Physical Therapy Can Help Ease Epididymitis

physical exercises can help ease symptoms of epididymitis

Pelvic Floor Physical Therapy as an Adjunctive Treatment for Epididymitis

Antibiotics remain the first line of treatment for Epididymitis. But you may recover faster if the treatment is coupled with pelvic floor physical therapy as it has been proven to help ease symptoms. Before we continue with how pelvic floor therapists can help relieve your painful symptoms, let us discuss first what causes it and what are the risk factors.

Epididymitis occurs when the epididymis, a long, coiled tube behind each testicle, becomes inflamed. This condition is often caused by sexually transmitted infections, but many other types of bacteria can cause it as well.

Epididymitis can affect anyone, but it is most common among men aged 14 to 35. Each year, the United States experiences approximately 600,000 cases of epididymitis.

There are two types of epididymitis. The first is acute epididymitis that lasts up to six weeks. Usually, the testes are also inflamed with acute epididymitis and it is also called epididymo-orchitis because it is difficult to distinguish whether the epididymis, the testes, or both are inflamed. This is why epididymo-orchitis is a commonly used term.

Another type of epididymitis is chronic epididymitis, which lasts for more than six weeks. Affected patients may feel discomfort in their crotch, epididymis, or testicles. This may be the result of granulomatous reactions, which can cause cysts or calcifications.

Identify whether it’s epididymitis

Although epididymitis may start with just a few mild symptoms, if left untreated, the symptoms can become more severe.

Epididymitis may cause the following symptoms:

  • a gradual or sudden ache in either of your testicles (balls)
  • a build-up of fluid (hydrocele) around your testicle
  • a feeling of tenderness, warmth, and swelling around the rest of your testicle (scrotum)  

Symptoms may also include difficulty in peeing or a white, yellow, or green discharge from the tip of the penis, depending on the cause.

Epididymitis has several causes

Epididymitis is most commonly caused by two sexually transmitted infections: gonorrhea and chlamydia. If STI testing reveals that you have epididymitis caused by an STI, your current and recent sexual partners may also be advised to be tested.

Epididymitis can sometimes be also caused by E. coli bacteria, or by the same bacteria that causes tuberculosis in rare cases. Urinary tract infection has also been implicated in the condition, although UTIs are less common in men. These causes are considered non-sexually transmitted.

At-Risk for epididymitis

Epididymitis may be more likely to develop if you:

  • are uncircumcised people
  • have unprotected sexual activity
  • suffer from urinary tract structural problems  
  • take heart medications called amiodarone
  • are using a catheter
  • recently injured the groin  
  • recently undergone urinary tract surgery
  • have a blocked bladder caused by an enlarged prostate
  • suffer from tuberculosis (TB).

Treatment for epididymitis

The treatment of epididymitis involves treating underlying infections and easing symptoms.

In treating underlying infections, the most common prescription is antibiotics. Taking it as prescribed will make you feel better in a matter of days. However, no matter how well you feel, take the entire course of antibiotics to ensure the bacteria is treated.

Also, physical therapy is advised to help ease symptoms. Clinical therapy, workouts, and physical activities are commonly used by a physical therapist in treating epididymitis. It can help boost immunity and enhance faster recovery.

By pelvic floor exercises, it helps also to relax the pelvic floor that prevents pain, burning, or tightening feeling in the testicular area because of the blood flow blockage.

But pay attention to the fact that the exercise is controlled for epididymitis. Getting guidance from a physical therapist is therefore recommended to ensure that you are doing exercises for epididymitis correctly.

PELVIS.NYC has successfully treated epididymitis and has helped ease all its symptoms. We focus on their health as if it were our own so we provide the best treatment plan. Visit for a free 15-minute teleconsultation to better assess your problem.

When to seek help?

In the event of epididymitis symptoms, consult your doctor immediately. If your doctor confirms that the infection is caused by a sexually transmitted disease, tell your recent sexual partners so that they can be examined and treated.