Pelvic pain is a common condition that can affect men of all ages. It can be frustrating and debilitating and most men avoid treatment until it is either unbearable or it involves their penis, scrotum, or testicles from my clinic encounter. There are non-invasive treatment options available, and addressing your movement and biomechanics can play a big role in relieving pelvic pain.

As a clinician who specializes in musculoskeletal conditions with a focus on the biomechanics of the whole body including the pelvis and pelvic floor dysfunction, I understand the challenges that men with pelvic pain face. It is important to note that pelvic pain is not just a problem with the pelvic floor muscles. Poor posture and movement patterns can lead to tension in the pelvic floor muscles and perhaps the least investigated factor when it comes to the treatment of pelvic pain in people of all genders.

What Is The Relationship Between Posture And Pelvic Pain?

Understanding the connection between your movement and pelvic pain is key to finding the right treatment. When we move, our bodies are designed to work in a specific way. However, poor posture and movement patterns can cause our bodies to compensate, and at times can lead to tension and pain in the pelvic floor muscles. Following are the common issues that we successfully address in men with pelvic pain with great results:

  • Breathing And Breathing Patterns

Clearly, we all breathe but the correct, biological breathing explained in the video below is what allows our body to provide a strong breathing apparatus that doubles as a cylinder in the toros, minimizing the chances of the collapsed upper torso over the lower back, compressing the internal organs, increasing the uneven inter-abdominal pressure that transfer the loads unevenly over the pelvic floor, and the internal organs it holds. All breathing is to be done through the nose for both inhalation and exhalation which practice both the relaxation of the muscles inside the pelvis with breathing in and contraction of those muscles with breathing out.

  • Hip Mobility

Issues arise when the pelvis is not stable and one of the major players in pelvic stability is the hip joint, where the lower extremities connect to the pelvis. A great cue as to how this joint has been is the hip mobility assessment showing alteration in movement. The fix is NOT isolating the area to increase mobility, thinking that the problem is now solved. We need to make sure that the patterns of movement that led to the decrease in proper mobility are addressed. The best method we find to be helpful is the Developmental Movement exercises such as Dynamic Neuromuscular Stabilization which I strongly suggest you pause to understand. It makes total sense and no surprise that we can make great progress using those methods. Please visit my YouTube channel to see examples of this method of exercise.

  • Movement Patterns With Over Engagement Of The Glutes

I have noticed that many male patients walk forward not because their lower extremity moves inside the socket of the hip joint but by ‘scooping’ their glutes forward using their lower glut. muscles and tighten other glut muscles unnecessarily. This alteration in movement creates tension on both the inside and outside of the pelvis, creating an imbalance that leads to pelvic pain.

This is a great example of another dysfunctional patterns of movement that lead to issues and the fix is to, again follow the developmental patterns of movement that we know from studying babies to bring back the correct patterns of movement.

Baby doing both push up

  • Wrong Methods Of Exercising

Most often our male patients participate in exercises involving weight lifting of different sorts. Nothing wrong with that except that when the principles of movement are violated, now, the body uses alternative muscles whose job is to assist and not be the main or second to main movers in that exercise. This means that the right body part does not do its job at the right time or right order, leading to dysfunctional movements. This creates pelvis instability, alters the balance of the muscles inside the pelvis (floor and the wall) and those outside the pelvis, and impacts the amount of load on the internal organs which can lead to pelvic pain.

So what are the right exercises? If all babies on this planet go through the same stages of development without any coaching or training, gyms or bands, why can’t we simply follow those same movements to the T? Why re-invent the wheel, why isolate a body part to exercise it, why remove the body part with the hopes that it solves the problem long term as well.

Chase the whys until you know what is happening, and tackle the problem using common sense and nature as the guide. That has been my motto, producing great results and that is what we do with our patients.

If you are ready, contact us to see if what you have is something we can help you with.

Dr. Shakib

Recommended Reading:

Can I Do Pelvic Floor Therapy On Myself?

Posterior Pelvic Tilt, Anterior Pelvic Tilt, and Pelvic Floor Dysfunction