Hard Flacid treatment

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note: A cleaned up version of this post is found later in this thread, here:

https://www.pegym.com/forums/penile...5390-hard-flacid-treatment-2.html#post1639382
This I found on reddit and it seems to be from a sufferer and to be honest it is extreamly similar to what can be found already onsite . However I think it is a good compilation . The author who signs it at the end has done a good job pulling together current thought on treatment .
Quote
17
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Posted byu/Mudkip98

7 months ago


[COLOR=var(--newCommunityTheme-metaText)]https://www.redditstatic.com/gold/aw...latinum_32.png


[/COLOR]
[COLOR=var(--posttitletextcolor)]Hard Flaccid Recovery



https://www.redditstatic.com/desktop...imingPixel.png
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So I created this subreddit because there is very little information online about hard flaccid, and pretty much nowhere for sufferers to gather and receive support. If you've found yourself here, then I'm sorry to hear that. You're probably very terrified that you'll never get better. Thankfully, this isn't the case, hard flaccid is curable, and it is completely possible for you to lead a life without it, and become a healthier person as a result.


What is hard flaccid?
Common symptoms include:


  • Penis is hard and contracted while flaccid, with a rubbery like sensation instead of the usual spongy
  • Trouble maintaining erection
  • Loss of morning erections
  • Loss of sensitivity in penis
  • Penis remaining in semi-erect state
  • Changes to penis shape
  • Penis head doesn't fill properly during an erection
  • Pain during erection
  • Premature ejaculation
  • Dull ache in the perineum area
  • Swelling in the perineum area, notably during erections
  • Spasms in the perineum area/anus
  • Trouble urinating, or frequent need to urinate
  • Constipation, trouble during bowel movements
  • Prominent veins in the penis that were not there before
  • Coldness of the penis head and scrotum
  • Shrivelled scrotum even in warm temperatures

What cause hard flaccid?
Unfortunately hard flaccid is a condition that is greatly under-researched. Therefore little is known about why the condition occurs. However, it almost certain that it is due to a dysfunctional pelvic floor. This means you can take a sigh of relief because there is actually nothing wrong with your penis. Dysfunction in the pelvic floor can result in the blood supply to the penis and scrotum being affected, and as a result blood does not enter/ exit the penis properly resulting in symptoms such as hardness, change of shape, and erectile dysfunction. The nerves in the penis and pelvic floor are irritated resulting in a changes to the penis tissue. The dysfunction in the pelvic floor is due to it not being able to relax properly, and is in a constant state of spasm which can lead to swelling and hardness of the perineum anal tissue.


Why is the pelvic floor dysfunctional?
The hard flaccid community has been divided into three primary known causes:




  • Trauma to the penis and pelvic region from unhealthy masturbation/ sexual habits

This is more common among younger sufferers. A common example is when individuals masturbate for long periods of time (edge) while contracting the pelvic floor muscles. This results in a build up of tension in the PF, and causes it to lose the ability to relax properly and enters a state of contraction/ spasm.
2. Build up of tension in muscles/ fascia throughout the body
This is more common in older men, and is often accompanied by pains elsewhere in the body e.g. back, legs, neck, chest and most notably chronic pelvic pains (CPP). It is effectively like any other muscle issue where there is an imbalance in the body's muscle/ fascia resulting in tightness and tension in the pelvic floor causing dysfunction. It can be caused by bad posture habits, injuries or general years of muscle tightness
3. Stress or anxiety
HF is often a cause of stress / anxiety due to tension build up in the pelvic floor. As people experience stress, tension occurs in muscles throughout the body including the pelvic floor. HF may flare up only during stressful periods and may disappear during easier times, but for many it can become a constant thing.


What can you do about it?
The first step is to get to understand why you have hard flaccid. Learn as much as you can about the condition. There is limited information available online, but below are some great recourses:
https://drsusieg.com/podcast/hard-flaccid (podcast featuring Gerard Greene- expert in HF and male pelvic floor)
https://www.urologynews.uk.com/featu...accid-syndrome
https://www.harbornephysio.co.uk/bir...=detail&bId=47
https://hardflaccid.co/pages/what-is-hardflaccid
https://medium.com/@anonymous2016/i-...me-da4502b3a77
Books:
'A headache in the pelvis' by David Wise and Rodney Anderson. (This book was a breakthrough in understanding male pelvic pain)


Once you feel you have a better understanding of the condition, and perhaps have an idea as to why you may be suffering these are some good next steps to take:




  • Book an appointment with a physio or pelvic floor physio

-This will help identify any root causes that may be affecting the issue, and will help create a recovery programme to fix these issues
- If you happen to be in the UK, Gerard Greene at Harborne physiotherapy clinic in Birmingham is probably a world expert in the subject, and is very experienced in the issue where as many physios most likely won't have encountered it before


2. Book a doctor's appointment
- Don't expect too much from a doctor, they most likely won't have encountered the issue and may think you are being a hypochondriac, but it is important to be examined to rule out any other possible issues
- Get a referral for an abdomen and penile ultrasound scan. These may not show anything but it is good to rule out any other factors
- Get a referral to see a urologist. They may also may not have heard of the condition and may test you for other things, but again, it's far better to be safe than sorry


3. Relieving stress and anxiety
Stress is a common cause for HF, and often makes it worse. Unfortunately, HF will inevitably cause a lot of stress, making it worse. It is important not to panic, and to keep in mind that you can and WILL recover. If you are going through a difficult time in your life, as we all do, consider giving therapy a go.
Meditation is also a great way to relieve stress and put you in a better mindset. If you're new to the subject, then I highly suggest Headspace as a great place to begin your journey with meditation
https://www.headspace.com


4. Pelvic floor relaxation and reverse kegels
Pelvic floor relaxation is very important in the recovery from HF. Learning to relax the PF, and normalise the relaxed state instead of it being in a constant state of contraction is really important. Breath work is the most important tool in achieving this. Spend 5-10 minutes (twice a day) lying down and focussing on abdominal breathing. Feel your pelvic floor expand and relax as you do so. I recommend the video below as an example. Abdominal breathing throughout the day is not only great for the pelvic floor, but also helps release tension in your organs and is generally a much healthier way to breathe.
https://www.youtube.com/watch?v=s10veqXlADo
https://www.healthline.com/health/di...atic-breathing
Reverse kegelling is also very important. HF is often caused by the over contraction of the PF muscles. Reverse kegels are the opposite of this where you push out instead of contracting. Here's some more info:
https://www.risingmaster.com/reverse-kegels/


5. Pelvic floor yoga and stretching
Also really helpful in relaxing the pelvic floor and stretching the muscles and in doing so, releasing tension. Here's some great videos:
https://www.youtube.com/watch?v=ntP8eQY74Cw&t=1603s
https://www.youtube.com/watch?v=KQdN000kpqM


6. Therawand
The therawand is a physiotherapy massage tool that is designed to release pelvic floor tension through direct pressure to the muscles. It has been highly regarded as a necessity for HF recovery from those who have the condition as a result of stress or pelvic floor trauma.
https://www.harbornephysio.co.uk/bir...=detail&bId=47
This testimonial talks about the use of the wand and how it helped him.
https://www.thepelvicpainclinic.co.u...pps-therawand/
Some more info.
I would consult a pelvic floor expert before using one, and would definitely focus on pelvic floor relaxation and stretches for a wile prior to using one.


7. Nofap
For many people, porn addiction is a serious problem, and may be an indirect cause of HF. It can result in excessive masturbation for prolonged periods of time. Nofap is a great tool to recover from porn addiction and recondition the mind to reset to its natural state. The r/NoFap community of reddit is a great place to begin your life without porn, and receive support from fellow people with a determination for a healthy and positive life


7. Fascial stretching
For those who identified themselves as number 2 in the "why is the pelvic floor dysfunctional?' section, it is possible that fascia is the main cause of the blame for your CPP and HF. Standard pelvic floor yoga and relaxation exersises may not be enough, and you may require stretching that focusses on fascial release.
What is fascia you ask?
https://deeprecovery.com/understanding-fascia/
A great place to start with understanding fascia and its link to CPP and HF is Greg HF's youtube channel. He was a long time sufferer of hard flaccid, and has since made a full recovery using the DCT programme. I would definitely go through his vids, but bear in mind that his issues have come from fascial issues and so he can be dismissive about techniques that that tend to help HF caused more by penile trauma e.g. therawands and relaxation exercises.
Greg HF: https://www.youtube.com/channel/UCy2...EC9xQ/featured
The DCT programme is greatly recommended by long time fufferers of hard flaccid. And focusses on retraining the fascia and in turn fixing HF. I don't know much about it, but here's the website
https://freedomfrompelvicpain.com/hard-flaccid


8. Massages
This includes gentle massage t perineum area, as well as to scrotum and penis in order to release tension and normalise blood flow. Going for a professional massage will also release tension in tight areas that could be contributing to HF. I would leave the happy ending until after you've made a full recovery......


9. Diet, Exercise and sleep
a healthy diet, regular exercise and a good sleeping schedule are recommended for most health issues, but it is a very important part of recovering from HF. Not only are they very important in keeping your body strong and healthy, but put you in a much better headspace for a positive mindset and motivation to beat HF for good. Some exercise forms can induce HF e.g. running as it can induce the contraction of the pelvic floor, and can trigger the symptoms. However, it is recommended that you should not give up exercise, but instead adapt in order to not push your pelvic floor too much. Also alcohol is known to make the symptoms much worse as it is an inflammatory, and it is recommended that one should take a break from alcohol consumption until they have recovered all together.


