Lance Frank, DPT, MPH (@lance_in_your_pants)

The things that make my pelvic floor PT eye twitch. 🚩😂 Some of these are funny, but they’re also some of the biggest misconceptions I see when treating men with pelvic floor dysfunction. Your pelvic floor isn’t a bicep. It doesn’t need to be flexed 24/7. 🍑 And contrary to popular belief, more…

These are the REAL pelvic floor horror stories I hear from men in my clinic every week. 🎃 Being told to do more Kegels when your pelvic floor is already overactive. 🎃 Going through round after round of antibiotics without anyone considering other causes of your pelvic pain. 🎃 Being told…

Most people hear the phrase: “Relax your pelvic floor.” But almost nobody explains what that actually means. An overactive pelvic floor doesn’t necessarily mean your muscles are “too strong.” It usually means they’re spending too much time contracted and don’t know how to fully let go. That can…

Most men have never been told they even have a pelvic floor. And that one fact explains why so many men spend years chasing answers for symptoms that seem completely unrelated. Pelvic pain. Bladder urgency. Constipation. Pain with sitting. Erectile dysfunction. “Prostatitis” that keeps coming back…

Turns out I actually really like talking about buttholes for a living. 🤷🏻‍♂️ Wouldn’t have it any other way. 😂 #pelvicfloor #menshealth #pelvichealth #pelvicpt

Pelvic health affects way more than just peeing. And talking about erections, ejaculation, bowel movements, pain, or bladder symptoms shouldn’t be embarrassing—it’s healthcare. Yet somehow, a lot of this still feels controversial when we talk about men’s health. So consider this your reminder that…

Apparently there are 50,000 of you here now 🤯 so it felt like a good time to reintroduce something I created for exactly the reason I started this page in the first place. The Pelvic Reset is my online men’s pelvic health program designed to help you understand your pelvic floor, what may be…

I genuinely believe everyone should know how to relax their pelvic floor. Not because everyone needs pelvic floor physical therapy, but because this is something that can affect so many parts of your health. A pelvic floor that never fully relaxes can contribute to: • Peeing “just in case” all the…

Turns out doing more isn’t always the answer. More Kegels. More stretching. More squeezing. More Googling at 2 AM. 😅 Sometimes the better move is understanding what your pelvic floor is actually doing — and giving it what it needs instead of throwing another random exercise at it. And yes…

Not gonna lie, this is one of the best feelings as a therapist. 😊

Everyone says to “relax your pelvic floor.” But almost nobody actually tells you how. That’s one of the biggest reasons I created How to Relax Your Pelvic Floor 101. Inside this short course, I’ll walk you through the same breathing and relaxation progression I teach men in my clinic every week…

Your pelvic floor called. It needs to chill. 😮‍💨 Message me RELAX and I’ll send you my mini-course that teaches you how. 👇

If you’ve followed me for a while, you’ve probably heard me say that an overactive pelvic floor can contribute to things like: • Pelvic pain • Urinary urgency or frequency • Constipation • Erectile dysfunction • Pain with sitting • Painful ejaculation • And a whole lot more. One of the biggest…

Finish peeing. Put everything away. drip 💧 The post-pee surprise strikes again. 🙃 Post-void dribbling can sometimes be a clue that your pelvic floor isn’t relaxing or coordinating as well as it could. And it’s only ONE of the signs I look for. I put 12 common signs into a free 2-Minute Male Pelvic…

Nothing activates my pelvic PT fight-or-flight quite like this sentence ⚡️😂 Antibiotics absolutely have a place when there’s a confirmed or strongly suspected bacterial infection. But when someone has been dealing with “prostatitis” symptoms for months—or YEARS—with negative cultures, repeated…

Turns out there were a few chapters missing from the curriculum. 😂 Somehow being a pelvic PT also means becoming an unofficial expert in underwear, urologists, insurance loopholes, lube, poop stools, pelvic wands, and having conversations that would get you kicked out of most dinner parties. And…

Yes, I took my pants off to teach you this. You’re welcome. 😂🎾 A tennis ball can be a simple way to work on external pelvic floor tension — but the goal is NOT to mash the living hell out of your perineum. Gentle pressure. Slow breathing. Let the muscles soften around the ball. Think release, not…

3 signs it might be worth looking at your pelvic floor — not just your prostate 👀 1️⃣ Trouble getting your pee stream started 2️⃣ Dribbling into your underwear AFTER you thought you were done 3️⃣ Penile or perineal discomfort even though your testing keeps coming back “normal” These symptoms don’t…

Kegels aren’t always the answer. Sometimes they’re actually part of the problem. 👀 If your pelvic floor is already tight and overactive, adding MORE squeezing may be the last thing it needs. Sometimes you have to learn how to let go before you worry about getting stronger. Message me RELAX and…

Male pelvic health is a growing area of PT… but figuring out where the hell to start can feel a little overwhelming. 😅 That’s exactly why I’m creating Male Pelvic Health Foundations. This course is for clinicians who want to start working with male pelvic health patients—or who already see them…

Life’s already hard enough. Your pelvic floor doesn’t need to be too. 😂 If you’re walking around all day subconsciously clenching your abs, butt, or pelvic floor… you may be keeping those muscles in a constant state of tension without even realizing it. And a pelvic floor that never gets a chance…

Tight ≠ strong. 👀 You can absolutely have a pelvic floor that’s tight AND weak at the same time. If those muscles are constantly gripping, clenching, or holding tension, they may be working all day long… …but that doesn’t necessarily mean they’re good at producing a strong, coordinated contraction…

Plot twist: your pelvic floor might not need to get stronger. It might need to chill. 😅 Kegels get recommended for basically everything pelvic floor-related, but more contraction isn’t always the answer. If your pelvic floor is already overactive, tense, or having trouble fully letting go…

Your pelvic floor is supposed to do more than just squeeze. It also needs to know how to let go. 🍑 If those muscles are constantly tense, clenched, or “on,” it can contribute to things like pelvic pain, urinary urgency/frequency, difficulty emptying your bladder or bowels, pain with sex, and other…

If your strategy for lasting longer is basically turning your entire body into one giant Kegel… we need to talk. 😂 When a lot of guys feel themselves getting closer to orgasm, they instinctively try to fight it. They hold their breath. Brace their abs. Squeeze their glutes. And clench the hell out…

Pelvic floor physical therapy sounds a lot weirder than it actually is. 😂 At the end of the day, it’s physical therapy. We’re just working with a part of the body most people were never taught anything about. And no… Pelvic PT isn’t just Kegels. It isn’t just internal exams. And it definitely…

Feeling spicy. Kegels aren’t the answer to every pelvic floor problem, especially for men. Wanna learn more? Comment GUIDE and I’ll send you my free Men’s Pelvic Health Starter Guide to learn everything I wish men knew about their pelvic floors. #pelvichealth #menshealth #sexualhealth #pelvicpt…