| Months 1–4 (Pre-Treatment) | Saw urologist and colorectal specialist for deep pelvic pain. Recommended Botox injections into pelvic floor muscles. Patient wanted to explore non-invasive options first. Found City Integrative Rehabilitation through online research. |
| ▸ Treatment at City Integrative Rehabilitation | |
| Condition | Severe pelvic floor spasm with deep anal and testicular pain |
| Prior Recommendation | Botox injections — patient wanted as last resort |
| How He Found Us | Prior patient at our clinic |
| Treatment | Focused shockwave therapy to pelvic floor |
| Sessions Required | 3 |
| Outcome | 100% resolution, never returned |
Presenting Complaint
30-year-old male with severe pelvic floor spasm deep into anal and testicular region. Told he needed Botox injections. Wanted Botox as last resort. As a prior patient, came back to CityIR for help.
Focused Shockwave Therapy: Precision Where It Matters
We evaluated him and decided focused shockwave was the right tool. F-ESWT can direct acoustic waves precisely into deep tissue — including the pelvic floor musculature. We targeted exactly his region of pain and discomfort. We applied a round of shockwaves directly into the spasming tissue. Learn more about our shockwave therapy approach.
| Session 3 (Day 8) | Targeted residual trigger point identified on palpation. One final round of focused shockwave applied. Patient reported complete resolution on the table. |
| After Session 3 | Pain never returned. |
Outcome
Complete resolution in 3 sessions. The severe pelvic floor spasm that was headed for Botox injections was fully resolved with focused shockwave therapy and never returned.
Why This Case Matters
Pelvic floor dysfunction is underdiagnosed and undertreated. Many patients suffer in silence or are funneled toward injections and medications. Focused shockwave offers a non-invasive alternative that can reach deep pelvic floor musculature with precision. Not every case will resolve this quickly, but this case demonstrates the power of the right tool applied to the right problem.
This case study is for educational purposes. Individual results may vary. Always consult with a qualified healthcare provider before beginning any treatment.