Understanding Prostatitis and Chronic Pelvic Pain Syndrome (CPPS): How Pelvic Floor Physical Therapy Can Help

Prostatitis, often referred to as Chronic Pelvic Pain Syndrome (CPPS), is a common yet frequently misunderstood condition that affects men of all ages. It is typically characterized by persistent pain or discomfort in the pelvis, perineum, lower abdomen, or genital area, often accompanied by urinary, bowel, or sexual symptoms. Despite the name, CPPS is not usually caused by infection or inflammation of the prostate itself, which can make diagnosis and treatment especially frustrating.

Many men with CPPS are told that tests look “normal,” yet their symptoms persist. Pain with sitting, burning or pressure during urination, difficulty emptying the bladder, discomfort after ejaculation, or a constant sense of pelvic tension can significantly impact quality of life. These symptoms are real—and they are treatable.

The Pelvic Floor’s Role in CPPS

The pelvic floor muscles play a key role in bladder, bowel, and sexual function. In men with CPPS, these muscles are often tight, overactive, or poorly coordinated. Chronic stress, prior injury, prolonged sitting, or unresolved pain can cause the pelvic floor and nervous system to remain in a guarded state, perpetuating discomfort.

Pelvic floor physical therapy focuses on addressing these muscular and nerve-related contributors to pain, rather than treating the prostate alone.

How Pelvic Floor Physical Therapy Helps

At Progressive Pelvis Physical Therapy, we take a targeted, individualized approach designed to reduce pain and restore normal function. Treatment may include:

  • Manual techniques to release muscle tension and improve tissue mobility

  • Movement and stretching to support the pelvis, hips, and spine

  • Breathing and relaxation strategies to calm the nervous system

  • Education on bladder and bowel habits, posture, and activity modification

  • Gradual retraining of pelvic floor muscle coordination

The goal is not to strengthen tight muscles, but to help them relax, move, and function normally again.

A Collaborative, Whole-Person Approach

CPPS often responds best to care that addresses both physical and nervous system components. Pelvic floor physical therapy is frequently used alongside urology care and lifestyle strategies to create a comprehensive, proactive treatment plan. Care is respectful, private, and paced to ensure comfort and trust.

You Don’t Have to Live With Pelvic Pain

If pelvic pain, urinary symptoms, or discomfort is interfering with your daily life, help is available now. Pelvic floor physical therapy offers an evidence-based, noninvasive option that supports healing and long-term relief.

If you’re ready to take the next step, we’re here to help. Schedule a consultation today to learn how pelvic floor physical therapy can support your recovery—because effective care is available, and you don’t have to manage this alone.

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Understanding Endometriosis: How Pelvic Floor Physical Therapy Can Support Your Care

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Understanding Coccygodynia (Tailbone Pain): How Pelvic Floor Physical Therapy Can Help