Thanks to Cusp82 for this discovery !

Chronic pelvic pain is defined as pain present below the level of the umbilicus with a duration of more than six months [1,2]. Chronic pelvic pain syndromes (CPPS) are highly prevalent in Western society, affecting both males and females. Studies have shown that CPPS significantly impacts upon a person’s quality of life because of debilitating physical symptoms along with the psychological burden of the condition [1-5].

Until recently, non-bacterial chronic prostatitis has been widely accepted as the leading cause of chronic pelvic pain in men [4]. However, a new phenomenon, known as hard flaccid syndrome, is being recognised as an alternative cause of unremitting pelvic pain in men by specialist pelvic floor physiotherapists and some urologists.

Currently, no published literature exists of the syndrome. Using observed information obtained from men’s health and pelvic floor physiotherapy forums -

www.allthingsmale.com
https://yourbrainrebalanced.com
https://pelvicpainrehab.com/
https://curehardflaccid.wordpress.com/

- we aim to raise awareness of this condition. We present the common signs and symptoms men exhibit and discuss how a multimodality holistic approach is the gold standard management.

What is hard flaccid syndrome?
Hard flaccid syndrome is a type of CPPS. The true prevalence is unknown, but cases have been reported in forums from men aged from their late teens to the seventh decade of life. Symptoms can be present for many years before correct diagnosis occurs.
(see full article at link below)

The article as published: urologyNews - Hard flaccid syndrome

From what I have seen onsite muscle spasm in th pelvic floor is a leading cause of cpp. In recent times physio has realised this and moved into the area of treatment of male pelvic issues . So hf appears on the physical level to be a subset of hf and is starting to be recognised by mainstream medical .

I began therapy two weeks ago for hard flaccid and pelvic floor disorder. Going to a male massage therapist who works knots all around my pelvis, front and back. I guess the next step is for him to go inside and work trigger points in the rectum.... not sure I'm ready for that yet, but if it helps I'll probably get there.
Anyone else done any formalized therapy for HF or PF?