{"id":219189,"date":"2026-01-14T10:42:59","date_gmt":"2026-01-14T10:42:59","guid":{"rendered":"https:\/\/wandsworthphysiotherapy.co.uk\/?p=219189"},"modified":"2026-01-14T10:44:47","modified_gmt":"2026-01-14T10:44:47","slug":"erectile-dysfunction","status":"publish","type":"post","link":"https:\/\/wandsworthphysiotherapy.co.uk\/erectile-dysfunction\/","title":{"rendered":"Struggling with Erectile Dysfunction? Discover the Power of Men\u2019s Pelvic\u00a0Health\u00a0Physiotherapy\u00a0"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>What is Erectile Dysfunction (ED)?\u00a0<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Erectile Dysfunction (ED),&nbsp;sometimes still called&nbsp;\u2018impotence\u2019,&nbsp;refers to the persistent inability to achieve or&nbsp;maintain&nbsp;an erection sufficient for satisfactory sexual activity.&nbsp;It\u2019s&nbsp;not a&nbsp;disease in itself, but&nbsp;rather a&nbsp;<strong>symptom<\/strong>&nbsp;of underlying physical, psychological, or mixed causes.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ED,&nbsp;is just one of&nbsp;a number of&nbsp;<a href=\"https:\/\/wandsworthphysiotherapy.co.uk\/mens-pelvic-health-physiotherapy\/\" target=\"_blank\" rel=\"noreferrer noopener\">men\u2019s pelvic health problems<\/a>. It&nbsp;can affect men of all ages,&nbsp;though it becomes more common with age,&nbsp;and it can stem from a range of contributing factors, including vascular problems (e.g. reduced penile blood flow), nerve issues, hormonal imbalances, muscular or pelvic floor dysfunction, stress, anxiety, or psychological factors.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Who Suffers from&nbsp;ED? (And Why&nbsp;It\u2019s&nbsp;More Common Than We Think)&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Middle-aged and older men<\/strong>: With increasing age, vascular health may wane, and pelvic floor muscle strength or tone may change.\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Men with chronic health issues<\/strong>: Conditions like diabetes, hypertension or atherosclerosis can impair blood flow or nerve conduction, contributing to ED.\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Men with pelvic floor dysfunction or\u00a0muscletone\u00a0imbalance<\/strong>: Weak pelvic floor muscles, poor coordination, or conversely overly tight\/overactive pelvic floor muscles may impair the muscular support needed for normal erectile function.\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Men recovering from surgery<\/strong>: For example,\u00a0<strong>after prostate surgery<\/strong>, pelvic floor and vascular or nerve dysfunction may combine to affect sexual function. Physiotherapy is often recommended in these scenarios.\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Younger men under stress or with lifestyle factors<\/strong>: Though less common, younger men,\u00a0especially those with pelvic-pain conditions, high stress or pelvic floor tension,\u00a0may also experience ED.\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In short: Erectile Dysfunction can hit a wide spectrum of men.\u00a0That\u2019s\u00a0why\u00a0it\u2019s\u00a0important to approach it holistically.\u00a0<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"674\" src=\"https:\/\/wandsworthphysiotherapy.co.uk\/wp-content\/uploads\/2021\/10\/Wandsworth-Physio-452-1024x674.jpg\" alt=\"Erectile Dysfunction in Wandsworth\" class=\"wp-image-219057\" srcset=\"https:\/\/wandsworthphysiotherapy.co.uk\/wp-content\/uploads\/2021\/10\/Wandsworth-Physio-452-1024x674.jpg 1024w, https:\/\/wandsworthphysiotherapy.co.uk\/wp-content\/uploads\/2021\/10\/Wandsworth-Physio-452-300x197.jpg 300w, https:\/\/wandsworthphysiotherapy.co.uk\/wp-content\/uploads\/2021\/10\/Wandsworth-Physio-452-768x506.jpg 768w, https:\/\/wandsworthphysiotherapy.co.uk\/wp-content\/uploads\/2021\/10\/Wandsworth-Physio-452-1536x1011.jpg 1536w, https:\/\/wandsworthphysiotherapy.co.uk\/wp-content\/uploads\/2021\/10\/Wandsworth-Physio-452-2048x1348.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">How Traditional Physiotherapy Can Help&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Physiotherapy,&nbsp;especially when delivered by a specialist in&nbsp;<a href=\"https:\/\/wandsworthphysiotherapy.co.uk\/service\/mens-health\/\" target=\"_blank\" rel=\"noreferrer noopener\">men\u2019s pelvichealth<\/a>,&nbsp;can play&nbsp;a central role&nbsp;in the non-pharmacological, non-surgical management of ED.