I really hope this helps. Not to toot my own horn or anything but I wish there was a post like this available to me when the condition first started for me. It is basically everything I have learned during my time with Hard Flaccid. I can safely say that I am greatly on the way to being free of Hard Flaccid. The biggest factor is motivation and determination, and keeping in mind that this is a condition tat can be recovered from. Keep calm, stay focussed and good luck friends!
- Mudkip98 (moderator)


17
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Posted byu/Mudkip98

7 months ago


[COLOR=var(--newCommunityTheme-metaText)]https://www.redditstatic.com/gold/aw...latinum_32.png


[/COLOR]
[COLOR=var(--posttitletextcolor)]Hard Flaccid Recovery



https://
17
[COLOR=var(--newCommunityTheme-actionIcon)]

[/COLOR]
Posted byu/Mudkip98

7 months ago


[COLOR=var(--newCommunityTheme-metaText)]https://www.redditstatic.com/gold/aw...latinum_32.png


[/COLOR]
[COLOR=var(--posttitletextcolor)]Hard Flaccid Recovery



https://www.redditstatic.com/desktop...imingPixel.png
[/COLOR]
So I created this subreddit because there is very little information online about hard flaccid, and pretty much nowhere for sufferers to gather and receive support. If you've found yourself here, then I'm sorry to hear that. You're probably very terrified that you'll never get better. Thankfully, this isn't the case, hard flaccid is curable, and it is completely possible for you to lead a life without it, and become a healthier person as a result.


What is hard flaccid?
Common symptoms include:


  • Penis is hard and contracted while flaccid, with a rubbery like sensation instead of the usual spongy
  • Trouble maintaining erection
  • Loss of morning erections
  • Loss of sensitivity in penis
  • Penis remaining in semi-erect state
  • Changes to penis shape
  • Penis head doesn't fill properly during an erection
  • Pain during erection
  • Premature ejaculation
  • Dull ache in the perineum area
  • Swelling in the perineum area, notably during erections
  • Spasms in the perineum area/anus
  • Trouble urinating, or frequent need to urinate
  • Constipation, trouble during bowel movements
  • Prominent veins in the penis that were not there before
  • Coldness of the penis head and scrotum
  • Shrivelled scrotum even in warm temperatures

What cause hard flaccid?
Unfortunately hard flaccid is a condition that is greatly under-researched. Therefore little is known about why the condition occurs. However, it almost certain that it is due to a dysfunctional pelvic floor. This means you can take a sigh of relief because there is actually nothing wrong with your penis. Dysfunction in the pelvic floor can result in the blood supply to the penis and scrotum being affected, and as a result blood does not enter/ exit the penis properly resulting in symptoms such as hardness, change of shape, and erectile dysfunction. The nerves in the penis and pelvic floor are irritated resulting in a changes to the penis tissue. The dysfunction in the pelvic floor is due to it not being able to relax properly, and is in a constant state of spasm which can lead to swelling and hardness of the perineum anal tissue.


Why is the pelvic floor dysfunctional?
The hard flaccid community has been divided into three primary known causes:




  • Trauma to the penis and pelvic region from unhealthy masturbation/ sexual habits

This is more common among younger sufferers. A common example is when individuals masturbate for long periods of time (edge) while contracting the pelvic floor muscles. This results in a build up of tension in the PF, and causes it to lose the ability to relax properly and enters a state of contraction/ spasm.
2. Build up of tension in muscles/ fascia throughout the body
This is more common in older men, and is often accompanied by pains elsewhere in the body e.g. back, legs, neck, chest and most notably chronic pelvic pains (CPP). It is effectively like any other muscle issue where there is an imbalance in the body's muscle/ fascia resulting in tightness and tension in the pelvic floor causing dysfunction. It can be caused by bad posture habits, injuries or general years of muscle tightness
3. Stress or anxiety
HF is often a cause of stress / anxiety due to tension build up in the pelvic floor. As people experience stress, tension occurs in muscles throughout the body including the pelvic floor. HF may flare up only during stressful periods and may disappear during easier times, but for many it can become a constant thing.


What can you do about it?
The first step is to get to understand why you have hard flaccid. Learn as much as you can about the condition. There is limited information available online, but below are some great recourses:
https://drsusieg.com/podcast/hard-flaccid (podcast featuring Gerard Greene- expert in HF and male pelvic floor)
https://www.urologynews.uk.com/featu...accid-syndrome
https://www.harbornephysio.co.uk/bir...=detail&bId=47
https://hardflaccid.co/pages/what-is-hardflaccid
https://medium.com/@anonymous2016/i-...me-da4502b3a77
Books:
'A headache in the pelvis' by David Wise and Rodney Anderson. (This book was a breakthrough in understanding male pelvic pain)


Once you feel you have a better understanding of the condition, and perhaps have an idea as to why you may be suffering these are some good next steps to take:




  • Book an appointment with a physio or pelvic floor physio

-This will help identify any root causes that may be affecting the issue, and will help create a recovery programme to fix these issues
- If you happen to be in the UK, Gerard Greene at Harborne physiotherapy clinic in Birmingham is probably a world expert in the subject, and is very experienced in the issue where as many physios most likely won't have encountered it before


2. Book a doctor's appointment
- Don't expect too much from a doctor, they most likely won't have encountered the issue and may think you are being a hypochondriac, but it is important to be examined to rule out any other possible issues
- Get a referral for an abdomen and penile ultrasound scan. These may not show anything but it is good to rule out any other factors
- Get a referral to see a urologist. They may also may not have heard of the condition and may test you for other things, but again, it's far better to be safe than sorry


3. Relieving stress and anxiety
Stress is a common cause for HF, and often makes it worse. Unfortunately, HF will inevitably cause a lot of stress, making it worse. It is important not to panic, and to keep in mind that you can and WILL recover. If you are going through a difficult time in your life, as we all do, consider giving therapy a go.
Meditation is also a great way to relieve stress and put you in a better mindset. If you're new to the subject, then I highly suggest Headspace as a great place to begin your journey with meditation
https://www.headspace.com


4. Pelvic floor relaxation and reverse kegels
Pelvic floor relaxation is very important in the recovery from HF. Learning to relax the PF, and normalise the relaxed state instead of it being in a constant state of contraction is really important. Breath work is the most important tool in achieving this. Spend 5-10 minutes (twice a day) lying down and focussing on abdominal breathing. Feel your pelvic floor expand and relax as you do so. I recommend the video below as an example. Abdominal breathing throughout the day is not only great for the pelvic floor, but also helps release tension in your organs and is generally a much healthier way to breathe.
https://www.youtube.com/watch?v=s10veqXlADo
https://www.healthline.com/health/di...atic-breathing
Reverse kegelling is also very important. HF is often caused by the over contraction of the PF muscles. Reverse kegels are the opposite of this where you push out instead of contracting. Here's some more info:
https://www.risingmaster.com/reverse-kegels/


5. Pelvic floor yoga and stretching
Also really helpful in relaxing the pelvic floor and stretching the muscles and in doing so, releasing tension. Here's some great videos:
https://www.youtube.com/watch?v=ntP8eQY74Cw&t=1603s
https://www.youtube.com/watch?v=KQdN000kpqM


6. Therawand
The therawand is a physiotherapy massage tool that is designed to release pelvic floor tension through direct pressure to the muscles. It has been highly regarded as a necessity for HF recovery from those who have the condition as a result of stress or pelvic floor trauma.
https://www.harbornephysio.co.uk/bir...=detail&bId=47
This testimonial talks about the use of the wand and how it helped him.
https://www.thepelvicpainclinic.co.u...pps-therawand/
Some more info.
I would consult a pelvic floor expert before using one, and would definitely focus on pelvic floor relaxation and stretches for a wile prior to using one.


7. Nofap
For many people, porn addiction is a serious problem, and may be an indirect cause of HF. It can result in excessive masturbation for prolonged periods of time. Nofap is a great tool to recover from porn addiction and recondition the mind to reset to its natural state. The r/NoFap community of reddit is a great place to begin your life without porn, and receive support from fellow people with a determination for a healthy and positive life


7. Fascial stretching
For those who identified themselves as number 2 in the "why is the pelvic floor dysfunctional?' section, it is possible that fascia is the main cause of the blame for your CPP and HF. Standard pelvic floor yoga and relaxation exersises may not be enough, and you may require stretching that focusses on fascial release.
What is fascia you ask?
https://deeprecovery.com/understanding-fascia/
A great place to start with understanding fascia and its link to CPP and HF is Greg HF's youtube channel. He was a long time sufferer of hard flaccid, and has since made a full recovery using the DCT programme. I would definitely go through his vids, but bear in mind that his issues have come from fascial issues and so he can be dismissive about techniques that that tend to help HF caused more by penile trauma e.g. therawands and relaxation exercises.
Greg HF: https://www.youtube.com/channel/UCy2...EC9xQ/featured
The DCT programme is greatly recommended by long time fufferers of hard flaccid. And focusses on retraining the fascia and in turn fixing HF. I don't know much about it, but here's the website
https://freedomfrompelvicpain.com/hard-flaccid


8. Massages
This includes gentle massage t perineum area, as well as to scrotum and penis in order to release tension and normalise blood flow. Going for a professional massage will also release tension in tight areas that could be contributing to HF. I would leave the happy ending until after you've made a full recovery......


9. Diet, Exercise and sleep
a healthy diet, regular exercise and a good sleeping schedule are recommended for most health issues, but it is a very important part of recovering from HF. Not only are they very important in keeping your body strong and healthy, but put you in a much better headspace for a positive mindset and motivation to beat HF for good. Some exercise forms can induce HF e.g. running as it can induce the contraction of the pelvic floor, and can trigger the symptoms. However, it is recommended that you should not give up exercise, but instead adapt in order to not push your pelvic floor too much. Also alcohol is known to make the symptoms much worse as it is an inflammatory, and it is recommended that one should take a break from alcohol consumption until they have recovered all together.


