that radiates down your legs and butts is caused by compression of the sciatic nerve. Herniated or ruptured discs are common causes of sciatica.
• A herniated or ruptured disc – An accident, fall, or sports injury can cause damage to your spine. The pain begins immediately after the injury. There may also be tingling or numbness in your legs.

Lower Back Pain Exercises You Can Do

Performing Neck and Shoulder Stretches

Basic neck stretches can be done anywhere, such as at home, at work, or even while driving, throughout the day. These include:

• Stretch from the chin to the chest. Bring the chin towards the chest and bend the head forward until you feel a stretch in the back of your neck.
• Lateral Flexion Stretch from Ear to Shoulder. Stretch out the side of the neck as if you were touching your ear to your shoulder. Try to keep the shoulders relaxed and the back in a healthy position.
• Stretch the levator scapula. Place one arm against a wall or door jamb with the elbow slightly above the shoulder, then turn the head in the opposite direction. Stretch the back of the neck by bringing the chin down toward the collarbone. It may be helpful to pull the head gently forward with the other hand to hold the stretch.
• Do a corner stretch. Face the corner of a room and place your forearms on each wall with your elbows at shoulder height. Lean forward until you feel a stretch under your collarbone.

There are some stretches to avoid such as neck circles and quickly bending the neck forward and backward or side to side. Performing these stretches can strain muscles or place additional stress on the cervical spine.

Low back pain stretches

• Stretches for back flexion. Lie on your back and pull your knees to your chest while flexing the head forward until you feel a stretch in the mid and low back.
• The Knee-To-Chest Stretch. Lay on your back with your knees bent and both heels on the floor. Place your hands behind one knee and pull it toward your chest, stretching the gluteus and piriformis muscles in the buttocks.
• The kneeling lunge stretches. Starting on both knees, move one leg forward, keeping your weight evenly distributed across both hips (rather than on one side). Put both hands on the top of the thigh, and gently lean your body forward to feel a stretch in the front of the other leg. Stretching the hip flexors stretches the muscles that attach to the pelvis and can impact posture if too tight.
• The piriformis muscle stretches. Lie on your back with your knees bent and your heels on the ground. Place one leg over the other, resting the ankle on the bent knee, and pull the bottom knee toward the chest until you feel a stretch in the buttock. Alternatively, lying on the floor, cross one leg over the other and pull it forward over the knee, keeping the other leg flat.

These are representative examples of commonly prescribed types of stretches. The majority of stretches can be modified to fit the individual’s level of flexibility and pain and can be made easier by using a wall, door jamb, or chair for added stability. But take note that if you’ve done these steps correctly, it can surely help heal your lower back pain fast.

Physiotherapy for Lower Back Pain

Physical therapy and exercise are considered part of the treatment of most back pain patients, regardless of whether they are undergoing non-surgical or surgical treatment. The reason for this is that patients with lower back pain heal fast with physical therapy.

Physical therapy aims to decrease back pain, increase function, and teach the patient how to prevent further back problems. Because of this, most patients with low back pain get referrals for physical therapy for four weeks as an initial conservative (nonsurgical) treatment option.

Our team at Pelvis.NYC knows that not all back pain is the same. Despite proper stretching and strengthening your core, you may still experience pain for weeks. The good news is that you don’t have to wait until your pain becomes unbearable or chronic. Our experts can quickly pinpoint your pain and design a stretches and exercise program that targets specific muscles to alleviate your pain. You’ll also work with a professional to ensure you perform each lower back stretch correctly.

Don’t wait for a few more days to treat your lower back pain. We can help you now to get back on your feet and back to work faster. For more questions or inquiries, you may visit our website www.pelvis.nyc, and have your FREE 15-minute teleconsultation.

Did you know that a weak pelvic floor can often result in constipation as one of its symptoms? Pelvic floor exercises for chronic constipation strengthen your pelvic floor muscles allowing you to control bowel movements effectively. Here is why.

The most common mistake of people suffering from chronic constipation is identifying the underlying cause of it. They tend to rely on laxatives as a long-term solution, while others believe that diet alone can improve chronic constipation. Though laxatives and changes in diet are an effective part of treating chronic constipation, laxatives must only be used during the treatment phase and diet should be balanced with appropriate exercise. 

One effective form of exercise for chronic constipation is pelvic floor exercises.

Overview

Chronic constipation causes infrequent bowel movements and difficult passage of stools for several weeks or more. Although occasional constipation is fairly common, chronic constipation can interfere with their daily lives. Furthermore, constipation can also cause people to strain excessively when they have bowel movements.

However, ​many are unaware that when you strain yourself too much, it may harm your pelvic floor. To avoid it, doing proper pelvic floor exercises may help strengthen pelvic floor muscles.

