<?xml version="1.0" encoding="UTF-8" standalone="yes"?><oembed><version><![CDATA[1.0]]></version><provider_name><![CDATA[PSSD LAB]]></provider_name><provider_url><![CDATA[https://pssdlab.wordpress.com]]></provider_url><author_name><![CDATA[ghostpssd]]></author_name><author_url><![CDATA[https://pssdlab.wordpress.com/author/ghostpssd/]]></author_url><title><![CDATA[Physical Therapy Protocol]]></title><type><![CDATA[link]]></type><html><![CDATA[<p>Read the <a href="https://pssdlab.wordpress.com/disclaimer/" target="_blank" rel="noopener">disclaimer</a> before reading further.</p>
<p>&nbsp;</p>
<p>Eventually, this page will be broken into the following sections:</p>
<p>(At the moment, this page is a work in progress)</p>
<p>&nbsp;</p>
<p><strong>Stress-Reduction Techniques</strong></p>
<p><strong>Stretches</strong></p>
<p><strong>Trigger Point Release</strong></p>
<p><strong>Further Reading (<a href="https://www.pegym.com/forums/penile-anomalies-injuries/98227-hans-protocol.html" target="_blank" rel="noopener">Hans Protocol</a>) (<a href="https://www.ncbi.nlm.nih.gov/pubmed/27872005" target="_blank" rel="noopener">Dr. Goldstein Article</a>) (<a href="https://www.ncbi.nlm.nih.gov/pubmed/16952676" target="_blank" rel="noopener">Anderson/Wise Article</a>)</strong></p>
<p><strong>(<a href="https://www.amazon.com/Headache-Pelvis-Revised-Expanded-Updated/dp/0972775552" target="_blank" rel="noopener">A Headache in the Pelvis</a>) (<a href="http://www.chronicprostatitis.com/chronic-prostatitis-is-a-psychoneuromuscular-condition/" target="_blank" rel="noopener">Prostatitis Article</a>)</strong></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<h2 style="text-align:center;"><strong>Stretches</strong></h2>
<p>&nbsp;</p>
<p><span style="text-decoration:underline;"><b>Cat-Camel (20 reps/day)</b></span></p>
<p><b>Setup</b></p>
<ul>
<li>Begin on all fours with your arms directly under your shoulders and knees bent 90 degrees.</li>
</ul>
<p><b>Movement</b></p>
<ul>
<li>Slowly round your back up toward the ceiling, then let it sag down to the floor while looking up, and repeat.</li>
</ul>
<p><b>Tip</b></p>
<ul>
<li>Make sure to use your entire back for the motion and keep your movements slow and controlled.</li>
</ul>
<p>&nbsp;</p>
<p><span style="text-decoration:underline;"><b>Happy Baby Stretch &#8211; Hands on Knees (2 min/day)</b></span><br />
<b><br />
Setup</b></p>
<ul>
<li>Begin lying on your back with your legs bent and feet resting on the ground.</li>
</ul>
<p><b>Movement</b></p>
<ul>
<li>Lift your legs off the ground with your knees bent and hold onto your knees. Let your legs fall outward, relaxing your pelvic floor muscles.</li>
</ul>
<p><b>Tip</b></p>
<ul>
<li>Make sure to continue breathing evenly. This should be a gentle stretch.</li>
</ul>
<p>&nbsp;</p>
<p><span style="text-decoration:underline;"><b>Deep Squat with Pelvic Floor Relaxation (2 min/day)</b></span><br />
<b><br />
Setup</b></p>
<ul>
<li>Begin in a standing upright position with a stable object at your side for support.</li>
</ul>
<p><b>Movement</b></p>
<ul>
<li>Lower yourself into a deep squat position, allowing your pelvic muscles to lengthen and relax. Hold this position and breathe.</li>
<li>Lean your back against a wall, like we did in clinic.</li>
</ul>
<p><b>Tip</b></p>
<ul>
<li>Make sure to breathe evenly throughout the exercise to let yourself relax. Stop the exercise if it worsens your symptoms.</li>
</ul>
<p>&nbsp;</p>
<p><span style="text-decoration:underline;"><b>Ghost Stretch &#8211; Freeing the <a href="https://en.wikipedia.org/wiki/Pudendal_nerve" target="_blank" rel="noopener">Pudendal Nerve</a> (2 min/day)</b></span><br />
<b><br />
Setup</b></p>
<ul>
<li>Sit on a hard chair with your back straight.</li>
</ul>
<p><b>Movement</b></p>
<ul>
<li>Take foot from right leg and rest it on top of the left leg.</li>
<li>Lean forward and hold.</li>
</ul>
<p><b>Tip</b></p>
<ul>
<li>Attempt to keep back straight as you lean forward.</li>
<li>Modified from <a href="https://www.pegym.com/forums/erectile-dysfunction-forum/95176-my-recovery-advice-those-despair.html" target="_blank" rel="noopener">Jinshanmu</a>.</li>
</ul>
<p>&nbsp;</p>
<p>&nbsp;</p>
<h2 style="text-align:center;"><strong>Additional Routines</strong></h2>
<p>&nbsp;</p>
<p><span style="text-decoration:underline;"><strong>Self Release of Urogenital Triangle</strong></span></p>
<ul>
<li>Lying down on your back in a relaxed position use your hands to find your sits bones. This the the bottom of the triangle pelvic floor muscles. The top is located above the penis.</li>
<li>Find different sore spots in this musculature and leave gentle sustained pressure until the discomfort changes. Keep breathing as you do this.</li>
<li>Spend no more than 5 minutes once a day on this.</li>
</ul>
<p><strong><span style="text-decoration:underline;">Diaphragmatic Breathing</span></strong></p>
<ul>
<li>Periodically throughout the day feel your low ribs and belly expand as you inhale. As you inhale, you should feel your pelvic floor expand down.</li>
<li>Passively exhale.</li>
<li>About 2 -5 minutes.</li>
<li>2-3 times a day.</li>
</ul>
<p>&nbsp;</p>
<p><strong><span style="text-decoration:underline;">Pelvic Floor Awareness</span></strong></p>
<ul>
<li>Periodically throughout the day, check in with your pelvic floor muscles. Relax them if you are holding tension in those muscles.</li>
<li>Notice how posture affects your pelvic floor. Stacking your diaphragm over your pelvis (sitting upright) allows for better movement of the pelvic floor throughout that day.</li>
<li>Sometimes, sitting on a towel roll between the sits bones of the pelvis can help improved awareness of contraction v relaxation of pelvic floor muscles.</li>
</ul>
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