I really hope this helps. Not to toot my own horn or anything but I wish there was a post like this available to me when the condition first started for me. It is basically everything I have learned during my time with Hard Flaccid. I can safely say that I am greatly on the way to being free of Hard Flaccid. The biggest factor is motivation and determination, and keeping in mind that this is a condition tat can be recovered from. Keep calm, stay focussed and good luck friends!
- Mudkip98 (moderator)


17
[COLOR=var(--newCommunityTheme-actionIcon)]

[/COLOR]
Posted byu/Mudkip98

7 months ago


[COLOR=var(--newCommunityTheme-metaText)]https://www.redditstatic.com/gold/aw...latinum_32.png


[/COLOR]
[COLOR=var(--posttitletextcolor)]Hard Flaccid Recovery



https://www.redditstatic.com/desktop...imingPixel.png
[/COLOR]
So I created this subreddit because there is very little information online about hard flaccid, and pretty much nowhere for sufferers to gather and receive support. If you've found yourself here, then I'm sorry to hear that. You're probably very terrified that you'll never get better. Thankfully, this isn't the case, hard flaccid is curable, and it is completely possible for you to lead a life without it, and become a healthier person as a result.


What is hard flaccid?
Common symptoms include:


  • Penis is hard and contracted while flaccid, with a rubbery like sensation instead of the usual spongy
  • Trouble maintaining erection
  • Loss of morning erections
  • Loss of sensitivity in penis
  • Penis remaining in semi-erect state
  • Changes to penis shape
  • Penis head doesn't fill properly during an erection
  • Pain during erection
  • Premature ejaculation
  • Dull ache in the perineum area
  • Swelling in the perineum area, notably during erections
  • Spasms in the perineum area/anus
  • Trouble urinating, or frequent need to urinate
  • Constipation, trouble during bowel movements
  • Prominent veins in the penis that were not there before
  • Coldness of the penis head and scrotum
  • Shrivelled scrotum even in warm temperatures

What cause hard flaccid?
Unfortunately hard flaccid is a condition that is greatly under-researched. Therefore little is known about why the condition occurs. However, it almost certain that it is due to a dysfunctional pelvic floor. This means you can take a sigh of relief because there is actually nothing wrong with your penis. Dysfunction in the pelvic floor can result in the blood supply to the penis and scrotum being affected, and as a result blood does not enter/ exit the penis properly resulting in symptoms such as hardness, change of shape, and erectile dysfunction. The nerves in the penis and pelvic floor are irritated resulting in a changes to the penis tissue. The dysfunction in the pelvic floor is due to it not being able to relax properly, and is in a constant state of spasm which can lead to swelling and hardness of the perineum anal tissue.


Why is the pelvic floor dysfunctional?
The hard flaccid community has been divided into three primary known causes:




  • Trauma to the penis and pelvic region from unhealthy masturbation/ sexual habits

This is more common among younger sufferers. A common example is when individuals masturbate for long periods of time (edge) while contracting the pelvic floor muscles. This results in a build up of tension in the PF, and causes it to lose the ability to relax properly and enters a state of contraction/ spasm.
2. Build up of tension in muscles/ fascia throughout the body
This is more common in older men, and is often accompanied by pains elsewhere in the body e.g. back, legs, neck, chest and most notably chronic pelvic pains (CPP). It is effectively like any other muscle issue where there is an imbalance in the body's muscle/ fascia resulting in tightness and tension in the pelvic floor causing dysfunction. It can be caused by bad posture habits, injuries or general years of muscle tightness
3. Stress or anxiety
HF is often a cause of stress / anxiety due to tension build up in the pelvic floor. As people experience stress, tension occurs in muscles throughout the body including the pelvic floor. HF may flare up only during stressful periods and may disappear during easier times, but for many it can become a constant thing.


What can you do about it?
The first step is to get to understand why you have hard flaccid. Learn as much as you can about the condition. There is limited information available online, but below are some great recourses:
https://drsusieg.com/podcast/hard-flaccid (podcast featuring Gerard Greene- expert in HF and male pelvic floor)
https://www.urologynews.uk.com/featu...accid-syndrome
https://www.harbornephysio.co.uk/bir...=detail&bId=47
https://hardflaccid.co/pages/what-is-hardflaccid
https://medium.com/@anonymous2016/i-...me-da4502b3a77
Books:
'A headache in the pelvis' by David Wise and Rodney Anderson. (This book was a breakthrough in understanding male pelvic pain)


Once you feel you have a better understanding of the condition, and perhaps have an idea as to why you may be suffering these are some good next steps to take:




  • Book an appointment with a physio or pelvic floor physio

-This will help identify any root causes that may be affecting the issue, and will help create a recovery programme to fix these issues
- If you happen to be in the UK, Gerard Greene at Harborne physiotherapy clinic in Birmingham is probably a world expert in the subject, and is very experienced in the issue where as many physios most likely won't have encountered it before


2. Book a doctor's appointment
- Don't expect too much from a doctor, they most likely won't have encountered the issue and may think you are being a hypochondriac, but it is important to be examined to rule out any other possible issues
- Get a referral for an abdomen and penile ultrasound scan. These may not show anything but it is good to rule out any other factors
- Get a referral to see a urologist. They may also may not have heard of the condition and may test you for other things, but again, it's far better to be safe than sorry


3. Relieving stress and anxiety
Stress is a common cause for HF, and often makes it worse. Unfortunately, HF will inevitably cause a lot of stress, making it worse. It is important not to panic, and to keep in mind that you can and WILL recover. If you are going through a difficult time in your life, as we all do, consider giving therapy a go.
Meditation is also a great way to relieve stress and put you in a better mindset. If you're new to the subject, then I highly suggest Headspace as a great place to begin your journey with meditation
https://www.headspace.com


4. Pelvic floor relaxation and reverse kegels
Pelvic floor relaxation is very important in the recovery from HF. Learning to relax the PF, and normalise the relaxed state instead of it being in a constant state of contraction is really important. Breath work is the most important tool in achieving this. Spend 5-10 minutes (twice a day) lying down and focussing on abdominal breathing. Feel your pelvic floor expand and relax as you do so. I recommend the video below as an example. Abdominal breathing throughout the day is not only great for the pelvic floor, but also helps release tension in your organs and is generally a much healthier way to breathe.
https://www.youtube.com/watch?v=s10veqXlADo
https://www.healthline.com/health/di...atic-breathing
Reverse kegelling is also very important. HF is often caused by the over contraction of the PF muscles. Reverse kegels are the opposite of this where you push out instead of contracting. Here's some more info:
https://www.risingmaster.com/reverse-kegels/


5. Pelvic floor yoga and stretching
Also really helpful in relaxing the pelvic floor and stretching the muscles and in doing so, releasing tension. Here's some great videos:
https://www.youtube.com/watch?v=ntP8eQY74Cw&t=1603s
https://www.youtube.com/watch?v=KQdN000kpqM


6. Therawand
The therawand is a physiotherapy massage tool that is designed to release pelvic floor tension through direct pressure to the muscles. It has been highly regarded as a necessity for HF recovery from those who have the condition as a result of stress or pelvic floor trauma.
https://www.harbornephysio.co.uk/bir...=detail&bId=47
This testimonial talks about the use of the wand and how it helped him.
https://www.thepelvicpainclinic.co.u...pps-therawand/
Some more info.
I would consult a pelvic floor expert before using one, and would definitely focus on pelvic floor relaxation and stretches for a wile prior to using one.


7. Nofap
For many people, porn addiction is a serious problem, and may be an indirect cause of HF. It can result in excessive masturbation for prolonged periods of time. Nofap is a great tool to recover from porn addiction and recondition the mind to reset to its natural state. The r/NoFap community of reddit is a great place to begin your life without porn, and receive support from fellow people with a determination for a healthy and positive life


7. Fascial stretching
For those who identified themselves as number 2 in the "why is the pelvic floor dysfunctional?' section, it is possible that fascia is the main cause of the blame for your CPP and HF. Standard pelvic floor yoga and relaxation exersises may not be enough, and you may require stretching that focusses on fascial release.
What is fascia you ask?
https://deeprecovery.com/understanding-fascia/
A great place to start with understanding fascia and its link to CPP and HF is Greg HF's youtube channel. He was a long time sufferer of hard flaccid, and has since made a full recovery using the DCT programme. I would definitely go through his vids, but bear in mind that his issues have come from fascial issues and so he can be dismissive about techniques that that tend to help HF caused more by penile trauma e.g. therawands and relaxation exercises.
Greg HF: https://www.youtube.com/channel/UCy2...EC9xQ/featured
The DCT programme is greatly recommended by long time fufferers of hard flaccid. And focusses on retraining the fascia and in turn fixing HF. I don't know much about it, but here's the website
https://freedomfrompelvicpain.com/hard-flaccid


8. Massages
This includes gentle massage t perineum area, as well as to scrotum and penis in order to release tension and normalise blood flow. Going for a professional massage will also release tension in tight areas that could be contributing to HF. I would leave the happy ending until after you've made a full recovery......


9. Diet, Exercise and sleep
a healthy diet, regular exercise and a good sleeping schedule are recommended for most health issues, but it is a very important part of recovering from HF. Not only are they very important in keeping your body strong and healthy, but put you in a much better headspace for a positive mindset and motivation to beat HF for good. Some exercise forms can induce HF e.g. running as it can induce the contraction of the pelvic floor, and can trigger the symptoms. However, it is recommended that you should not give up exercise, but instead adapt in order to not push your pelvic floor too much. Also alcohol is known to make the symptoms much worse as it is an inflammatory, and it is recommended that one should take a break from alcohol consumption until they have recovered all together.


