Most people have heard of sciatica. But very few know that sometimes the symptoms aren’t coming from the spine at all — they can come from endometriosis affecting the sciatic nerve. Sciatic nerve endometriosis is rare but real, and when it’s missed, women may spend years chasing vary treatments back and buttock treatments that never work. I’m Katie Beckham, a pelvic floor physical therapist in Houston. Over the years, I’ve worked with women whose “sciatica” didn’t respond to standard care because the source was endometriosis. The good news is that once the condition is recognized, pelvic floor physical therapy, which includes assessing nutrition and lifestyle, can play a crucial role in managing pain and improving comfort. What Is Sciatic Nerve Endometriosis? Sciatic nerve endometriosis is a type of deep infiltrating endometriosis (DIE). In this condition, endometrial-like tissue grows on or around the sciatic nerve. Just like tissue in the uterus, these abnormal tissues are influenced by the menstrual cycle and inflammatory foods and lifestyle. Over time, continued hormone imbalances may cause unwanted endometrial tissue to develop. While most cases of endometriosis involve pelvic organs, the potential for sciatic nerve involvement also needs to be considered. Women searching for answers about sciatica pain in Houston, Texas , should consider consulting a pelvic floor physical therapist. Symptoms and Red Flags The hallmark symptom of endometriosis involving sciatic nerve can be leg or buttock pain that worsens right before or during a period. Unlike standard sciatica from a disc injury, this pain has a cyclical pattern around the menstrual cycle. Other symptoms can include: Radiating pain: Sharp, burning, or tingling sensations traveling from the buttock down the back of the leg, sometimes into the foot. Numbness or weakness: Reduced sensation or strength in the affected leg. Foot drop: Inability to lift the front of the foot, making walking difficult. Gait changes: Limping or altered walking mechanics due to pain or weakness. Overlapping endometriosis symptoms: Severe menstrual cramps, painful intercourse, bloating, or fatigue. In my practice, one red flag I pay attention to is pain that gets worse around the menstrual cycle. Many women try sciatica pain physical therapy in Houston, Texas, only to find it doesn’t help because the true driver is endometriosis. Why It’s Often Misdiagnosed Sciatic nerve endometriosis is easy to mistake for common back problems. It mimics conditions like lumbar disc herniation or piriformis syndrome. Pelvic exams may be normal or often painful when the nerve is involved. MRIs can sometimes identify lesions at the sciatic notch, but laparoscopic confirmation is still the gold standard. Women often see orthopedic or spine specialists first, which delays referral to pelvic health providers. This is one reason some cases are underdiagnosed. But if you notice sciatica-type pain that flares with your cycle, it deserves a closer look. How Pelvic Floor PT Supports Recovery While pelvic floor PT cannot remove endometriosis tissue, it can make a profound difference in symptoms and quality of life. Endometriosis often leaves muscles in the pelvis, hips, and glutes tight, weak, and poorly coordinated. That’s where therapy helps. Here’s how women's pelvic floor physical therapy in Houston, Texas can support women with sciatic nerve endometriosis: Manual release: Gentle hands-on work to ease tension in pelvic floor, hip, and glute muscles — especially the piriformis, which lies close to the sciatic nerve. Nerve mobility: Techniques like nerve gliding (also called nerve flossing) help the sciatic nerve move freely through surrounding tissues. Postural and core training: Strengthening the deep core, including the transverse abdominis, improves pelvic support and reduces strain on the nerve. Breathing and relaxation: Diaphragmatic breathing calms the nervous system and reduces pelvic floor overactivity. Visceral mobilization: Gentle techniques to improve mobility of pelvic organs and fascia, important when adhesions or scar tissue are present. Inflammatory Lifestyle review, education and improvement. Common Exercises You May Learn Alongside in-clinic treatment, I often teach simple, safe movements that support healing: Piriformis stretch (figure-four): Stretches the glute and piriformis muscles, easing pressure near the sciatic nerve. Nerve glides: Seated leg extensions combined with gentle neck flexion to mobilize the sciatic nerve. Pelvic tilts: Subtle core exercise to improve control and coordination of pelvic and abdominal muscles. Nutrition and Supplement Coaching For women seeking pelvic floor physical therapy for endometriosis for Bunker Hill Villages , these home practices will be beneficial. When to Seek Help You should consider evaluation if: Your sciatica-like pain flares during your period. You’ve tried standard back or sciatica care without success. Cyclical Pain is interfering with your ability to walk, sit, or live your daily life. The sooner you address it, the better the chances of reducing pain. You Don’t Have to Live With This If you’ve been told your sciatica “looks normal” but you know something is still wrong, you’re not imagining it. Sciatic nerve endometriosis is uncommon, but it’s real — and help is available. With over 40 years in physical therapy and 15 years devoted to pelvic health, I provide private, one-on-one care in West Memorial. If you’re in Memorial, Spring Branch, Bunker Hill Villages, Houston, Bellaire, or Katy, I’d be honored to help you find relief. Contact me today to schedule your session.

