In his own words this is Adam’s recovery from Pelvic Pain

A big thanks to Adam for sharing his journey and recovery. From being told he will just have to ‘live with it’ to taking back his life and doing everything he wants to do


I started to notice pelvic pain about 15 years ago in my early 30s. It was a particularly stressful time with having children, a new job when I was working long hours and sitting a lot. I always had IBS and lower back pain, and they all got bad at this time. I had two ‘successful’ spincterotomy operations to deal with anal fissures. However, post the operations I started over time to feel more intense periods of tingling pain and muscle spasm in my pelvis. I lived with this but it gradually got worse especially when sitting and under stress. My GP had no idea what it was so just increased my pain killer dose when I saw him. This has little effect. I went to a local pain clinic and the consultant just said ‘live with it’, and did not offer any explanation nor any useful advice on how to reduce the pain.   

Pelvic pain on sitting

Then in my mid-40s after changing jobs again, becoming a commuter and many long flights, the pelvic pain got really bad and I got pudendal neuralgia. Sitting had always been uncomfortable, but now it became impossible for more than a few minutes. Naturally this made life and work very difficult. I went to a pain clinic in London and had 3 pudendal nerve block. I also started to see a physiotherapist and psychologist and had cognitive-behavioural therapy. I also saw a biomechanics expert. Together this all helped me address my muscular, nerve and psychological issues.  

Understanding pelvic pain

However, each expert worked very much in their own area and I still did not have an overall perspective on my pelvic pain. Karl helped me to finally bring it all together, develop a better understanding of my pain and develop an effective self-care programme. Initially he helped me with treating muscular dysfunction inside my pelvis using the wand. Then he helped me understand that I had central sensitivity (CS) in my nervous system, which meant my brain amplified any pain in my pelvis. I also learnt that with persistent pain the brain changes how it represents your body and you get ‘smudging’ with brain areas devoted to different body parts or functions overlapping and so causing sensitivity to spread through the body. This helped me understand why I also had developed nerve pain in my right foot, right leg, penis tip and face. I needed to learn how to desensitize my nervous system by pacing my behaviour which caused pain. I used a sit/stand desk at work and home, and a chair cushion to help in this process.

I have my life back

Karl helped me realize I needed to activate my parasympathetic nervous system through muscle relaxation, behaviour pacing, positive thinking (i.e., not catastrophizing), meditation and exercise. We developed a self-care programme to do this. I have been doing this for over a year now and it has helped reduce my pelvic pain a lot. I have my life back and I can do everything I could do before. Karl is very supportive, professional and well informed about pelvic pain, and I am so very glad I found him on my journey to recovery from pelvic pain.  

If you liked what you read here why don’t you check out some of the other success stories to come out of The Pelvic Pain Clinic here

Read Howard’s successful recovery from Chronic Pelvic Pain Syndrome here

Check out Adam’s successful recovery from Pelvic Pain here

Follow Robbie’s successful recovery from CPPS here

Learn about Tommy’s successful recovery from Prostatitis here

See Ben’s successful recovery from Pelvic Pain here 

Discover Chris’s successful recovery from Prostatitis here

Find out how Jamie got back on his bike again after recovering from Pelvic Pain  here

6 months on and Anthony still has no pelvic pain here

Tony is now able to sit pain free. He is back working, driving and travelling here

Mark suffered for over 10 years with pelvic pain here

Read David’s recovery from 8 years of pelvic pain here

Read Brian’s account of his recovery here


Karl Monahan is the owner of The Pelvic Pain Clinic, London. He has been successfully treating male pelvic pain since 2009. His depth of knowledge and personal experience on the subject provides his patients with a compassionate approach that is rarely found. His holistic approach to treating male pelvic pain addresses, lifestyle, diet, exercise, stress management and therapeutic movement. The clinics approach is very much aimed at empowering the patient, teaching them the tools and techniques to manage and reduce their own symptoms allowing them to be the driver in their own recovery and not just a passenger.

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.


Read All Reviews