The BioPsychoSocial approach to treating pelvic pain

The BioPsychoSocial approach was proposed by George Engel in the 70’s. It takes into account the multiple aspects of a patients life that can contribute to their pain state. It looks beyond  a single causative factor and weighs up the individual, addressing  not only their biological factors (muscle tightness, increased sensitivity to the nervous system, immune response factors (inflammation) contributing to increased sensitivity, fight and flight or stress response, changes to breathing patterns etc.), but also psychological factors (catastrophisation, fear avoidance, hyper-vigilance, anxiety, worry, procrastination, depression) and social factors (what it means to have pelvic pain in the work environment, how it changes relationships with partners, friends and family, what happens when the individual starts to socialise less, excluding themselves from those activities that provide them with a sense of community, self and a social life. Plus it address the personal nature of the condition, its physical location and the distress of not being able to talk openly about it, unlike neck or back pain for example).

Up until now a traditional model of healthcare has been described as a biomedical approach, only considering single factors (only the prostate, only an infection, only the muscles, only an anterior hip tilt etc.). The approach has been to only focus on single, primary factors and to treat them with traditional medical interventions (antibiotics, non-steroidal anti-inflammatory drugs (NSAID’s), antidepressants etc. or through postural correction techniques like chiropractics). To date this has not been a  proven, nor successful model in the treatment of male pelvic pain. Instead a multi factorial approach yields far greater results in the short and ling term recovery of patients

In adopting a BioPsychoSocial model I look to treat the whole patient, not just single causative factors that may or may not contribute to your condition

To gain a real insight into the BioPsychoSocial model in the context of male pelvic pain and how it permeates through the approach used at The Pelvic Pain Clinic please view these 2 videos I have put together

Video 1

Video 2

If you have any questions or queries regarding the BioPsychoSocial approach to the treatment of male pelvic pain please contact me here. I would love to answer your questions

Interested to find out more about how I can help you recover? Please click on the links below:

Testimonials From Clients

“Having suffered with Pelvic Pain to the point where I had to be hospitalised for a number of nights. Karl has a great understanding and level of empathy with his patients. Appreciating exactly how they feel and what they are going through”

To read blog posts from my patients about their successful recovery from their chronic pelvic pain and chronic prostatitis experiences, in their own words click here


Please find below a sample of some of my patient testimonials from over the years. I have not included them ALL here. Instead I have picked a handful of those that demonstrate a wide range of my skill sets, outcomes and patient opinions. I would therefore hope that you are able to gauge how I approach my methods of treatment. If you have any questions regarding any of these comments below or would like to know more about my treatment please contact me here

My aim is to take every individual patient I see and treat them as individuals. If I am not achieving this then I believe I am letting down that patient. It is therefore imperative that my approach is bespoke and tailored. Failure to do so is likely to result in an unsuccessful outcome.

From those testimonials listed below I hope to give you a flavour of what you can expect if you come and see me as a patient.


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