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Male Perineal Burning Pain

Perineal burning in males can be caused by a variety of factors, and it’s important to consult a medical professional for accurate diagnosis and appropriate treatment. Some potential causes of male perineal burning include:

  • Urinary Tract Infections (UTIs): Infections in the urinary tract, including the bladder or urethra, can cause burning sensations in the perineal area. UTIs are often accompanied by other symptoms like frequent urination, pain or discomfort while urinating, and cloudy or bloody urine.
  • Prostatitis: Inflammation of the prostate gland, known as prostatitis, can lead to pain and discomfort in the perineal region. This condition can be acute or chronic and might cause symptoms such as pain during urination, difficulty urinating, and discomfort in the lower abdomen or back.
  • Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or gonorrhea, can cause burning sensations in the genital area, including the perineum. Other symptoms might include sores, discharge, and itching.
  • Skin Irritations: Skin conditions, such as dermatitis or contact allergies, could cause perineal burning if the skin in that area is irritated. This might be due to contact with irritants or allergens.
  • Nerve Issues: Nerve damage or compression in the lower back or pelvic area could result in burning sensations. Conditions like sciatica or pudendal neuralgia might lead to perineal discomfort.
  • Interstitial Cystitis: Also known as painful bladder syndrome, this condition can cause chronic bladder pain and discomfort, which might radiate to the perineal area.
  • Trauma or Injury: Physical injury or trauma to the perineum could cause localized burning sensations. This might result from accidents, sports injuries, or surgical procedures in the pelvic region.
  • Muscle Tension: Tight or tense pelvic floor muscles can cause discomfort and burning sensations in the perineum. This might be linked to conditions like pelvic floor dysfunction.


Pelvic floor physical therapy can be a helpful approach for addressing perineal burning and discomfort in males, especially if the cause is related to muscle tension, inflammation, or other pelvic floor issues.. A trained pelvic floor physical therapist can work with you to assess your condition, develop a personalized treatment plan, and guide you through exercises and techniques to alleviate your symptoms. Here’s how pelvic floor physical therapy might be beneficial:

  • Assessment: A pelvic floor physical therapist will perform a thorough assessment to understand the underlying causes of your perineal burning. This might involve discussing your medical history, symptoms, and performing a physical examination to evaluate the condition of your pelvic floor muscles and surrounding structures.
  • Muscle Relaxation Techniques: If muscle tension is contributing to your symptoms, your therapist can teach you relaxation techniques to help release tension in the pelvic floor muscles. This can be especially helpful if the burning sensation is caused by muscle spasms or tightness.
  • Stretching and Strengthening Exercises: Depending on your condition, your therapist may guide you through specific stretching and strengthening exercises to improve the flexibility and strength of the pelvic floor muscles. These exercises can help address imbalances and relieve discomfort.
  • Posture and Body Mechanics: Your therapist may provide guidance on proper posture and body mechanics to prevent exacerbating your symptoms. This can involve recommendations for sitting, standing, and moving in ways that reduce strain on the pelvic area.
  • Education: Pelvic floor physical therapy often includes education about the anatomy of the pelvic region, the role of the pelvic floor muscles, and lifestyle changes that might contribute to your symptoms. This knowledge can empower you to make informed decisions about your health.
  • Manual Therapy: Most pelvic floor physical therapists use hands-on techniques to release muscle tension, improve circulation, and promote healing in the pelvic area.This can include various forms of soft tissue manipulation and release, joint manipulation, Visceral mobilization, among others.


Magic City Physical Therapy has physical therapists highly trained to treat male pelvic floor dysfunction and could play a role in decreasing your perineal discomfort. If you’ve experienced this pain, call us today!


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