Pelvic floor exercises are simple clench-and-release exercises that you can do to make your pelvic floor muscles stronger. The pelvic floor is a series of muscles and tissues that form a hammock-like structure at the bottom of your pelvis. This structure supports your organs.

Making sure that your pelvic floor muscles are strong, you can control your bowels or bladder.

But take note that pelvic floor exercises are only effective if you identify the right muscle. Sometimes, you may need the help of a professional to do it right.

How does chronic constipation affect the pelvic floor?

When people are constipated, they tend to strain themselves by exerting a lot of abdominal force to push the stool down. Little did they know that excessive pressure on the pelvic floor muscles causes them to weaken over time.

Moreover, a weak pelvic floor does not improve constipation. Instead, it worsens these muscles that help open and close the sphincter and assist in healthy defecation.

Then, we are trapped in a cycle of constant constipation weakening our pelvic floor and the weak pelvic floor making our constipation worse. Therefore, where do we go from here?

Finding the Right Professional

As we mentioned, pelvic floor exercises are simple exercises to strengthen your pelvic floor muscles. However, you must identify the right muscle for pelvic floor exercises to be effective. Otherwise, your efforts and time will be wasted.

If you are having a hard time dealing with your constipation, stop, and take a deep breath! We, at PELVIS.NYC knows the difficulties associated with constipation, particularly chronic constipation.

Dr. Adam Gvili PT, DPT, understands that successful treatment for one patient may not be successful for another. This is why we offer different treatment plans depending on the symptoms and condition of the patient.

To learn more about our services and schedule a free 15-minute teleconsultation with Dr. Adam, you may visit www.pelvis.nyc.

Don’t be afraid to ask. We are here to listen and help. We are here to support you every step of the way.

Related blog: Addressing Sudden Urge to Poop in Men

A man may opt for a vasectomy if he does not want to impregnate someone in his lifetime. However, most of them experience lower abdominal pain after vasectomy as a response to their body’s fast healing, resulting in inflammation and secondary pain. But what is it really like after a vasectomy procedure? Is the pain bearable? Is there relief?

Continue reading to find out.

Overview of Post-Vasectomy Pain Syndrome

Post-vasectomy pain syndrome (PVPS) is a continuous or intermittent testicular pain lasting more than three months. About 1–2% of men who undergo a vasectomy experience this discomfort, which leads to some form of medical treatment.

In some cases, the pain may begin within one month following the procedure and continue for years following the surgery. Pain can be ongoing and short-lived and resolved with anti-inflammatory tablets, but can also become chronic. It can be mild to moderate chronic pain and in rare cases, patients may experience debilitating pain. But do not worry because there are treatments used for PVPS.

The experience of lower abdominal pain after a vasectomy is only indicative of your body’s response to the healing process, which includes some inflammation and secondary pain. Typically, it is mild discomfort for 5-10 days and occurs in the scrotum area, but can also affect the groin or lower abdomen.

Symptoms to look for

PVPS symptoms range from mild to severe and are as follows:

• Continual genital pain
• Lower abdominal pain
• Pain when exerting yourself
• Pain from erections or sex
• Experience pain from ejaculation
• Erectile dysfunction

Factors causing PVPS

In terms of the symptoms exhibited and the treatment required, there are a few main causes for testicular pain following vasectomy:

Neurogenic: Some chronic pain is caused by sperm build-up in the vas deferens trapped in fibrous tissue, which then causes intense pain during activities that agitate your scrotum, such as running or cycling

Granuloma: Sometimes sperm leakage occurs during or shortly after a vasectomy, causing a lump and swelling.

Epididymitis: Epididymitis results from an increase in pressure inside the epididymis, which is a tube that transports sperm from the testes to the urethra. Normally, men continue to produce sperm after a vasectomy and the cells are reabsorbed by the body. However, they can develop a buildup of sperm in their vas deferens which can cause the epididymis to burst under pressure.

Testicular Torsion: If left untreated, PVPS can twist the spermatic cord that carries blood to the scrotum and cut off the blood supply.

Diagnosis of PVPS

PVPS is different from acute postoperative pain. Most PVPS patients suffer from persistent orchalgia for greater than three months after surgery. However, some patients experience pain while ejaculating, having intercourse, or erection. 

The diagnosis of PVPS must be an exclusion diagnosis. A three-month follow-up history and physical are recommended after surgery. A scrotal ultrasound using color-flow Doppler is administered to every patient suffering from chronic testicular pain. It is recommended to obtain a routine urinalysis, a urine culture, and a semen culture to determine whether there is an infection.

Treatment for PVPS

Once the root of PVPS is identified, treatment can be as simple as an anti-inflammatories prescription or as drastic as removing the epididymis. Most urologists take a conservative approach and try non-surgical methods first, such as applying hold and cold compresses or wearing a scrotal-support garment. 

