Piriformis Syndrome: Symptoms, Causes, Treatments, Exercises, and More Hypertonic or Overactive Pelvic Floor in Men East Gosford Physiotherapy Effective Treatments for Penile Pain: How Pelvic Physical Therapy Can Help I am a male with chronic dyssynergic constipation, pelvicfloor hypertonicity, urinary urgency, and erectile dysfunction who has had pinsandneedles warmth sensations in the perineal region for three years, especially during masturbation; what