I really hope this helps. Not to toot my own horn or anything but I wish there was a post like this available to me when the condition first started for me. It is basically everything I have learned during my time with Hard Flaccid. I can safely say that I am greatly on the way to being free of Hard Flaccid. The biggest factor is motivation and determination, and keeping in mind that this is a condition tat can be recovered from. Keep calm, stay focussed and good luck friends!
- Mudkip98 (moderator)
www.redditstatic.com/desktop...imingPixel.png
[/COLOR]
So I created this subreddit because there is very little information online about hard flaccid, and pretty much nowhere for sufferers to gather and receive support. If you've found yourself here, then I'm sorry to hear that. You're probably very terrified that you'll never get better. Thankfully, this isn't the case, hard flaccid is curable, and it is completely possible for you to lead a life without it, and become a healthier person as a result.


What is hard flaccid?
Common symptoms include:


  • Penis is hard and contracted while flaccid, with a rubbery like sensation instead of the usual spongy
  • Trouble maintaining erection
  • Loss of morning erections
  • Loss of sensitivity in penis
  • Penis remaining in semi-erect state
  • Changes to penis shape
  • Penis head doesn't fill properly during an erection
  • Pain during erection
  • Premature ejaculation
  • Dull ache in the perineum area
  • Swelling in the perineum area, notably during erections
  • Spasms in the perineum area/anus
  • Trouble urinating, or frequent need to urinate
  • Constipation, trouble during bowel movements
  • Prominent veins in the penis that were not there before
  • Coldness of the penis head and scrotum
  • Shrivelled scrotum even in warm temperatures

What cause hard flaccid?
Unfortunately hard flaccid is a condition that is greatly under-researched. Therefore little is known about why the condition occurs. However, it almost certain that it is due to a dysfunctional pelvic floor. This means you can take a sigh of relief because there is actually nothing wrong with your penis. Dysfunction in the pelvic floor can result in the blood supply to the penis and scrotum being affected, and as a result blood does not enter/ exit the penis properly resulting in symptoms such as hardness, change of shape, and erectile dysfunction. The nerves in the penis and pelvic floor are irritated resulting in a changes to the penis tissue. The dysfunction in the pelvic floor is due to it not being able to relax properly, and is in a constant state of spasm which can lead to swelling and hardness of the perineum anal tissue.


Why is the pelvic floor dysfunctional?
The hard flaccid community has been divided into three primary known causes:




  • Trauma to the penis and pelvic region from unhealthy masturbation/ sexual habits

This is more common among younger sufferers. A common example is when individuals masturbate for long periods of time (edge) while contracting the pelvic floor muscles. This results in a build up of tension in the PF, and causes it to lose the ability to relax properly and enters a state of contraction/ spasm.
2. Build up of tension in muscles/ fascia throughout the body
This is more common in older men, and is often accompanied by pains elsewhere in the body e.g. back, legs, neck, chest and most notably chronic pelvic pains (CPP). It is effectively like any other muscle issue where there is an imbalance in the body's muscle/ fascia resulting in tightness and tension in the pelvic floor causing dysfunction. It can be caused by bad posture habits, injuries or general years of muscle tightness
3. Stress or anxiety
HF is often a cause of stress / anxiety due to tension build up in the pelvic floor. As people experience stress, tension occurs in muscles throughout the body including the pelvic floor. HF may flare up only during stressful periods and may disappear during easier times, but for many it can become a constant thing.


What can you do about it?
The first step is to get to understand why you have hard flaccid. Learn as much as you can about the condition. There is limited information available online, but below are some great recourses:
https://drsusieg.com/podcast/hard-flaccid (podcast featuring Gerard Greene- expert in HF and male pelvic floor)
https://www.urologynews.uk.com/featu...accid-syndrome
https://www.harbornephysio.co.uk/bir...=detail&bId=47
https://hardflaccid.co/pages/what-is-hardflaccid
https://medium.com/@anonymous2016/i-...me-da4502b3a77
Books:
'A headache in the pelvis' by David Wise and Rodney Anderson. (This book was a breakthrough in understanding male pelvic pain)


Once you feel you have a better understanding of the condition, and perhaps have an idea as to why you may be suffering these are some good next steps to take:




  • Book an appointment with a physio or pelvic floor physio

-This will help identify any root causes that may be affecting the issue, and will help create a recovery programme to fix these issues
- If you happen to be in the UK, Gerard Greene at Harborne physiotherapy clinic in Birmingham is probably a world expert in the subject, and is very experienced in the issue where as many physios most likely won't have encountered it before


2. Book a doctor's appointment
- Don't expect too much from a doctor, they most likely won't have encountered the issue and may think you are being a hypochondriac, but it is important to be examined to rule out any other possible issues
- Get a referral for an abdomen and penile ultrasound scan. These may not show anything but it is good to rule out any other factors
- Get a referral to see a urologist. They may also may not have heard of the condition and may test you for other things, but again, it's far better to be safe than sorry


3. Relieving stress and anxiety
Stress is a common cause for HF, and often makes it worse. Unfortunately, HF will inevitably cause a lot of stress, making it worse. It is important not to panic, and to keep in mind that you can and WILL recover. If you are going through a difficult time in your life, as we all do, consider giving therapy a go.
Meditation is also a great way to relieve stress and put you in a better mindset. If you're new to the subject, then I highly suggest Headspace as a great place to begin your journey with meditation
https://www.headspace.com


4. Pelvic floor relaxation and reverse kegels
Pelvic floor relaxation is very important in the recovery from HF. Learning to relax the PF, and normalise the relaxed state instead of it being in a constant state of contraction is really important. Breath work is the most important tool in achieving this. Spend 5-10 minutes (twice a day) lying down and focussing on abdominal breathing. Feel your pelvic floor expand and relax as you do so. I recommend the video below as an example. Abdominal breathing throughout the day is not only great for the pelvic floor, but also helps release tension in your organs and is generally a much healthier way to breathe.
https://www.youtube.com/watch?v=s10veqXlADo
https://www.healthline.com/health/di...atic-breathing
Reverse kegelling is also very important. HF is often caused by the over contraction of the PF muscles. Reverse kegels are the opposite of this where you push out instead of contracting. Here's some more info:
https://www.risingmaster.com/reverse-kegels/


5. Pelvic floor yoga and stretching
Also really helpful in relaxing the pelvic floor and stretching the muscles and in doing so, releasing tension. Here's some great videos:
https://www.youtube.com/watch?v=ntP8eQY74Cw&t=1603s
https://www.youtube.com/watch?v=KQdN000kpqM


6. Therawand
The therawand is a physiotherapy massage tool that is designed to release pelvic floor tension through direct pressure to the muscles. It has been highly regarded as a necessity for HF recovery from those who have the condition as a result of stress or pelvic floor trauma.
https://www.harbornephysio.co.uk/bir...=detail&bId=47
This testimonial talks about the use of the wand and how it helped him.
https://www.thepelvicpainclinic.co.u...pps-therawand/
Some more info.
I would consult a pelvic floor expert before using one, and would definitely focus on pelvic floor relaxation and stretches for a wile prior to using one.


7. Nofap
For many people, porn addiction is a serious problem, and may be an indirect cause of HF. It can result in excessive masturbation for prolonged periods of time. Nofap is a great tool to recover from porn addiction and recondition the mind to reset to its natural state. The r/NoFap community of reddit is a great place to begin your life without porn, and receive support from fellow people with a determination for a healthy and positive life


7. Fascial stretching
For those who identified themselves as number 2 in the "why is the pelvic floor dysfunctional?' section, it is possible that fascia is the main cause of the blame for your CPP and HF. Standard pelvic floor yoga and relaxation exersises may not be enough, and you may require stretching that focusses on fascial release.
What is fascia you ask?
https://deeprecovery.com/understanding-fascia/
A great place to start with understanding fascia and its link to CPP and HF is Greg HF's youtube channel. He was a long time sufferer of hard flaccid, and has since made a full recovery using the DCT programme. I would definitely go through his vids, but bear in mind that his issues have come from fascial issues and so he can be dismissive about techniques that that tend to help HF caused more by penile trauma e.g. therawands and relaxation exercises.
Greg HF: https://www.youtube.com/channel/UCy2...EC9xQ/featured
The DCT programme is greatly recommended by long time fufferers of hard flaccid. And focusses on retraining the fascia and in turn fixing HF. I don't know much about it, but here's the website
https://freedomfrompelvicpain.com/hard-flaccid


8. Massages
This includes gentle massage t perineum area, as well as to scrotum and penis in order to release tension and normalise blood flow. Going for a professional massage will also release tension in tight areas that could be contributing to HF. I would leave the happy ending until after you've made a full recovery......


9. Diet, Exercise and sleep
a healthy diet, regular exercise and a good sleeping schedule are recommended for most health issues, but it is a very important part of recovering from HF. Not only are they very important in keeping your body strong and healthy, but put you in a much better headspace for a positive mindset and motivation to beat HF for good. Some exercise forms can induce HF e.g. running as it can induce the contraction of the pelvic floor, and can trigger the symptoms. However, it is recommended that you should not give up exercise, but instead adapt in order to not push your pelvic floor too much. Also alcohol is known to make the symptoms much worse as it is an inflammatory, and it is recommended that one should take a break from alcohol consumption until they have recovered all together.


I really hope this helps. Not to toot my own horn or anything but I wish there was a post like this available to me when the condition first started for me. It is basically everything I have learned during my time with Hard Flaccid. I can safely say that I am greatly on the way to being free of Hard Flaccid. The biggest factor is motivation and determination, and keeping in mind that this is a condition tat can be recovered from. Keep calm, stay focussed and good luck friends!
- Mudkip98 (moderator)
 
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Pegasus

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Going to post links for various stuff which may be of interest .
This has glute bridge in it .
https://www.pegym.com/forums/penile.../92217-hard-flaccid-anterior-pelvic-tilt.html

This is a compilation of stretches which may be useful some links may be broken keep going with it .

https://www.pegym.com/forums/premature-ejaculation-forum/106475-hindi-etc-member-input.html

This is written during covid lockdown so for those who can't get to a physio check this
https://www.pegym.com/forums/penile...27-hans-protocol.html?highlight=habs+protocol
 
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I reproduce an article I wrote which was published onsite . Gives an overview of the cuting edge of mainstream thought on hf.