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Below are the main ways it can help:&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pelvic Floor &amp; Core Strengthening&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The pelvic floor muscles,&nbsp;including small but key muscles such as the ischiocavernosus and&nbsp;bulbospongiosus,&nbsp;play&nbsp;an important role&nbsp;in achieving and&nbsp;maintaining&nbsp;an erection. They help maintain penile rigidity, support vascular and nerve function, and contribute to ejaculation and orgasm.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A&nbsp;wellstructured&nbsp;pelvic floor muscle training (PFMT) programme,&nbsp;especially if&nbsp;supervised by an experienced&nbsp;physiotherapist, can:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Improve muscle strength, endurance, and coordination.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Help \u201ctrap\u201d blood within the erectile tissue, supporting firmer, more sustained erections.\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Improve control during ejaculation and potentially help with related issues (e.g. premature ejaculation).\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A&nbsp;<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1324914\/\" target=\"_blank\" rel=\"noreferrer noopener\">randomised controlled trial<\/a>,&nbsp;showed that men engaging in pelvic floor exercises and biofeedback saw significant improvements in erectile function after 3 and 6 months versus&nbsp;only&nbsp;lifestyleadvice&nbsp;alone.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Manual Therapy, Relaxation, and Muscle Tone Regulation&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ED&nbsp;isn\u2019t&nbsp;always about weak muscles;&nbsp;sometimes the pelvic floor is too tight or overactive, leading to restricted blood flow, nerve&nbsp;pressure&nbsp;or poor muscle coordination.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Physiotherapists can use:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Manual therapy (soft tissue release, myofascial release) around the pelvic floor, hips, lower\u00a0back\u00a0and abdomen\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Breathing, posture and\u00a0corestability\u00a0work to improve muscle control and reduce undue tension\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Downtraining\u00a0or relaxation techniques for overactive pelvic floor muscles (rather than just \u201cmore tightening\u201d)\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">This approach can also target contributing issues such as poor posture, reduced hip\/spine mobility, nerve&nbsp;irritation&nbsp;or chronic pelvic pain&nbsp;&#8211;&nbsp;all of which may influence sexual function.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Lifestyle, Stress Management, and Holistic Support\u00a0for Erectile Dysfunction<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Erectile Dysfunction is often more than a physical issue: stress, anxiety, poor circulation, sedentary lifestyle, and general health all play a part.\u00a0\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Physiotherapists can therefore help by:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Providing tailored exercise and movement programmes to improve cardiovascular and pelvic health\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Offering advice on posture, breathing,\u00a0relaxation\u00a0and stress reduction,\u00a0useful if performance anxiety or tension plays a role\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Educating about pelvic health and empowering men to\u00a0selfmanage\u00a0with home exercise programmes, rather than relying solely on medication or quick fixes.\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33931383\/\" target=\"_blank\" rel=\"noreferrer noopener\">A 2022 review<\/a>\u00a0of pelvic floor rehabilitation for sexual dysfunction concluded that physiotherapy (PFMT, manual therapy,\u00a0muscletone\u00a0modulation) can significantly improve Erectile Dysfunction and premature ejaculation,\u00a0when tailored to the individual.\u00a0\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Advanced &amp; Complementary Treatments: When Traditional Physio Alone Is Not Enough&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For men with Erectile Dysfunction,\u00a0especially vascular-related or\u00a0mixed cause\u00a0Erectile Dysfunction,\u00a0additional\u00a0treatments alongside more \u2018classic\u2019 physiotherapy, can\u00a0add\u00a0significant\u00a0benefits.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Shockwave Therapy (LowIntensity&nbsp;Extracorporeal Shockwave Therapy,&nbsp;LiESWT)&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>LowIntensity\u00a0Extracorporeal Shockwave Therapy (LiESWT) uses\u00a0lowintensity\u00a0sound waves to stimulate tissue repair, angiogenesis (new blood vessel growth), and improved blood flow in penile tissue.