Chronic Pelvic Pain Treatment
Specialist physiotherapy for Chronic Pelvic Pain Syndrome (CPPS) and chronic prostatitis. I help people understand their pain and find a path to recovery through a whole-person approach.
Book Free Discovery CallWhat is Chronic Pelvic Pain Syndrome?
Chronic Pelvic Pain Syndrome (CPPS), also known as chronic prostatitis or chronic pelvic pain, is persistent pain in the pelvic region lasting more than three months. It can affect bladder function, bowel habits, sexual function, and quality of life.
CPPS is not simply a 'prostate problem' or isolated tissue injury. It involves how your body's systems—nervous, muscular, immune—have adapted over time, along with psychological and life factors that can keep pain going even after initial tissue healing.
Many people with CPPS have been through numerous investigations and treatments without lasting improvement. This isn't because nothing can be done—it's because the condition requires a different approach. Understanding what's really happening is the first step toward recovery.
Common Symptoms
Symptoms vary from person to person but commonly include:
Pain or discomfort in the pelvis, lower back, or genital area
Urinary symptoms (frequency, urgency, difficulty starting)
Pain during or after sexual activity
Bowel symptoms or pain with bowel movements
Muscle tension in the pelvic floor, hips, or lower back
Sleep disturbance due to pain or urinary symptoms
Impact on mood, relationships, and quality of life
Symptoms that fluctuate or are triggered by stress, activity, or posture
Why Traditional Treatments Often Fall Short
Many people with CPPS have tried antibiotics, anti-inflammatories, alpha-blockers, and other medications with limited success. This isn't because nothing works—it's because CPPS is rarely caused by active infection or inflammation that medication alone can fix.
Treatments that focus only on the pelvic region—such as pelvic floor exercises in isolation—often miss the bigger picture. Pain involves nervous system sensitisation, changes in movement patterns, stress responses, and beliefs about the condition. All of these need addressing.
Without working with the whole person—body, mind, and environment—treatment outcomes remain limited. Recovery requires understanding how different factors interact to keep pain going, then systematically addressing each one.
Tim's Approach to CPPS Recovery
My approach combines contemporary pain science with a deep curiosity about you as a person. Recovery isn't just about understanding biology—it's about understanding how pain fits into your life, what matters to you, and how to build sustainable change through new habits and patterns.
In a comprehensive 75-minute assessment, we'll explore your unique experience and work together to develop a personalised plan that makes sense for your life and goals.
My Approach Includes:
- Pain education that goes beyond biology—understanding your pain in the context of your life
- Thorough assessment of movement patterns, posture, and how your body has adapted
- Graded exposure to activities and movements you've been avoiding
- Breathing techniques and meditation to calm your nervous system
- Movement and exercise tailored to your needs and capacity
- Stress management strategies that fit into your daily life
- Sleep optimisation and lifestyle changes that support recovery
- Creative, solution-focused approaches to problem-solving and building new patterns
- Support with anxiety, fear, and other psychological factors
- Gradual return to valued activities and sexual function
Frequently Asked Questions
Take the First Step
Book a free 15-minute discovery call to discuss your condition and how I can help.
Book Free Discovery Call