[h=1]Hard Flaccid: Beyond The Edge Of Science?[/h]By Pegasus
Pegasus acknowledges the assistance of Hans and Al in the creation of this article.
PEGym deals with issues of male sexuality covering a number of areas. A difficult, frustrating and somewhat mysterious issue has been Hard flaccid (HF). This covers a wide range of symptoms:
– Pelvic pain
– Pain on ejaculation
– Retracted penis
– A “rubbery” feeling to the penis
– Flaccid glans during an erection
– Changes in penis shape and size
– Loss of libido
– Difficulty getting an erection.

Over time, the mods onsite have recommended 2 main courses of action: stress reduction/dealing with stress anxiety, and on the physical side pelvic floor work to relax the pelvic floor. Our working theory was that on the physical level spasm /tension within the pelvic floor interfered with blood flow and nerve conduction. We also believed stress to be frequently causal in both the difficulty getting erect development and maintain of this syndrome.
Problem was we got a lot of blowback from members with HF on a number of fronts. The most common was the assertion that the problem was totally physical and stress was just a side effect and our view on mental states was demeaning and a distraction. However we also were told hey the problem is in my penis not my pelvis and the cure lies elsewhere. Now the view from actual suffers on what treatment should be was all over place the importance of the mental side was variously dismissed or regarded as central or indeed the only factor. On the physical side a wide range of approaches from NoFap/chastity through fasting through a wide range of physical therapies to just forgetting about it and getting on with life.
So I have been interested in the male pelvic floor and it’s effect on male sexuality for some time. It has been of great interest to me to see the development of mainstream medical views on this relationship in recent years. The development in male pelvic floor physio has been of particular interest. So early in the piece I went looking for the science on HF and found uuummm well nothing. However very recently hallelujah I see the start of discussion about what HF is and a move to recognise it. Some uros have begun the process to recognise it as a condition. More importantly some brave physio are going beyond the science to look at actual treatment.
From urology news:
Hard flaccid syndrome
By Kaylie Hughes, Arie Parnham and Marc Lucky

“However, a new phenomenon, known as hard flaccid syndrome, is being recognised as an alternative cause of unremitting pelvic pain in men by specialist pelvic floor physiotherapists and some urologists. Currently, no published literature exists of the syndrome”
Later they say:
“Hard flaccid syndrome is a type of CPPS.”
Then later:
“The true aetiology of this condition is unknown. Like many CPPS the development of hard flaccid syndrome is thought to be multifactorial in nature. Biological, psychological and social influences all contribute to the development and severity of the condition by altering the neurovascular supply to the muscles of the pelvic floor and penis.
“Stress is a key risk factor for the development of this condition by way of causing prolonged contraction of the muscles of the pelvic floor. Stress can be triggered by an injury directly to the penis during sexual intercourse or masturbation, or stress secondary to psychosocial distress in the absence of injury.”
Entropy Physio speculates it is a form of CPPS and has this to say:
“First things first: there is nothing wrong with your/your client’s penis. Often, clients have been to many providers and have been given clean bills of health He is shooed away with pharmaceuticals and no explanation why his friend is under the weather. Ruminating on the issue can precipitate a key ingredient to the problem: stress. Stress causes activation of your sympathetic nervous system which in turn releases adrenaline throughout your body.”
So they believe it is physically pelvic and that mental factors are central.
Urologist K .Hughes believes:
“Hard flaccid syndrome is difficult to treat due to the fact it is poorly understood and not yet widely recognised as a condition by urologists. Like with any CCPS, adoption of a multimodality holistic approach is paramount when managing these men. The most important step in the management of this condition is continued reassurance that physically there is nothing functionally wrong with the penis and that this is a chronic pain syndrome.”
The physio at Core Body Clinic’s view is:
“Hard Flaccid syndrome has largely been the subject of discussion and debate on male pelvic pain forums with little or no clinical information about the condition. Therefore, diagnosis is difficult to the untrained eye and often clinicians are often at a loss about treatment.”
Then later:
“With little by way of clinical research concerning hard flaccid, much of the theories relating to the pathophysiology are based on our observations of the patients who present in clinic. However, in combination with the knowledge of anatomy and pain mechanisms an understanding has been developed which has enabled us to provide treatment solutions.
“Injury to the penis and stress are likely drivers for this condition”

Leading physio Gerard Greene says in a podcast that HF is largely pelvic floor related at a physical level and also talks on the effect of stress . This from a patient of his:
“I had heard of Hard Flaccid before but always wondered if it really existed as I could never find anything on google about it but had seen it mentioned in one forum. Without me mentioning it Gerard thought I had pelvic pain definitely but also Hard flaccid. The way he described it , and I’m not a medical person , is that if there is pain for a long time in the pelvis and nerves get irritated or inflamed ( pudendal & others ) then the tissues those nerves supply can get affected i.e the penis.”
So it seems the mods at PEGym were on the right track. HF at the physical level is a pelvic floor issue and stress is heavily involved.
References:
Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, et al. Sexual problems among women and men aged 40-80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res. 2005;17:39–57.
Nickel JC, Freedland SJ, Castro-Santamaria R, Moreira DM. Chronic prostate inflammation predicts symptom progression in patients with chronic prostatitis/chronic pelvic pain. J Urol. 2017;198:122–8.
Labat JJ, Robert R, Delavierre D, et al. Anatomy and physiology of chronic pelvic and perineal pain. Prog Urol 2010;20(12):843-52.
Dybowski C, Löwe B, Brünahl C. Predictors of pain, urinary symptoms and quality of life in patients with chronic pelvic pain syndrome (CPPS): A prospective 12-month follow-up study. J Psychosom Res 2018;112:99-106.
Passavanti MB, Pota V, Sansone P, et al. Chronic pelvic pain: assessment, evaluation, and objectivation. Pain Res Treat 2017;9472925.
Sandhu J, Tu HYV. Recent advances in managing chronic prostatitis/chronic pelvic pain syndrome. F1000Res 2017;6.pii:F1000 Faculty Rev-1747.
Quaghebeur J, Wyndaele JJ. Prevalence of lower urinary tract symptoms and level of quality of life in men and women with chronic pelvic pain. Scand J Urol 2015;49(3):242-9.
Jansen AS, Nguyen XV, Karpitskiy V, et al. Central command neurons of the sympathetic nervous system: basis of the fight-or-flight response. Science 1995;270(5236):644-6.
Jantos M. Understanding chronic pelvic pain. Pelviperineology 2007;26:66-9.
Hubbard DR. Chronic and recurrent muscle pain: Pathophysiology and treatment, and review of pharmacologic studies. J Musculoskeletal Pain 1996;4:123-43.
Hannibal KE, Bishop MD. Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation. Physical Therapy 2014;94(12):1816–25.
Krsmanovic A, Tripp DA, Nickel JC, et al. Psychosocial mechanisms of the pain and quality of life relationship for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Can Urol Assoc J 2014;8(11-12):403-8.
Montenegro ML, Gomide LB, Mateus-Vasconcelos EL, et al. Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. Eur J Obstet Gynecol Reprod Biol 2009;147(1):21-4.
Tripp DA, Curtis Nickel J, Katz L. A feasibility trial of a cognitive-behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome. Can Urol Assoc J 2011;5(5):328-32.
Fry RP, Crisp AH, Beard RW. Sociopsychological factors in chronic pelvic pain: a review. J Psychosom Res 1997;42(1):1-15.
Franco JVA, Turk T, Jung JH. Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome: a Cochrane systematic review. BJU Int 2018;doi:10.1111/bju.14492 [Epub ahead of print].
Anderson R, Wise D, Sawyer T, et al. Safety and effectiveness of an internal pelvic myofascial trigger point wand for urologic chronic pelvic pain syndrome. Clin J Pain 2011;27(9):764-8.
Van Alstyne LS, Harrington KL, Haskvitz EM. Physical therapist management of chronic prostatitis/chronic pelvic pain syndrome. Phys Ther 2010;90(12):1795-806.
Schaffer SD, Yucha CB. Relaxation & pain management: the relaxation response can play a role in managing chronic and acute pain. AJN 2004;104(8):75-82.
Hofmann SG, Sawyer AT, Witt AA, et al. The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. J Consult Clin Psychol 2010;78(2):169-83.
Sutar R, Yadav S, Desai G. Yoga intervention and functional pain syndromes: a selective review. Int Rev Psychiatry 2016;28(3):316-22.
Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. The Journal of Alternative and Complementary Medicine 2009;15(5):593-600.
Additional sources:
Hard Flaccid Syndrome: Penetrating What We Know ? Entropy Physiotherapy
http://www.corebodyclinic.co.uk/mens-health/hard-flaccid
https://www.harbornephysio.co.uk/birmingham-health-physiotherapy.php?page=detail&bId=47
https://www.urologynews.uk.com/features/synopsis/post/hard-flaccid-syndrome
https://chartable.com/podcasts/in-y...episodes/29049482-hardflaccid-w-gerard-greene
 

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I find adductor stretches missing in compilation.
Few users on reddit has a feeling of discomfort in anus area, like going to dump feeling or like a ball stuck there.
 

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So add abductor stretch.
 

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Added to sticky*

Hans is a leading exponent of self help for the pelvic floor onsite . For those doing self therapy for the pelvic floor his work is recommended .
 