\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>When combined with pelvic floor physiotherapy and lifestyle changes, it can target both vascular and musculoskeletal contributors to Erectile Dysfunction,\u00a0offering a more\u00a0comprehensive\u00a0treatment.\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>For men with mild-to-moderate, vascular-related Erectile Dysfunction (who still have some natural erectile function),\u00a0LiESWT\u00a0may help restore more spontaneous erections or reduce reliance on medication.\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other Complementary or Supportive Services&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Because ED is often multifactorial, effective management can&nbsp;benefit&nbsp;from a broader, multidisciplinary approach. Some relevant services include:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/wandsworthphysiotherapy.co.uk\/service\/nutrition-services\/\" target=\"_blank\" rel=\"noreferrer noopener\">Nutritional advice<\/a><strong>\u00a0and lifestyle coaching<\/strong>\u00a0&#8211;\u00a0to improve overall vascular health, manage weight, support circulation, and reduce risk factors like diabetes or high blood pressure.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/wandsworthphysiotherapy.co.uk\/service\/reflexology\/\" target=\"_blank\" rel=\"noreferrer noopener\">Reflexology<\/a><strong>\u00a0or\u00a0stressreduction\u00a0therapies<\/strong>\u00a0&#8211;\u00a0to help with relaxation, reduce performance anxiety, and improve overall wellbeing (though evidence is more anecdotal, some men find benefit when combined with physiotherapy).\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Psychosexual counselling or therapy<\/strong>\u00a0&#8211;\u00a0when psychological or emotional factors (stress, anxiety, past trauma) significantly contribute to Erectile Dysfunction.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/wandsworthphysiotherapy.co.uk\/service\/pilates\/\" target=\"_blank\" rel=\"noreferrer noopener\">Pilates<\/a><strong>\u00a0<\/strong>&#8211;\u00a0to promote better posture,\u00a0hip mobility,\u00a0core\u00a0and strength,\u00a0to\u00a0reduce muscular imbalances and support pelvic mechanics.\u00a0<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Why Physiotherapy Is a Great First Line Option&nbsp;<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Noninvasive\u00a0&amp;\u00a0low risk<\/strong>: Unlike surgery or invasive procedures,\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10903622\/\" target=\"_blank\" rel=\"noreferrer noopener\">pelvic floor physiotherapy<\/a>\u00a0and shockwave therapy are\u00a0generally safe. PFMT can be done at home once learned.\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Addresses root causes, not just symptoms<\/strong>: Rather than just \u201cpatching up\u201d Erectile Dysfunction with pills, physio tries to fix dysfunction in blood flow, muscle tone, nerve coordination, posture,\u00a0lifestyle\u00a0and stress,\u00a0for\u00a0longerterm\u00a0benefit.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Customisable and holistic<\/strong>: Physio can be tailored to whether the problem stems from weak muscles, overactive muscles, vascular issues, past surgery, or a mix. And can be combined with nutrition, stress management, and other therapies for a truly\u00a0holistic approach.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sustainable and empowering<\/strong>: Patients learn exercises and lifestyle habits they can\u00a0maintain,\u00a0rather than relying indefinitely on medication or interventions.\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30983396\/\" target=\"_blank\" rel=\"noreferrer noopener\">2019 systematic review<\/a>&nbsp;specifically found that pelvic floor muscle training (often with biofeedback) produced statistically significant improvements in erectile function 12 months after treatment.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A 2022 review further supports that combining PFMT, manual&nbsp;therapy&nbsp;and lifestyle advice is often more effective than exercises alone.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How We Do It at Wandsworth Physiotherapy&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">At&nbsp;<a href=\"https:\/\/wandsworthphysiotherapy.co.uk\/contact-us\/\" target=\"_blank\" rel=\"noreferrer noopener\">Wandsworth Physiotherapy<\/a>,&nbsp;our&nbsp;<a href=\"https:\/\/wandsworthphysiotherapy.co.uk\/service\/mens-health\/\" target=\"_blank\" rel=\"noreferrer noopener\">men\u2019s pelvichealth service<\/a>&nbsp;takes a comprehensive,&nbsp;patientcentred&nbsp;approach.