- Have you been experiencing pain in your pelvis or lower abdomen for a long time? Or do you have pain in a 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?
- Did your (pain) symptoms arise after you had surgery in your lower abdomen?
- 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 manage to determine 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
- Pain in the upper abdomen
- Abdominal pain
- Pain in the groin
- Low back pain that keeps returning despite treatment. Often at the level of the dimples in the lower back
- Pain after lying 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
- Pain after standing in a position for a long time
- Breech pain
- Pain in the testes
- Pain after exercising back and abdominal muscles
- Pain in the vas deferens
- Pain when sitting
- Pain after sitting in one position for a long time
- Pain exacerbated by stress and or anxiety
- Restless legs
Bladder, urination, urine leakage
- Bladder inflammation feeling without having a bladder infection
- Recurrent bladder infections
- Constant pressure sensation on the bladder
- Pain in the lower abdomen at the level of the bladder
- Abdominal pain
- Pain on urination
- Spraying sometimes interrupted jet with urination
- Difficulty holding up urine
- Having difficulty getting urine going
- Having to urinate very often, usually just a little at a time
- Feeling unable to empty properly
- Long dripping when urinating
- Pain at the outlet of the urethra
- Urinary leakage upon urge, sneezing, laughing, startling or unexpected movements
Bowels, defecation, defecation
- Hemorrhoids
- Painful tears (fissures) at the anus
- Anus cramp
- Pain between scrotum and anus
- Abdominal pain
- Feeling like there is a golf ball in the intestine
- Increase in urge for defecation
- Difficulty holding up stools
- Defecation: difficulty emptying the bowels or constipation
- Feeling like stool is left in the intestine
- Pain during defecation
- Spastic bowel
Free
- Premature ejaculation
- More difficulty reaching orgasm
- Altered sensation during orgasm
- Pain during or after orgasm
- Pain in the vas deferens
- Pain in certain positions during lovemaking
Other
- Depressed feelings (caused by the symptoms)
- Fatigue or lethargy (caused by the symptoms)
- Poor sleep (caused by the symptoms)
- Difficulty standing on one leg
- Stress
POSSIBLE CAUSES
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 your pelvic floor muscles may shorten, making them tense all the time. This can also happen if you suffer from a lot of stress and therefore unwittingly tighten your muscles. When muscles cramp, 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 cramped. This can lead to pain during movement or at rest.
A too strong or too weak muscle can also put pressure on a nerve. Such an irritated nerve, or the muscle itself, can influence the function of the bladder or the bowels. And pain during intercourse may be due to excessive tension of the muscles in and around the pelvis.
When a muscle is cramped, 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 hip, 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. A small change in your body can already lead to (pain) symptoms. And it may well be that those symptoms only appear a long time after the fall or accident.
Learn more after a fall or accident This is what we can do for you
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).
Read more about irritated nerves Here's what we can do for you
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
Learn more
We almost always manage to determine
determine where the pain and
discomfort are coming from.
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