An injection of anesthetics or steroids may be necessary if the pain persists. Additionally, removing the granuloma, and the epididymis or reversing the vasectomy could provide pain relief while negating sterilization.

While vasectomy is a safe and routine procedure, the decision to become permanently sterilized is a major life change. Even though there is a very slight chance you could suffer chronic pain after you have a vasectomy, the odds strongly favor you that the heaviest discomfort you experience will come from getting up off the couch to find the remote.

Physical Therapy as a non-surgical treatment for PVPS

Pelvic floor physical therapy can also be beneficial in the treatment of PVPS. People who undergo a vasectomy may experience significant pelvic pain. Due to the abnormal testicular pain, they are experiencing, their pelvic muscles tend to tighten up. A physical therapist can teach them pelvic floor exercises to relax those muscles and take the strain off of other areas such as the scrotum and testicles.

Pelvic floor therapy relieves pelvic pain and discomfort associated with testicular pain by relaxing the scrotum and testicle muscles. By using this therapy, you may be able to increase blood flow and relieve some symptoms.

At PELVIS NYC, we have successful treatments for post-vasectomy pain. By alleviating their symptoms, we enable them to carry on with their daily lives. We listened carefully to identify the source of their pain and formulate the best possible treatment.

If you have more questions, visit www.pelvis.nyc and have your free 15-minute teleconsultation.

Related Blog: Real Story of How We Help Our Patient Recover from Lower Abdominal Pain

Pelvic Floor Physical Therapy as an Adjunctive Treatment for Epididymitis

Antibiotics remain the first line of treatment for Epididymitis. But you may recover faster if the treatment includes pelvic floor physical therapy because it proves to help ease symptoms of epididymitis and boost immunity. Before we continue with how pelvic floor therapists can help relieve your painful symptoms, let us discuss first what causes it and what are the risk factors.

Epididymitis occurs when the epididymis, a long, coiled tube behind each testicle, becomes inflamed. Sexually transmitted infections often cause this condition, but many other types of bacteria can also cause it.

Epididymitis can affect anyone, but it is most common among men ages 14 to 35. Each year, the United States experiences approximately 600,000 cases of epididymitis.

There are two types of epididymitis. The first is acute epididymitis which lasts up to six weeks. Usually, the testes are also inflamed with acute epididymitis. It is also called epididymo-orchitis because it is difficult to distinguish whether the epididymis, the testes, or both are inflamed. This is why epididymo-orchitis is a commonly used term.

Another type of epididymitis is chronic epididymitis, which lasts for more than six weeks. Affected patients may feel discomfort in their crotch, epididymis, or testicles. This may be the result of granulomatous reactions, which can cause cysts or calcifications.

Identify whether it’s epididymitis

Although epididymitis may start with just a few mild symptoms, if left untreated, the symptoms can become more severe.

Epididymitis may cause the following symptoms:

• a gradual or sudden ache in either of your testicles (balls)
• a build-up of fluid (hydrocele) around your testicle
• a feeling of tenderness, warmth, and swelling around the rest of your testicle (scrotum)  

Symptoms may also include difficulty in peeing or a white, yellow, or green discharge from the tip of the penis, depending on the cause.

Epididymitis has several causes

Common causes of epididymitis are two sexually transmitted infections: gonorrhea and chlamydia. However, the causes can sometimes be by E. coli bacteria or the same bacteria that causes tuberculosis in rare cases. Urinary tract infection has also been implicated in the condition, although UTIs are less common in men. These causes are considered non-sexually transmitted.

At-Risk for epididymitis

Epididymitis may be more likely to develop if you:

• are uncircumcised people
• have unprotected sexual activity
• suffer from urinary tract structural problems  
• take heart medications called amiodarone
• are using a catheter
• recently injured the groin  
• recently undergone urinary tract surgery
• have a blocked bladder caused by an enlarged prostate
• suffer from tuberculosis (TB).

Treatment for epididymitis

The treatment of epididymitis involves treating underlying infections and easing symptoms. In treating underlying infections, the most common prescription is antibiotics. Taking it as prescribed will make you feel better in a matter of days. However, no matter how well you feel, take the entire course of antibiotics to ensure the bacteria is treated.

Aside from antibiotics, physical therapy can help ease symptoms. Physical therapists use clinical therapy, workouts, and physical activities in treating epididymitis. It can help boost immunity and enhance faster recovery. Pelvic floor exercises help to relax the pelvic floor and prevent pain, burning, or tightening feelings in the testicular area because of the blood flow blockage.

But know that exercises for epididymitis have limits. Getting guidance from a physical therapist ensures that you are doing the exercises for epididymitis correctly.