&nbsp;We&nbsp;combine PFMT, manual therapy and shockwave (when&nbsp;indicated)&nbsp;to ensure our patients receive the best evidence-based treatment.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>This&nbsp;may include:<\/strong>&nbsp;<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>Full assessment<\/strong>\u00a0&#8211;\u00a0including pelvic floor muscle tone, strength, coordination, posture, hip\/spine mobility, breathing, and general cardiovascular fitness.\u00a0<\/li>\n<\/ol>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Individualised exercise prescription<\/strong>\u00a0&#8211;\u00a0core work, pelvic floor strengthening or relaxation (depending on findings), hip\/mobility exercises, posture and breathing guidance.\u00a0<\/li>\n<\/ol>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>Manual therapy<\/strong>\u00a0&#8211;\u00a0soft tissue work, myofascial release, mobilisation of pelvis, hips and lower back if indicated.\u00a0<\/li>\n<\/ol>\n\n\n\n<ol start=\"4\" class=\"wp-block-list\">\n<li><strong>Lifestyle and stressmanagement\u00a0<\/strong>&#8211;\u00a0including advice on general exercise, nutrition, relaxation techniques, and anything else that may support vascular, nerve and pelvic health.\u00a0<\/li>\n<\/ol>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li><strong>Advanced therapies where appropriate<\/strong>\u00a0&#8211;\u00a0for example, lowintensity shockwave therapy for men whose ED seems to have a vascular component.\u00a0<\/li>\n<\/ol>\n\n\n\n<ol start=\"6\" class=\"wp-block-list\">\n<li><strong>Longterm followup and selfmanagement plans<\/strong>\u00a0&#8211;\u00a0ensuring that improvements are maintained, and empowering men to take control of their pelvic and sexual health.\u00a0<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">We recognise that Erectile Dysfunction can feel deeply personal and emotionally challenging.\u00a0\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Our aim is to provide a respectful, evidencebased, holistic and effective path to regain function,&nbsp;without the need for invasive interventions unless&nbsp;absolutely necessary.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions (FAQs)&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Q: Is physiotherapy&nbsp;really effective&nbsp;for&nbsp;ED,&nbsp;or&nbsp;is it just placebo?<\/strong>&nbsp;<br>A: There is good evidence that pelvic floor muscle training (PFMT), often combined with biofeedback or manual therapy, can significantly improve erectile function. It\u2019s not a magic&nbsp;cure,&nbsp;but for many men (especially with weak or dysfunctional pelvic floor musculature), it can make a real difference.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Q: Will pelvic floor exercises alone always work?<\/strong>&nbsp;<br>A: Not always. The effectiveness depends on the underlying cause(s) of ED. If vascular issues, nerve problems or poor circulation are major factors, then pelvic floor exercises alone may not be enough. That\u2019s why a comprehensive assessment and often a multimodal approach is best.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Q: What about Shockwave therapy&nbsp;&#8211;&nbsp;is it safe and effective?<\/strong>&nbsp;<br>A: Low-intensity&nbsp;<a href=\"https:\/\/wandsworthphysiotherapy.co.uk\/mens-pelvic-health-physiotherapy\/\" target=\"_blank\" rel=\"noreferrer noopener\">extracorporeal shockwave therapy<\/a>&nbsp;(LiESWT) is increasingly offered as a noninvasive, drugfree option for ED, particularly when vascular dysfunction is involved. Early studies and clinical experience suggest it can improve penile blood flow and erectile function. As with all treatments, success depends on patient selection, underlying causes and combining it with lifestyle\/physio for best outcomes.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Q: How long before I see improvement?<\/strong>&nbsp;<br>A: With pelvic floor training, significant improvements are often seen over&nbsp;a few&nbsp;months.&nbsp;Many studies report meaningful change at 3&nbsp;&#8211;&nbsp;6 months, with benefits maintained at 12month follow-up. Shockwave therapy may offer earlier improvement in some cases,&nbsp;and the&nbsp;best results are often seen when combined with physiotherapy and healthy lifestyle.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Q: Are there risks or sideeffects?<\/strong>&nbsp;<br>A: Pelvic floor physiotherapy and exercise are generally very safe and noninvasive. Lowintensity shockwave therapy is also considered lowrisk, though not everyone responds,&nbsp;and it\u2019s not appropriate for severe ED where vascular or structural damage is advanced.