What is Hard-flaccid Syndrome and How can Physical Therapy Help
Hard-flaccid syndrome (HFS) is a chronic, painful condition characterized by a semi-rigid penis at the flaccid state and a loss in erectile rigidity. There are several components to the treatment and men suffering from this condition need guidance since not much information on HFS is published. If you suffer from this syndrome, find a physical therapist that is experienced in treating it. The good news is - at our practice, we treat many patients with this condition.

Diagnosis and Causes
Hard-flaccid Syndrome is a relatively new diagnosis. In many cases, it is caused by trauma to the penis. The trauma may be caused by a fall onto an erect penis, masturbation injury or sexual injury caused by a toy or penetration.

Physiology and Treatment
Levator ani are internal muscles which control orgasm. Bulbospongiosus and ischiocavernosus are external muscles that control erection and ejaculation. Therapy to address HFS will focus on external and internal muscles.

• Biofeedback can help lower muscle tone to its normal resting tone and allow the muscles in the pelvis to stay in their normal state.

• Breathing techniques allow the diaphragm to stretch the pelvic floor and decrease nerve tension.

• Learning how not to strain during bowel movements and not straining or holding your breath during working out/lifting may decrease symptoms.

• Hip flexor and abdominal stretches can improve nerve sensation. Two nerves, running through the abdomen and psoas, affect sensation in front of the pelvis.

• Overall stretching and strengthening of external muscles in surrounding areas that are weak.

• Pelvic floor muscle strengthening- deciphering between engaging external perineum and levator ani.

• External perineum myofascial release and internal levator ani myofascial release. (It is important that the therapist you see has experience using this treatment and that they understand how to work with these muscles.) 

• Change in masturbation habits with guidance from PT or sex therapist. Guidance may include changing of positions, grip and/or hands.

• Assessment for possible abdominal or testicle hernia, referral to an appropriate physician. If you are experiencing HFS symptoms, call us at 929-269-2505 to schedule a free 15-minute consultation to discuss your concerns and learn about how we may be able to help.

If you are experiencing HFS symptoms, call us at 929-269-2505 to schedule a free 15-minute consultation to discuss your concerns and learn about how we may be able to help.