If you are looking for a trusted physical therapy clinic, look no further than PELVIS.NYC. We have successfully treated epididymitis and have helped ease all its symptoms. We focus on their health as if it were our own so we provide the best treatment plan. Visit www.pelvis.nyc for a free 15-minute teleconsultation to better assess your problem.

When to seek help?

In the event of epididymitis symptoms, consult your doctor immediately. If your doctor confirms that the infection is from an STD, tell your recent sexual partners so that they can be examined and treated.

Men who have entrapped pudendal nerves (pudendal nerve entrapment) commonly complain about urinary problems such as urgency or frequency. It is reported that men often experience erectile dysfunction despite using traditional erectile dysfunction treatment. In other cases, they also describe it as having a feeling of a lump in their pelvis or groin area, even though there are none.

In light of the different symptoms they experience, how can we determine if the pudendal nerve is entrapped?

Let’s find out now.

Pudendal Nerve Entrapment

Pudendal neuralgia (also known as Alcock’s syndrome or Pudendal Canal Syndrome) is caused when the pudendal nerve is entrapped, compressed, or irritated, resulting in pain in the local region. The characterization is pain, swelling, and numbness in the pelvis or genital area. This happens when there is damage in the major nerve in the lower body or irritation, making it difficult to use the bathroom, have sex, or sit down. Experts believe this condition is rare, but it’s not clear how many people have it.

Symptoms of Pudendal Neuralgia

The primary symptom of pudendal neuralgia is pelvic pain. When there is a compression in the pudendal nerve’s path by other structures, it irritates. Anywhere along the course of the nerve can produce pain, tingling, or other sensations, including the tip of the penis. The reason behind the name pudendal neuralgia is “pudendal nerve pain”.

Also burning, stabbing, or shooting pain may occur, coupled with numbness or tingling sensations when you have pudendal nerve entrapment. Symptoms can be worse by activities involving bending at the hips, such as sitting and squatting.

Talk to your physician if you notice any new symptoms related to erectile dysfunction, urinary illness, or bowel problems. These symptoms may be caused by a medical condition that needs to be addressed by your doctor. When a medical reason cannot be identified, there is a very good chance the nerve is being pressed by muscles or other tissues in the pelvic floor. Physiotherapy for pelvic floor disorders can be extremely helpful in these situations.

Causes of Pudendal Nerve Entrapment

Several factors cause damage to the pudendal nerve. An injury or surgery can cause it and sometimes, exercising too much, such as riding a bike, can contribute to it.

Other causes may include:

• Pressure on the pudendal nerve caused by nearby muscles or tissue
• Spending a lot of time sitting, cycling, horseback riding, or constipating (usually for many years) can sustain repeated minor pelvic injuries.
• Pelvic surgery
• A broken pelvis
• Cancer or non-cancerous growth compressing the nerve

Some causes, however, cannot always be determined.

How to prevent pudendal neuralgia?

Considering lifestyle changes can prevent pudendal neuralgia. These include:

• Managing your bowels and bladder: Don’t strain when emptying your bowels or passing urine, as this stretches the nerve. Physiotherapy can help you establish good bladder and bowel habits that are suitable for you.
• Sitting modification: Avoid pressure on the perineum (the area inside your ‘sit bones’), as this prevents pressure on the nerves. Sitting less can also reduce blood pressure.
• Avoid nerve-irritating physical activities: riding a pushbike and horseback riding are two of the biggest. Other activities to avoid are trampoline jumping, bench pressing, and too many ‘core muscle’ exercises. With osteopathy and physiotherapy, you can identify movements unique to you that may need to be minimized.

Physiotherapy can help relieve Pudendal Neuralgia

Physiotherapists can help you relax and stretch your pelvic floor muscles, which may be over-contracted so that the nerve is less irritated. They can also help you to manage the painful trigger points in your pelvic floor muscles as well as recommend using TENS, if necessary, to relieve your pain. Using this device for self-management is effective – but you may need the assistance of a physiotherapist to place your electrodes properly.

Furthermore, you could benefit from specific external exercises and stretches that will focus on correcting your posture and avoiding activities that may aggravate your pain. Physiotherapists will also encourage you to do general cardio exercises to maintain both mental and physical fitness and strength.

Physical therapy can also help you maintain control over your bladder and bowels if you have pudendal neuralgia. They can help you develop a bowel and bladder management routine.

Physical therapy is one of the best treatments for your pelvic floor problems. If you have the same symptoms for pudendal neuralgia, PELVIS.NYC can help assess your needs. We provide 15-minute teleconsultation for FREE because we care for your health.

Related Blog: Pudendal Neuralgia: PT Is Your Treatment