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Conclusion&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Erectile Dysfunction is common,&nbsp;and often far more than a&nbsp;\u2018pharmacy issue\u2019.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At its roots, ED can reflect a complex interplay between vascular health, nerve function, muscle control, posture, stress, lifestyle and more. This is where physiotherapy&nbsp;&#8211;&nbsp;particularly men\u2019s pelvichealth physiotherapy,&nbsp;shines;&nbsp;by offering a&nbsp;<strong>safe, evidence-based, holistic<\/strong>&nbsp;approach that addresses many of the underlying contributors.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At Wandsworth Physiotherapy, we believe in giving men a real choice;&nbsp;not just pills or surgery, but a path grounded in movement, strength, function, and lifestyle. If you\u2019re struggling with ED, it may be worth exploring whether physiotherapy could help you,&nbsp;because sometimes, the&nbsp;\u2018muscles underneath\u2019&nbsp;matter more than we think.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">References&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dorey, Grace et al.&nbsp;<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1324914\/\" target=\"_blank\" rel=\"noreferrer noopener\">Randomised controlled trial of pelvic floor muscle exercises and manometric biofeedback for erectile dysfunction.\u202f<\/a><em>The British journal of general&nbsp;practice :&nbsp;the journal of the Royal College of General Practitioners<\/em>\u202fvol. 54,508 (2004): 819-25.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gbiri&nbsp;CAO,&nbsp;Akumabor&nbsp;JC.&nbsp;<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10903622\/\" target=\"_blank\" rel=\"noreferrer noopener\">Effectiveness of Physiotherapy Interventions in the Management Male Sexual Dysfunction: A Systematic Review<\/a>.\u202f<em>Int J Sex Health<\/em>. 2023;35(1):52-66. Published 2023 Jan 2.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kannan, Priya et al.&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30983396\/\" target=\"_blank\" rel=\"noreferrer noopener\">Effectiveness of physiotherapy interventions for improving erectile function and&nbsp;climacturia&nbsp;in men after prostatectomy: a systematic review and meta-analysis of randomized controlled trials<\/a>.\u202f<em>Clinical rehabilitation<\/em>\u202fvol. 33,8 (2019): 1298-1309.&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is Erectile Dysfunction (ED)?\u00a0 Erectile Dysfunction (ED),&nbsp;sometimes still called&nbsp;\u2018impotence\u2019,&nbsp;refers to the persistent inability to achieve or&nbsp;maintain&nbsp;an erection sufficient for satisfactory sexual activity.&nbsp;It\u2019s&nbsp;not a&nbsp;disease in itself, but&nbsp;rather a&nbsp;symptom&nbsp;of underlying physical, psychological, or mixed causes.&nbsp;&nbsp; ED,&nbsp;is just one of&nbsp;a number of&nbsp;men\u2019s pelvic health problems. It&nbsp;can affect men of all ages,&nbsp;though it becomes more common with age,&nbsp;and [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":219057,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[374,545,427,380],"tags":[561,562,546,347],"class_list":["post-219189","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-physiotherapy","category-mens-health","category-osteopathy","category-osteopathyphysiotherapy","tag-erectile-dysfunction","tag-focused-shockwave","tag-mens-health","tag-physiotherapy"],"acf":[],"_links":{"self":[{"href":"https:\/\/wandsworthphysiotherapy.co.uk\/wp-json\/wp\/v2\/posts\/219189","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wandsworthphysiotherapy.co.uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wandsworthphysiotherapy.co.uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wandsworthphysiotherapy.co.uk\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/wandsworthphysiotherapy.co.uk\/wp-json\/wp\/v2\/comments?post=219189"}],"version-history":[{"count":0,"href":"https:\/\/wandsworthphysiotherapy.co.uk\/wp-json\/wp\/v2\/posts\/219189\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wandsworthphysiotherapy.co.uk\/wp-json\/wp\/v2\/media\/219057"}],"wp:attachment":[{"href":"https:\/\/wandsworthphysiotherapy.co.uk\/wp-json\/wp\/v2\/media?parent=219189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wandsworthphysiotherapy.co.uk\/wp-json\/wp\/v2\/categories?post=219189"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wandsworthphysiotherapy.co.uk\/wp-json\/wp\/v2\/tags?post=219189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}