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What Is a Male Pelvic Physio – and Why Might You Need One?

When people think of physiotherapy, they usually imagine treatment for a sore shoulder, back pain, or a knee injury. But what if the issue is in a more private area that is harder to talk about?

That’s where male pelvic health physiotherapy comes in.

So, What Exactly Is a Male Pelvic Physio?

A male pelvic physio is a physiotherapist who has undergone additional training to assess and treat pelvic floor dysfunction in men or people with biologically male genitals. Just like any other part of the body, the pelvic region contains muscles, ligaments, nerves, and connective tissue—and yes, it can get injured, weakened, or irritated too.

Think of the pelvic floor like your shoulder or knee: when things go wrong, you might experience pain, tightness, or loss of control. The difference is, in this case, it can lead to issues with urination, bowel function, sexual performance, or chronic pelvic pain.

Pelvic physios work as part of a wider healthcare team. At Sports Focus, this often means collaborating with your GP, urologist, gastroenterologist, dietitian, and psychologist to ensure your care is holistic and well-rounded.

What Does a Male Pelvic Physio Treat?

The short answer? Anything between your mid-back to just above your knees.

Here’s a more detailed—though not exhaustive—list of common conditions we treat:

• Acute & Chronic Prostatitis
• Pre-& Post-Prostatectomy Care
• Penile or Testicular Pain
• Erectile & Ejaculatory Dysfunction
• Urinary Incontinence & Dribbling
• Post-Vasectomy Pain Syndrome
• Rectal Incontinence
• Chronic Constipation
• Overactive Bladder Symptoms
• Post-Abdominal Surgery Rehab
• Diastasis Recti (Abdominal Separation)
• Painful Urination & Pudendal Neuralgia
• Groin, Hip & Sacroiliac Joint Pain
• Post-Hernia Repair Weakness or Pain

Why Work With Nick?

Before gaining a special interest in pelvic health, Nick built a strong foundation in musculoskeletal physiotherapy. That means he’s uniquely positioned to take a “big picture” view of your symptoms. For many men, their symptoms present in the pelvic floor but originate from a different part of the body.

Are your symptoms truly pelvic floor-related, or are they coming from the spine, hip, or somewhere else entirely? That distinction is key, and Nick’s experience allows for a precise and targeted treatment plan.

Treatment may include:

• External or internal manual therapy
• Dry needling
• Electrical stimulation
• Cupping
• Realtime ultrasound
• Balloon catheter treatment
• Individualised exercise programming for strength, mobility, and control

Nick’s goal is always to help you return to the activities that matter most—whether that’s being pain-free, regaining control, or restoring sexual function.

Who Can Benefit From Male Pelvic Physiotherapy?

Nick works with men aged 16 and older, including but not limited to:

• Teenagers with lifelong bladder or bowel concerns
• Men navigating sexual dysfunction
• Men dealing with pelvic or genital pain
• Men recovering from prostate surgery
• Adults managing incontinence or urinary issues

If it affects your daily life—and it’s in the pelvic region—it’s worth finding out whether pelvic
physio can help.

Written by Nicholas Warnken