Men may have chronic pelvic pain from a number of disorders, including urinary dysfunction or irritable bowel syndrome (IBS). However, prostatitis is the only male-specific cause of pelvic pain. Chronic pelvic pain syndrome and chronic prostatitis are long-term conditions in men. While a bacterial infection is a common cause, in many cases the cause often remains unknown. They are poorly understood, difficult to treat and cause a range of symptoms including pain, urinary problems, reduced quality of life and sexual dysfunction. Men need holistic care and support to cope with these long-term conditions.

What Are the Symptoms of Male Pelvic Pain?

Men with ‘prostatitis’ may have any of the following pain symptoms:

  • pain or burning sensation when urinating (dysuria)

  • pain in the abdomen, groin, or lower back

  • pain in the Levator Ani and/or Obturator,

  • pain in the area between the scrotum and rectum (perineum),

  • pain or discomfort in the penis or testicles,

  • painful orgasms (ejaculations).


Other symptoms associated with prostatitis include:

  • difficulty urinating, such as dribbling or hesitant urination

  • frequent urination, particularly at night (nocturia)

  • an urgent need to urinate

  • flu-like symptoms (with bacterial prostatitis)

  • stress incontinence (leaking when doing activity)


The pain or discomfort may be constant or it may come and go. Some men experience depression and a lower quality of life because of the pain. Some men find it hard to sit for long periods and struggle consequently with Chronic Fatigue.​

Often therapy is required to facilitate ‘trigger’ point releases, restore normal Biomechanics and decrease muscle tension in the pelvic area. Other parts of the program that we offer include relaxation therapy, psychological proactive therapy, diet and lifestyle changes, alongside the pharmacological modalities.  With a multifaceted approach to the treatment of this condition – the prognosis is good.

Treating Male Pelvic Pain Generically…

In regard to prostatitis there are standard tests to investigate the symptoms re diagnosis. Your urine and the fluid that comes out of your prostate gland can be checked for signs of infection. Bacteria is found in prostatic fluid in around 10 percent of prostatitis cases. Antibiotics are often prescribed in these cases. Because many cases of prostatitis result from an unknown cause, finding a treatment that provides relief can take time. Unfortunately, the Pelvic pain caused through prostatitis can be difficult to treat. Chronic male pelvic pain that is not bacterial in nature is sometimes treated with medications:

  • pain medications, such as NSAIDs

  • anti-anxiety medications, such as selective serotonin-reuptake inhibitors (SSRIs)

  • alpha-adrenergic blockers, such as Flomax (tamsulosin)

  • botulinum toxin A Injections (research continues on its effectiveness)

  • muscle relaxants for the pelvic floor


Other treatments include sacral nerve stimulation — also used for urinary incontinence — or prostatic massage. Should an obstruction be suspected as the cause, surgical procedures may be used to assess this and remove any that are found.

Treating Male & Female Pelvic Pain with the CiONE Methodology.

It  is important to know that the CiONE Methodology and procedure - a non-invasive treatment - supplied in both the Harley Street, London and the Loughborough, Midlands, clinics – has successfully and on a regular basis – given huge relief through the ‘Japanese’ techniques of “Amatsu’,  BiO-fascial/BiOPelvic Releases, Biomechanical realignment and or physical therapy. Our aim is rehabilitate and lengthen the short, contracted muscles of the pelvic floor/hip joint and to calm the overall arousal of the nervous system.

We consider and encourage - in addition to the CiONE methodology the following:

Seven Main 'Drivers' for Pelvic Pain

  1. The Myofascial connective tissue spasm – which in turn effects the ‘Intrinsic’ and ultimately the ‘Global’ muscle groups.

  2. Aggressive “Plantar flexed” posture/skeletal dysfunction ie; an anterior tilted and/or torsional pelvis – causing poor posture and dysfunctional dynamic movement.

  3. “Paniculosis” building up within the facia of these global muscles – sometimes known as ‘Crepitus/Knots/Lumps’ etc.

  4. The Linea Alba tightening between the Solar Plexus and the Urethra/Pubic Bone – causing Visceral tensions.

  5. “Pelvic Paniculosis’ - building up in a ‘multi-layer’ manner around the Groin, Levator Ani and Bowel areas.  The Paniculosis is a ‘microscopic’ build-up within the fascia, around the nerve endings - which temporarily prevents the fascia from moving, creating restriction that stop the nerves from “sliding and gliding” – Hence causing pain and inflammation.

  6. ‘Diaphragm Paniculosis’ – building up under the breast plate and around the ‘condyles’ of the rib cage, causing breath restrictions and tenderness to Ribs,/breast/chest.

  7. ‘Coccyx Trauma’ – usually from a fall, trip, crash or post-surgery trauma - enough to bring the skeleton into dynamic restrictions or through the Coccyx irritating – (once displaced) - Gemelus Inferior, which in turn can create potential irritation and impingements on the Sciatic and more importantly the Pudendal nerve.