Common clients for pain and complaints in men
- Have you been experiencing pain in your pelvis, genitals or lower abdomen for a long time? Or do you have pain in the groin, your hip(s), your upper legs or in your lower back?
- Do you have pain with sitting?
- Are there any problems or pain when you go to the bathroom?
- Are you experiencing problems during intercourse?
- Have you been told you have prostatitis?
- Have you been told you have epididymitis?
- Do you have “hard flacid’?
- Did your (pain) symptoms arise after you had surgery in your lower abdomen or your back or hips?
- Did the symptoms arise after doing a lot of exercises?
- Did your symptoms arise after a fall or accident?
- Are there things you can no longer do or want because of the pain or other symptoms?
If your answer to one or more of these questions is “yes,” or if you have symptoms similar to this:
Your pain or discomfort may have one or more causes. Because in the lower body, the bladder, intestines, muscles, tendons, blood vessels, nerves and bones are close together. Sometimes the cause of pain and symptoms is difficult to determine. But rest assured: we almost always succeed in determining where the pain and discomfort are coming from. And we can treat you. For more than 25 years, we have specialized in treating these chronic pelvic pain and symptoms.
Do you see your symptoms in the list below? If so, we can help you. Would you rather talk about it? Then give us a call.
Pain
- Pain in or around the pelvis
- Abdominal pain
- Pain in the groin
- Low back pain that keeps coming back despite treatment. Often at the level of the dimples in the lower back
- Pain after being in a position for a long time
- Stomach Pain
- Prostate pain
- Penis pain
- Pain between the penis and anus (perineum)
- Pain between the shoulder blades
- Pain in the scrotum
- Tailbone pain
- Pain in the testicles
- Pain after exercising (back and abdominal muscles)
- Pain in the vas deferens
- Pain when sitting
- Pain exacerbated by stress and or anxiety
- Restless legs
Bladder, urination, urine leakage
- Sensation as if having a bladder inflammation without having a bladder infection
- Recurrent bladder infections (Cystitis)
- Constant pressure sensation on the bladder
- Pain in the lower abdomen at the level of the bladder
- Abdominal pain
- Pain on urination
- Intermitterend flow
- Difficulty with postponing urination
- Hesitancy
- Having to urinate very often, usually just a little at a time
- Inability to empty properly
- Excessive dripping after urinating
- Pain at the opening of the urethra
- Urinary leakage upon urge, sneezing, laughing or during unexpected movements
Bowels, defecation
- Hemorrhoids
- Painful tears (fissures) at the anus
- Tight anal sphincter
- Pain between scrotum and anus (perineum)
- Abdominal pain
- Feeling like there is a golf ball in the rectum
- Increased urge to defecate
- Difficulty postponing defecation
- Difficulty emptying the rectum
- Constipation
- Pain during defecation
- IBS (Irritable Bowel Syndrome)
Sex
- Premature ejaculation
- More difficulty in reaching orgasm
- Altered sensation during orgasm
- Pain during or after orgasm
- Pain in the vas deferens
- Pain in certain positions during intercourse
- Pain during sex. after surgery (cicumcision or vasectomy)
- Pain during sex due to sexual trauma
- Pain after sex due to emotional trauma
- Pain after. sex due to physical abuse
- Pain after sex due to psychological trauma
Other
- Depressed feelings (caused by the complaints)
- Fatigue or lethargy (caused by the symptoms)
- Poor sleep (caused by the symptoms)
- Difficulty standing on one leg
- Stress and Anxiety
Possible causes from pain and complaints in men
Do you recognize one or more (pain) symptoms in the list? Below are possible causes. These causes are not unrelated. Suppose you enjoy sports and you also exercise your abdominal and back muscles vigorously. Then it is possible that your pelvic floor muscles shorten, making them always tense. This can also happen if you suffer from a lot of stress and therefore unwittingly tighten your muscles. When muscles shorten and get tense, a nerve can also become irritated. Both are painful and can also cause other symptoms, problems with urination or intercourse.
IMPORTANT: No two men are alike. Everyone has their own story and during the consultation we take the time to listen to your experiences.
Incorrect muscle use
We have many muscles in our abdomen and back. For example, because of our work, hobby, stress, because of an injury or after surgery, because of wrong sitting or walking posture, one muscle can become too strong and another muscle too weak. Or a muscle becomes overloaded and tense. This can lead to pain during movement or at rest.
A muscle that is too strong or too weak can also put pressure on a nerve. Such an irritated nerve, or the muscle itself, can a the function of the bladder or the intestines. And pain during intercourse can be caused by tightness of the muscles in and around the pelvis.
If a muscle is too tense, it has small painful ‘knots’. These are also called trigger points; you can read more about them here.
We also give you more information about pressure on a nerve, or an irritated nerve.
After surgery
During surgery on your abdomen, back or hips, for example, muscles and nerves can become sensitive or irritated. This can happen, for example, after sterilization (vasectomy) or inguinal hernia surgery. And after surgery on an arm or leg, you may have started to move less or differently. Even a small change in your body can lead to (pain) symptoms. And it may well be that those symptoms only appear a long time after surgery.
After a fall or an accident
A fall or an accident may have caused major or minor damage in the body, such as a broken bone, a pulled or bruised muscle, bruises or a damaged nerve. Even a small change in your body can cause (pain) symptoms. And it may well be that those symptoms only appear a long time after the fall or accident.
Too flexible joints
Every joint is surrounded by ligaments. These provide strength. So do the muscles and tendons surrounding a joint. People with hypermobility syndrome (HMS) have very flexible joints. In them, the ligaments and tendons are weaker. They lack some of the firmness in the pelvis and this can cause (pain) symptoms.
Irritated nerves
Nerve pain in the pelvic floor
In the pelvis, pelvic floor, at the buttocks, groin, legs, abdomen and back are several nerves that can cause problems.
Do you have pain in your pelvic floor when you sit? Does the pain diminish when you stand or lie down? If so, you may be suffering from the Pudendus Nerve.
This type of complaint is medically known as Pudendus Neuralgia, entrapment of the Pudendus Nervus, also called Pudendus Entrapment or Neuropathy of the Pudendus Nervus. It is a problem that is not always recognized. Also, not much is yet known about it in medical science. Often Pudendus Problem occurs as part of Chronic Pelvic Pain Syndrome, also called CPPS (Chronic Pelvic Pain Syndrome).
Interstitial cystitis/bladder pain
The condition interstitial cystitis (IC) is also called bladder pain syndrome (BPS). This condition is still sometimes overlooked. This is because its symptoms resemble those of a bladder infection. But: in a bladder infection, bacteria are active and in IC and BPS, they are not.
People with IC or BPS suffer from one or more of these symptoms:
– frequent urination,
– pain above the pubic bone,
– feeling severe pressure or discomfort when the bladder fills. Peeing briefly gives relief, but as soon as the bladder fills, the pain or pressure returns. This complaint is the most noticeable.
These people may also suffer from chronic pelvic pain.
More information can be found here
More information
We almost always manage to determine
determine where the pain and
discomfort are coming from.