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logo-bclinandro.png
[FONT=&quot]Basic Clin Androl. 2020; 30: 7.
Published online 2020 Jun 4. doi: 10.1186/s12610-020-00105-5

PMCID: PMC7271516
PMID: 32518654



Language: English | French
[h=1]Hard flaccid syndrome: state of current knowledge[/h]Maher Abdessater,
corrauth.gif
1 Anthony Kanbar,2 William Akakpo,1 and Sebastien Beley2

Author information Article notes Copyright and License information Disclaimer



[h=2]Associated Data[/h]Data Availability Statement
[h=2]Abstract[/h][h=3]Introduction[/h]Hard-flaccid syndrome is gaining increased interest among male sexual dysfunctions in the last years. It is poorly understood and defined. Most of the information comes from online forums. This paper is a review of current knowledge on the clinical presentation, diagnosis, pathophysiological mechanisms and treatments of this newly recognized condition.

[h=3]Material and methods[/h]A literature review was conducted on MEDLINE, CENTRAL, PASCAL databases and google scholar, using the terms: hard, flaccid, syndrome. The research identified 16 articles published between 2018 and February 2019. After reference lists review and duplicates removal, 7 full text references were eligible and useful for our review that follows PRISMA guidelines.

[h=3]Results[/h]The condition is acquired, chronic and painful. It is characterized by a constantly semi-rigid penis at the flaccid state and a loss in erectile rigidity. Patients have penile sensory changes, urinary symptoms, erectile dysfunction, pelvic floor muscles contraction and psychological distress. Symptoms are worse in standing position. The majority of the cases aged between their second and third decades. A traumatic injury at the base of an erect penis is the initial event. Neurovascular structures damage and subsequent sensory, muscular and vascular changes follow. Initial symptoms trigger emotional distress and reactional sympathetic stimulation that worsen symptoms. Diagnosis is based on patient’s history. Imaging and blood tests are normal. Differential diagnosis includes high-flow priapism and non-erecting erections. A multimodal treatment has been so far the most beneficial strategy, consisting of behavioral modifications to reduce stress and decrease pelvic floor muscles contraction, evaluation and treatment of the associated psychological conditions, and medical therapy for pain control and the treatment of the associated erectile dysfunction.

[h=3]Conclusion[/h]Hard-flaccid syndrome is poorly recognized in the daily clinical experience and not well defined. A multimodal approach seems so far the most efficient strategy for treatment. Additional evidence based studies with better quality are needed to define the exact pathophysiological mechanisms and subsequently more efficient therapeutic strategies.


Keywords: Male sexual dysfunction, Hard flaccid, Semi-rigid

[h=2]Introduction[/h]Male sexual dysfunctions (MSD) affect man’s sexual and social life and the wellbeing of couples [1]. They are not limited to erectile dysfunction (ED) and premature ejaculations. A new condition called hard-flaccid syndrome (HFS) is gaining increased interest in the last years and being the subject of many online forums. It is a chronic painful condition characterized by a semi-rigid penis at the flaccid state and a loss in erectile rigidity. Patients have penile sensory changes, erectile dysfunction, pelvic floor muscles contraction and psychological distress [1, 2]. HFS remains poorly understood, with no evidence based definition [3].
This paper is a review of current knowledge on the clinical presentation, diagnosis, pathophysiological mechanisms and treatments of this newly recognized condition.

[h=2]Material and methods[/h]A literature review was conducted on MEDLINE, CENTRAL, PASCAL databases and google scholar, using the terms: hard, flaccid, syndrome. The review followed PRISMA guidelines. Neither language, date nor modality restrictions were applied.
The research identified 16 articles published between 2018 and February 2019. Reference lists of relevant articles were also reviewed for additional 1 article. After duplicates removal, 12 titles and abstracts were evaluated, from which 5 were excluded for having irrelevant subjects. Seven full text references were eligible and useful for our review, consisting of: 1 qualitative study utilizing thematic analysis of online forums and blogs, 1 comment on the previous article, 2 case series and 3 online web page articles. In total 6 cases were reported in the 2 case series and 152 online discussions were included in the thematic analysis.
The privacy of users was respected by Gul et al., who included only public forum sites consisting of anonymous users, and excluded the private discussions [4].
Quality of information provided by the websites was evaluated using the Health on the Net code (HONcode), the Journal of the American Medical Association (JAMA) benchmark criteria, and the DISCERN score, and results are detailed in Table 1. The HONcode certification was assessed as present or absent for each website. The JAMA benchmark criteria assessing website authorship, attribution, disclosure, and currency was rated on a scale between 0 and 4 points. The DISCERN score, that is based on 16 questions evaluating publication quality and reliability, varied between 0 and 80 points [5].
[h=3]Table 1[/h]Evaluation of the quality of the websites included

ScoreCriteriaWebsites
Urology newsPEGymEntropy
HON codeSealNoNoNo
JAMA benchmarksAuthorship111
Attribution111
Currencies101
Disclosure101
Total424
DISCERN instrumentAre the aims clear?535
Does it achieve its aims?535
Is it relevant?555
Is it clear what sources of information were used to compile the publication (other than the author or producer)?555
Is it clear when the information used or reported in the publication was produced?555
Is it balanced and unbiased?533
Does it provide details of additional sources of support and information?151
Does it refer to areas of uncertainty?551
Does it describe how each treatment works?535
Does it describe the benefits of each treatment?535
Does it describe the risks of each treatment?111
Does it describe what would happen if no treatment is used?111
Does it describe how the treatment choices affect overall quality of life?513
Is it clear that there may be more than one possible treatment choice?511
Does it provide support for shared decision-making?111
Based on the answers to all of the above questions, rate the overall quality of the publication as a source of information about treatment choices412
Total634649

HON Health on the Net; JAMA Journal of the American Medical Association


Results are presented in a descriptive manner. A flow diagram of the literature review process is presented in Fig. 1. Details and quality of the references included are presented in Table 2.

Fig. 1
Flow diagram of the literature review process on hard flaccid syndrome



[h=3]Table 2[/h]Description of the details and the quality of the references included

AuthorsReference typeQuality assessmentAspects discussed
Gul, 2019 [4]Qualitative study utilizing thematic analysis of 152 online discussions from internet forumsData limited to English literature
Selection bias of internet users
Symptoms
Initial event
Management strategies
Physiopathology diagram
Yachia, 2019 [6]Comment on articleDifferential diagnosis
Relation to chronic pelvis pain syndrome
Gul, 2019 [1]4 case seriesSymptoms
Pathophysiological mechanisms
Treatment
Gul, 2019 [3]2 case seriesSymptoms
Hughes, 2019 [7]Academic web page: Urology newsHONcode seal: negative
JAMA benchmarks: 4
DISCERN score: 63
Clinical signs and symptoms
Management
Bond, 2019 [8]Commercial web page: Pegasus Gym BlogHONcode seal: negative
JAMA benchmarks: 2
DISCERN score: 46
Clinical presentation
Physiopathology diagram
Harville, 2018 [2]Health professional web page: Entropy BlogHONcode seal: negative
JAMA benchmarks: 4
DISCERN score: 49
Clinical symptoms
Pathophysiological mechanisms
Management

HON Health on the Net; JAMA Journal of the American Medical Association



[h=2]Results[/h][h=3]Clinical presentation[/h]HFS is an acquired condition characterized by a constantly semi rigid penis at flaccid state. Patients report most commonly odd sensory changes in the penis best described by numbness or coldness with a decreased sensitivity, particularly at the level of the glans [1, 4]. Associated chief complaint is a new onset ED with decreased frequency of morning and nocturnal erections. Excessive visual and physical stimulation are needed to achieve erection, which are difficult to maintain. Typically, a reduction in rigidity is noted on erection, with soft and cold glans. Penile and perineal pain during micturition and ejaculation are reported, and in majority of patients, are worse in the standing position [4]. Patients suffer from emotional distress manifesting by anxiety, depression, decreased libido and insomnia, as it is the case with all the MSDs [4, 7]. Although urinary symptoms are uncommon, a reduction in the urinary flow have been reported [4]. Cases reported in literature age from their late teens to the seventh decade, but the majority are in their second or third decades [7]. Incidence is not well known, since most of the information on HFS is obtained from patients discussing their symptoms on online forums or private chats groups [4].

[h=3]Pathophysiological mechanisms[/h]Pathophysiological mechanisms are not well defined. Most patients report that their symptoms started after a traumatic event (use of vacuum, tough masturbation or sex, jelqing, excessive squatting), with a varying delay from minutes to weeks. Several patients reported that the traumatic event happened while they were under the effect of drugs like marijuana and bremelanotide [1, 3].
A traumatic injury at the base of an erect penis, of the neurovascular structures, that supply the muscles of the pelvic floor and the penis, was suggested to be the initiating event [6, 7]. The injury of the dorsal artery of the penis, the bulbourethral and the pudendal arteries, and the pudendal and dorsal nerve of the penis cause vascular and sensory changes that are responsible of the partial engorgement of the penis during erections and the odd penile sensations described by the patients [6].
Initial symptoms trigger emotional distress and reactional sympathetic stimulation. The latter is responsible of prolonged pelvic floor muscles spasm that applies additional extrinsic compression of the neurovascular structures with consequent penile hypoxia, neuropraxia, additional sensory changes and impairment of the pelvic muscles [1, 7].
The altered motor function and sustained contraction of the ischiocavernous, bulbomembranous and the external urethral sphincter muscles contribute to the venous outflow obstruction of the penis that is responsible of the semi-hardness state of the flaccid penis. A secondary myoneuropathy with a loss of relaxation ability follows and consequent erectile and ejaculatory dysfunctions develop [1, 7].
Symptoms result in psychological disturbances that affect the libido, erectile function, and general well-being [1]. Figure 2 describes suggests a pathophysiological scenario potentially involving most of the proposed mechanisms in literature.

