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What is Hard Flaccid and How Can Pelvic PT Help?

Hard/Flaccid is a condition within the chronic pelvic pain arena that causes visual, structural, and functional changes to the penis and surrounding structures. This condition is not very well understood or known and commonly misdiagnosed as chronic prostatitis. In this article, we will go over the specifics for this condition, the common symptoms we see, and what you can do about it.


Why is this happening?

Hard/flaccid is thought to be associated with some sort of trauma, whether physical, emotional, etc. While it doesn’t always have to be caused by something like this, we often see patients who have had a history of abuse, physical injuries around the area, or just chronic overuse of associated structures. The important thing to understand is that something is causing an increase in tension, which is limiting how the structures can work.


What are the signs?

The most common signs/symptoms of Hard/Flaccid that we see include the following:

  • The penis is “hard” when flaccid yet “flaccid” when hard.

  • Erectile Dysfunction.

  • Difficulty with initiating urine, urinating after voiding is complete.

  • Pelvic/abdominal/groin pain.

  • Difficulty with ejaculation, ejaculation force is decreased.

  • Changes in sensation/color to the penis.


What Can you do?

Pelvic Health Physical therapy is very effective in treating the root cause of these symptoms. In our experience, the tension is usually coming from structures that surround the pelvis, which need to be released in order to allow things to start working properly again. We utilize techniques such as manual trigger point release, dry needling, cupping, myofascial release, visceral manipulation, and so much more to address the imbalances in the body that are contributing to and often causing these symptoms.


If you or someone you know is experiencing these symptoms, reach out for a consultation to see if pelvic health physical therapy is a good fit!


Blog post written by Dr. Tyler Kornblum, PT, DPT, ATC

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