Male pelvic pain treatment in NYC
Pelvic pain in men is common, and it is often missed. If you’ve had pain in your pelvis, groin, testicles, penis or rectum for weeks or months, and the tests keep coming back normal, the muscles of your pelvic floor may be part of the problem. That’s what we evaluate.
Or call (929) 590-3445. Talk to a clinician first. No referral needed.
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Medically reviewed by Dr. Adam Gvili, PT, DPT, on November 2, 2026
Does this sound familiar?
- A deep ache in the perineum, the area between the scrotum and the anus, that gets worse when you sit
- Pain in the testicles, penis or tip of the penis without an obvious cause
- Rectal pain, or a feeling of pressure “like sitting on a golf ball”
- Pain during or after ejaculation
- Burning or discomfort when you pee, with clear urine tests
- Pain that flares with stress, long days at a desk, or certain workouts
Why the pelvic floor can cause pain
Your pelvic floor is a group of muscles that sits at the base of your pelvis. These muscles support your bladder and bowel, help control urination and bowel movements, and play a role in erections and ejaculation. Like any muscle, they can become tight, overactive or poorly coordinated. When that happens, they can cause pain in places that seem unrelated, and it can feel like something is seriously wrong even when imaging and lab results are normal.
That doesn’t mean the pain is “in your head.” It means the source may be muscular, and muscular problems can often be assessed and treated with physical therapy.
When to see a doctor first
If you have a fever, blood in your urine or semen, or symptoms that started suddenly, see your doctor first. Physical therapy is not a substitute for that evaluation.
How we evaluate pelvic pain
It starts with a free 15-minute call. You tell us what’s going on, and we tell you honestly whether we think we can help.
Your first visit is a 45-minute, one-on-one evaluation. Your physical therapist will:
- Take a detailed history: when it started, what makes it worse, what you’ve already tried
- Look at posture, breathing, hips and lower back, which often affect the pelvic floor
- Assess the pelvic floor muscles for tension, tenderness and coordination
- Explain what they find, in plain language, before you leave
The pelvic floor is a group of muscles that sit inside the pelvis, so the most accurate way to assess and treat them is directly. If it would help, your therapist may suggest an internal exam: one finger, in the rectum, always at your comfort. We explain each step before we do it, check in with you throughout, and you can pause, stop or say no at any time. Most people expect it to be uncomfortable and are surprised by how manageable it is.
What treatment can involve
Every plan is different, but treatment often includes:
- Hands-on work to release tight or tender muscles
- Learning to relax the pelvic floor, not just strengthen it
- Breathing and movement retraining
- A home program you can do in a few minutes a day
- Practical changes to sitting, training or daily habits
The goal isn’t just to release tension for the day. It’s to retrain how your brain and these muscles communicate. When muscles have been guarding for a long time, often without you realizing it, they don’t know how to let go on their own. Hands-on feedback helps your nervous system notice the difference between tension and relaxation, so over time your body can learn to find that relaxed state on its own.
We’ll tell you what we expect after your evaluation, including roughly how many visits make sense before we reassess.
No more guessing. By the end of your first visit, you’ll understand what we think is driving your symptoms and leave with a clear plan for what comes next.
Conditions we evaluate
- Chronic prostatitis / CPPS
- Urinary frequency, urgency and incomplete emptying
- Post-void dribbling
- Leakage after prostate surgery
- Erectile dysfunction
- Premature ejaculation
- Pain during or after ejaculation or sex
- Hard flaccid syndrome
- Testicular and post-vasectomy pain
- Rectal and anal pain
- Constipation
- Fecal leakage or urgency
- Tailbone pain
- Groin and hip pain
- Pudendal neuralgia
Your team
Dr. Adam Gvili, PT, DPT, Founder. Every visit is 45 minutes, one-on-one, with your own physical therapist.
Dr. Joseph Mendoza, PT, DPTPelvic Floor Physical Therapist
Dr. Sam Vargas, PT, DPTPelvic Floor Physical Therapist
Frequently asked questions
No. You can book directly. If you’re already seeing a doctor, let us know who they are. We’ll keep them in the loop, because the best care happens when your whole team is working together.
Often, yes. Most men diagnosed with chronic prostatitis don’t have an infection at all. Their tests come back clean, yet antibiotics are often still prescribed and the pain doesn’t go away. In many of these cases, tight or overactive pelvic floor muscles are part of what’s driving the symptoms. We don’t diagnose prostate conditions, but we can assess whether the muscles are contributing.
Generally, no. Most people are surprised by how comfortable it is. You might notice pressure or some tenderness in tight areas, but we always work within your comfort level. Your therapist checks in with you throughout, and you can pause or stop at any time.
It depends on what’s driving the pain, how long you’ve had it, and your daily routine. We’ll give you an honest picture after your first visit.
We’re an out-of-network practice. We’ll give you a superbill to submit to your insurance for possible reimbursement. A superbill is a medical receipt with procedure codes that shows your insurer what happened during your session. If your insurance needs supporting documentation, we’ll send it promptly. What you get back depends on your plan.
Our practice is built around men’s pelvic health. We also see women. Ask us about it on your free call.
Going deeper: male pelvic pain
Why tests can come back normal
Most standard tests look for infection, inflammation or structural problems. Muscle tension and poor coordination don’t show up on a urine test or most scans, so they can be missed even after a thorough medical workup.
Sitting, desk work and cycling
Long hours of sitting can put pressure on the pelvic floor and the nerves that run through it. Many men notice symptoms are worse after long days at a desk or long rides. Small changes to how and how long you sit can make a difference.
Stress and the pelvic floor
Many people hold tension in their pelvic floor without realizing it, much like clenching the jaw. Stress doesn’t cause every case, but it can make symptoms flare, and learning to relax these muscles is often part of treatment.
When pain, urinary and sexual symptoms overlap
Because the same muscles are involved in urination, bowel movements and sexual function, pelvic pain often comes with other symptoms, such as urgency or pain after ejaculation. Treating the muscles can affect all of them, which is why we look at the full picture. See urinary symptoms and erectile dysfunction.
Not sure where your symptoms fit? See all the conditions we treat.
Talk to a clinician first
Start with a free 15-minute call. Tell us what’s going on and ask anything. No commitment.
Or call (929) 590-3445. Talk to a clinician first. No referral needed.