Fig. 2
Diagram showing the pathophysiological mechanisms behind the hard flaccid syndrome



The variety of the symptoms and their intensity are related to the location of the lesion and the extension of the inflammation of the injured nerves and vessels in the radix of the penis [1, 4].

[h=3]Diagnosis[/h]The diagnosis is made based on patient’s history. Physical exam is unremarkable. Engorgement of the penis is revealed on examination. On erection, the glans might remain flaccid [7]. Hardness at the level of penis base is described by some [1, 4]. Imaging, doppler studies and blood tests, including hormonal studies, are normal [4].

[h=3]Differential diagnoses[/h]Differential diagnoses include high-flow priapism (HFP) and non-erection erections. HFP is caused by arteriovenous fistulas in the penile vasculature, and is seen after blunt or penetrating trauma to the penis. Patients experience partial painless erections like those seen in HFS, but in HFP the doppler ultrasound can localize the rupture and the arteriovenous fistula [1]. Non-erecting erections were described by Yachia in 2009. They are caused by the deficiency or the absence of the suspensory ligament of the penis. Clinically this condition manifests by the lack of elevation of penis on erection. It is usually congenital or less frequently acquired after a trauma, and it is repaired surgically by corporopexy [6].

[h=3]Treatment[/h]The treatment of this conditions is not well defined yet. Multiple therapeutic modalities were suggested, but were not equally efficient in all patients [4]. A multimodal treatment have so far been the most beneficial strategy [7].
The evaluation and treatment of the associated psychological conditions is crucial because stress and anxiety trigger additional sympathetic stimulation, and symptoms deterioration have been reported in periods of elevated stress [7]. Behavioral modifications (good sleep, healthy eating, regular exercises), biofeedback, cognitive behavioral therapies, breathing exercises, yoga reduce stress, improve well-being and decrease pelvic floor muscles contraction [7]. Pain can be controlled by analgesics. Medications like phosphodiesterase 5 inhibitors and antidepressants help treating associated erectile dysfunction and psychological conditions. Low-intensity shock wave therapy [1] has been temporarily alleviating in some patients who failed other therapies.

[h=3]Limitations[/h]Our review was limited only to English and French references, and most of the analysis was obtained from internet forums. Although the collection of data from online patient’s forum is considered valid when literature is not available [9] and very useful for the description of the clinical aspects of a phenomenon [4], it has several limitations. First of all, selection bias is inevitable since only internet users are included. Another major drawback is deindividuation, because users tend to have more extreme and offensive tone on online blogs than they would in real life [9]. The online forum analysis lacks socio-demographic information which are of high importance when reviewing a medical pathology. Furthermore, the informed consent was not obtained from users who may be annoyed by the analysis of their posts. Overall, the quality of the websites included was not equal and not exclusively high. It was assessed using the HON code, the JAMA benchmark criteria, and the DISCERN score. None had a HON code certification, and the JAMA benchmarks and the DISCERN score varied between the three websites as detailed in Table ​Table11.


[h=2]Conclusion[/h]HFS has been the subject of discussion and debate on many male forums [8]. It is not recognized by sexual medicine community [1], and poorly recognized in the daily clinical experience [4]. Many patients are suffering from this conditions, and the majority is misdiagnosed and left untreated [7]. An initial traumatic event with the resulting inflammatory response is thought to generate stress that is a key factor is developing a prolonged contraction of the pelvic muscles. It is difficult to treat. A multimodal approach seems so far the most efficient strategy [8]. Physical therapy seems to play important role in the relaxation of the pelvic floor muscles [2]. Additional evidence based studies are needed to define the exact pathophysiological mechanisms and subsequently give more efficient therapeutic strategies.

[h=2]Acknowledgements[/h]Not applicable.


[h=2]Abbreviations[/h]
EDErectile dysfunction
HFPHigh-flow priapism
HFSHard flaccid syndrome
HONHealth on the Net
JAMAJournal of the American Medical Association
MSDMale sexual dysfunction




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Pegasus

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From a physio in New York.
Quote
[FONT=&quot] physical or psychological stressor can trigger an emotional response, which can then stimulate the pelvic muscles and cause a sustained muscle contraction. This can then lead to a shortening of the contractile tissues of the penis, thus leading to tightness of the surrounding muscles and tissue and then cause pain. A traumatic event, such as rough masturbation, can lead to injury of nerves and pelvic floor musculature, which can contribute to the onset of symptoms. This can then lead to psychological problems which can result in erectile dysfunction and decreased libido.[/FONT]
[FONT=&quot]Stress and anxiety about the condition can also exacerbate the condition. Chronic pain can change behaviors into catastrophic thinking about the condition. This can cause more muscle tension and and increased feelings of helplessness and negativity. Patients with chronic pelvic pain are likely to remain catastrophic in their thinking about pain for prolonged periods if they don’t or are unable to seek help.[/FONT]
[FONT=&quot]Pelvic floor physical therapy can help men with hard flaccid. Treatment sessions can include internal and external pelvic floor trigger point release, learning relaxation strategies to reduce stress, and gentle core strengthening exercises to decrease stress on the pelvic floor musculature.[/FONT]
[FONT=&quot]
[/FONT]

[FONT=&quot]Written by: Roseanne Cruz Schoen, PT, DPT[/FONT]
[h=4]References:[/h]
 

Pegasus

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Notice the continued mention of head issues in HF , post 10 uses the phrase "catastrophic thinking". I see a lot of this onsite and it really does prevent effective treatment .
 

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Thanks for posting this Pegasus - will definitely take time and read through it later tonight -
 

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Totally bullshit. Yoga, relaxing, stretching, no fap, massages, therawand, diet (lol) will never cure a real hard flaccid. I did them all together and they did literally nothing. Only DCT did a bit but's it seems not like a cure also.
 

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closed297

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Totally bullshit. Yoga, relaxing, stretching, no fap, massages, therawand, diet (lol) will never cure a real hard flaccid. I did them all together and they did literally nothing.

I'd say even if it isn't a cure to your issue it has a lot of OTHER benefits..

Saying it does NOTHING is pretty close minded..
 

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Every authority on this mirrors the view put for some time in Pegym that HF has very strong head issue links . This is brought up repeatedly through this thread .

To some extent I agree with Traz that working on the physical side in isolation usually does not produce a long term cure . The physical side has to be paired with work on the mental side .
 

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here is a cleaned up version of Pegasus's post:

By Mudkip98
[FONT=&quot]So I created this subreddit because there is very little information online about hard flaccid, and pretty much nowhere for sufferers to gather and receive support. If you've found yourself here, then I'm sorry to hear that. You're probably very terrified that you'll never get better. Thankfully, this isn't the case, hard flaccid is curable, and it is completely possible for you to lead a life without it, and become a healthier person as a result.

What is hard flaccid?
Common symptoms include:

[/FONT]


  • [FONT=&quot]Penis is hard and contracted while flaccid, with a rubbery like sensation instead of the usual spongy
  • [FONT=&quot]Trouble maintaining erection[/FONT]
  • [FONT=&quot]Loss of morning erections[/FONT]
  • [FONT=&quot]Loss of sensitivity in penis[/FONT]
  • [FONT=&quot]Penis remaining in semi-erect state[/FONT]
  • [FONT=&quot]Changes to penis shape[/FONT]
  • [FONT=&quot]Penis head doesn't fill properly during an erection[/FONT]
  • [FONT=&quot]Pain during erection[/FONT]
  • [FONT=&quot]Premature ejaculation[/FONT]
  • [FONT=&quot]Dull ache in the perineum area[/FONT]
  • [FONT=&quot]Swelling in the perineum area, notably during erections[/FONT]
  • [FONT=&quot]Spasms in the perineum area/anus[/FONT]
  • [FONT=&quot]Trouble urinating, or frequent need to urinate[/FONT]
  • [FONT=&quot]Constipation, trouble during bowel movements[/FONT]
  • [FONT=&quot]Prominent veins in the penis that were not there before[/FONT]
  • [FONT=&quot]Coldness of the penis head and scrotum[/FONT]
  • [FONT=&quot]Shrivelled scrotum even in warm temperatures[/FONT]

[FONT=&quot]
What cause hard flaccid?
Unfortunately hard flaccid is a condition that is greatly under-researched. Therefore little is known about why the condition occurs. However, it almost certain that it is due to a dysfunctional pelvic floor. This means you can take a sigh of relief because there is actually nothing wrong with your penis. Dysfunction in the pelvic floor can result in the blood supply to the penis and scrotum being affected, and as a result blood does not enter/ exit the penis properly resulting in symptoms such as hardness, change of shape, and erectile dysfunction. The nerves in the penis and pelvic floor are irritated resulting in a changes to the penis tissue. The dysfunction in the pelvic floor is due to it not being able to relax properly, and is in a constant state of spasm which can lead to swelling and hardness of the perineum anal tissue.

Why is the pelvic floor dysfunctional?
The hard flaccid community has been divided into three primary known causes:

[/FONT]

  • [FONT=&quot]Trauma to the penis and pelvic region from unhealthy masturbation/sexual habits[/FONT]

[FONT=&quot]
1.This is more common among younger sufferers. A common example is when individuals masturbate for long periods of time (edge) while contracting the pelvic floor muscles. This results in a build up of tension in the PF, and causes it to lose the ability to relax properly and enters a state of contraction/ spasm.

2. Build up of tension in muscles/ fascia throughout the body
This is more common in older men, and is often accompanied by pains elsewhere in the body e.g. back, legs, neck, chest and most notably chronic pelvic pains (CPP). It is effectively like any other muscle issue where there is an imbalance in the body's muscle/ fascia resulting in tightness and tension in the pelvic floor causing dysfunction. It can be caused by bad posture habits, injuries or general years of muscle tightness

3. Stress or anxiety
HF is often a cause of stress / anxiety due to tension build up in the pelvic floor. As people experience stress, tension occurs in muscles throughout the body including the pelvic floor. HF may flare up only during stressful periods and may disappear during easier times, but for many it can become a constant thing.


What can you do about it?
1. The first step is to get to understand why you have hard flaccid. Learn as much as you can about the condition. There is limited information available online, but below are some great recourses:
https://drsusieg.com/podcast/hard-flaccid (podcast featuring Gerard Greene- expert in HF and male pelvic floor)
https://www.urologynews.uk.com/featu...accid-syndrome
https://www.harbornephysio.co.uk/bir...=detail&bId=47
https://hardflaccid.co/pages/what-is-hardflaccid
https://medium.com/@anonymous2016/i-...me-da4502b3a77
Books:
'A headache in the pelvis' by David Wise and Rodney Anderson. (This book was a breakthrough in understanding male pelvic pain)


Once you feel you have a better understanding of the condition, and perhaps have an idea as to why you may be suffering these are some good next steps to take:

[/FONT]

  • [FONT=&quot]Book an appointment with a physio or pelvic floor physio[/FONT]

[/FONT]

-This will help identify any root causes that may be affecting the issue, and will help create a recovery program to fix these issues
- If you happen to be in the UK, Gerard Greene at Harborne physiotherapy clinic in Birmingham is probably a world expert in the subject, and is very experienced in the issue where as many physios most likely won't have encountered it before

2. Book a doctor's appointment
- Don't expect too much from a doctor, they most likely won't have encountered the issue and may think you are being a hypochondriac, but it is important to be examined to rule out any other possible issues
- Get a referral for an abdomen and penile ultrasound scan. These may not show anything but it is good to rule out any other factors
- Get a referral to see a urologist. They may also may not have heard of the condition and may test you for other things, but again, it's far better to be safe than sorry

3. Relieving stress and anxiety
Stress is a common cause for HF, and often makes it worse. Unfortunately, HF will inevitably cause a lot of stress, making it worse. It is important not to panic, and to keep in mind that you can and WILL recover. If you are going through a difficult time in your life, as we all do, consider giving therapy a go.
Meditation is also a great way to relieve stress and put you in a better mindset. If you're new to the subject, then I highly suggest Headspace as a great place to begin your journey with meditation
https://www.headspace.com

4. Pelvic floor relaxation and reverse kegels
Pelvic floor relaxation is very important in the recovery from HF. Learning to relax the PF, and normalise the relaxed state instead of it being in a constant state of contraction is really important. Breath work is the most important tool in achieving this. Spend 5-10 minutes (twice a day) lying down and focussing on abdominal breathing. Feel your pelvic floor expand and relax as you do so. I recommend the video below as an example. Abdominal breathing throughout the day is not only great for the pelvic floor, but also helps release tension in your organs and is generally a much healthier way to breathe.
https://www.youtube.com/watch?v=s10veqXlADo
https://www.healthline.com/health/di...atic-breathing
Reverse kegelling is also very important. HF is often caused by the over contraction of the PF muscles. Reverse kegels are the opposite of this where you push out instead of contracting. Here's some more info:
https://www.risingmaster.com/reverse-kegels/

5. Pelvic floor yoga and stretching
Also really helpful in relaxing the pelvic floor and stretching the muscles and in doing so, releasing tension. Here's some great videos:
https://www.youtube.com/watch?v=ntP8eQY74Cw&t=1603s
https://www.youtube.com/watch?v=KQdN000kpqM

6. Therawand
The therawand is a physiotherapy massage tool that is designed to release pelvic floor tension through direct pressure to the muscles. It has been highly regarded as a necessity for HF recovery from those who have the condition as a result of stress or pelvic floor trauma.
https://www.harbornephysio.co.uk/bir...=detail&bId=47
This testimonial talks about the use of the wand and how it helped him.
https://www.thepelvicpainclinic.co.u...pps-therawand/
Some more info.
I would consult a pelvic floor expert before using one, and would definitely focus on pelvic floor relaxation and stretches for a wile prior to using one.

7. Nofap
For many people, porn addiction is a serious problem, and may be an indirect cause of HF. It can result in excessive masturbation for prolonged periods of time. Nofap is a great tool to recover from porn addiction and recondition the mind to reset to its natural state. The
r/NoFap community of reddit is a great place to begin your life without porn, and receive support from fellow people with a determination for a healthy and positive life

8. Fascial stretching
For those who identified themselves as number 2 in the "why is the pelvic floor dysfunctional?' section, it is possible that fascia is the main cause of the blame for your CPP and HF. Standard pelvic floor yoga and relaxation exersises may not be enough, and you may require stretching that focusses on fascial release.
What is fascia you ask?
https://deeprecovery.com/understanding-fascia/
A great place to start with understanding fascia and its link to CPP and HF is Greg HF's youtube channel. He was a long time sufferer of hard flaccid, and has since made a full recovery using the DCT programme. I would definitely go through his vids, but bear in mind that his issues have come from fascial issues and so he can be dismissive about techniques that that tend to help HF caused more by penile trauma e.g. therawands and relaxation exercises.
Greg HF:
https://www.youtube.com/channel/UCy2...EC9xQ/featured
The DCT programme is greatly recommended by long time fufferers of hard flaccid. And focusses on retraining the fascia and in turn fixing HF. I don't know much about it, but here's the website
https://freedomfrompelvicpain.com/hard-flaccid

[FONT=&quot]9. Massages[/FONT]
[FONT=&quot]This includes gentle massage t perineum area, as well as to scrotum and penis in order to release tension and normalise blood flow. Going for a professional massage will also release tension in tight areas that could be contributing to HF. I would leave the happy ending until after you've made a full recovery......[/FONT]

[FONT=&quot]10. Diet, Exercise and sleep[/FONT]
[FONT=&quot]a healthy diet, regular exercise and a good sleeping schedule are recommended for most health issues, but it is a very important part of recovering from HF. Not only are they very important in keeping your body strong and healthy, but put you in a much better headspace for a positive mindset and motivation to beat HF for good. Some exercise forms can induce HF e.g. running as it can induce the contraction of the pelvic floor, and can trigger the symptoms. However, it is recommended that you should not give up exercise, but instead adapt in order to not push your pelvic floor too much. Also alcohol is known to make the symptoms much worse as it is an inflammatory, and it is recommended that one should take a break from alcohol consumption until they have recovered all together.[/FONT]


[FONT=&quot]I really hope this helps. Not to toot my own horn or anything but I wish there was a post like this available to me when the condition first started for me. It is basically everything I have learned during my time with Hard Flaccid. I can safely say that I am greatly on the way to being free of Hard Flaccid. The biggest factor is motivation and determination, and keeping in mind that this is a condition tat can be recovered from. Keep calm, stay focused and good luck friends![/FONT]
[FONT=&quot]- Mudkip98 (moderator)[/FONT]
 

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This is somewhat general but worth reading.
This from David Wise phd.
Quote
In my view the whole issue we are dealing with about treatment for pelvic pain is simply this–how to allow the body to heal itself? I think contemporary medicine tends to forget that it is almost always the case that ‘the body heals itself and the doctor collects the fee.’ In the National Library of Medicine today, I found there were 3743 research articles listed on prostatitis. An infinitesimal 7 articles even contained the word healing. My view about treatment for pelvic pain is that we want to optimize the circumstances for the body to heal itself, we want to get out of the way of the healing of the tissues, muscles and structures inside the pelvic floor. Healing is what we want. In my own case, when I began thinking this way, my condition began to resolve.
The Wise-Anderson Protocol is about healing. It is about creating a hospitable environment for the restoration of normal happy tissue inside the pelvic floor. The relaxation protocol allows the nervous system to quiet down so that the irritated tissues can heal and can stop being squeezed into an irritated state… a squeezing that in most people who have pelvic pain has become habitual and chronic. The relaxation protocol aims to change the habit of tightening the pelvic muscles under stress. The physiotherapy we do stretches and lengthens the pelvic tissue and deactivates trigger points to make room for a healthy life in the pelvic floor.
The idea of RSD as it is understood today, at least as I read it, implies a condition where healing is remote. I balk at theories that imply healing isn’t possible because of my personal experience and others who have gotten better with this problem. Healing is possible. The patients I have seen who have done the worst – especially those who have suffered from unwise medical interventions, have given the entire responsibility for curing their condition to someone or something outside them. They come to the doctor and say “fix me doc”. Any treatment for the kind of pelvic pain we treat needs to be the servant of the body’s healing mechanisms. This requires the intimate and whole hearted participation of the patient.
Physiotherapy alone, while an essential component, is usually inadequate to resolve symptoms because it alone cannot make this healing occur. I understand this experientially. It is tempting for someone to think that physiotherapy, this outside procedure, will fix them. In my experience this person will be disappointed as I was. I had over 50 physiotherapy treatments and at the end of them all, I was still symptomatic and in pain. It was only after I saw that my problem came from my chronic tension, anxiety and habitually squeezing my pelvis – and particularly when I began the relaxation protocol in earnest, often up to 2 hours a day for over two years and doing moment-to-moment pelvic relaxation throughout the day, that my symptoms began to resolve. The pelvic pain of those we help is not simply a mechanistic problem that can be fixed from the outside with a physical therapist’s finger. The habit of tightening the pelvic floor is usually decades old and has been practiced thousands of times. It is part of a coping repertoire. Tightening their pelvic floor under stress is the default mode and keeps the tissue of the pelvic floor irritated and shortened.