Ease pubic symphysis dysfunction and SI joint pain with expert postpartum physical therapy in Houston, Memorial, and Spring Branch. Restore comfort and stability.

That deep, persistent ache in your buttock that may radiate down your leg and makes sitting for long periods or moving in specific ways nearly impossible is more than frustrating. You may have been told it’s sciatica or piriformis syndrome. You’ve followed the usual advice: glute stretches, foam rolling, resting from activity. Yet the pain keeps returning, often without any clear reason. When common strategies don’t lead to meaningful relief, it’s time to consider whether something else might be contributing to the issue. Here’s something many people aren’t told: What if your piriformis isn’t actually the source of your pain? What if the true cause lies deeper, in an adjacent structure that’s often overlooked? If your symptoms haven’t improved with typical piriformis treatments, there’s a good chance something else is involved. The Usual Suspect: What Is Piriformis Syndrome? The piriformis is a small, triangular-shaped muscle that lies deep in your buttock. Its main job is to help rotate your hip outward. The sciatic nerve provides the motor function to the piriformis muscle, the largest nerve in your body. When the piriformis tightens, spasms, or gets irritated, it can press against that nerve and cause pain that mimics traditional sciatica. That’s what we call piriformis syndrome. The symptoms can be intense. Pain when sitting, soreness that radiates down the leg, difficulty walking, or sleeping. It’s a real condition—and it’s often the first thing doctors or trainers suggest when someone describes “sciatic pain.” But here’s the problem: Piriformis syndrome gets blamed for a lot of pain it isn’t causing. And that’s why so many people don’t get better with standard approaches like stretching or foam rolling. The Hidden Culprit: Your Pelvic Floor’s Role in Sciatic Pain The piriformis doesn’t operate in isolation. It’s part of a broader system of deep hip and pelvic muscles. And one of the most important—and most overlooked—players in that system is your pelvic floor. The pelvic floor is a group of muscles at the base of your pelvis. These muscles support your bladder, bowel, and reproductive organs, but they also help stabilize your hips and spine. One pelvic floor muscle in particular—the obturator internus —sits right next to the piriformis and also runs close to the sciatic nerve. If the obturator externus is tight or in spasm (a common feature of pelvic floor dysfunction), it can irritate the sciatic nerve in the exact same way the piriformis can. Your brain can’t always tell which muscle is doing the irritating—it just feels the nerve reacting. Think of it like a doorbell. It doesn’t matter whether the piriformis or the obturator internus presses on the nerve. The bell rings angrily either way. And in this case, the bell is your sciatic pain. That’s why so many women come to me for women’s pelvic floor dysfunction treatment in Memorial after months—sometimes years—of chasing the wrong diagnosis. How to Tell the Difference: Clues That Point to the Pelvic Floor If piriformis stretches haven’t helped—or seem to make things worse—it may be time to consider another source. Here are some signs your pain might be related to pelvic floor dysfunction instead: Ask yourself: Do you ever feel pelvic pressure or heaviness? Do you have urinary issues like leaking, urgency, or frequency? Is constipation or straining part of your routine? Have you experienced pain with intercourse? Do you notice tailbone or low abdominal discomfort? Do you have a low back or hip pain? These symptoms aren’t typically caused by piriformis syndrome. They may be closely tied to dysfunction in the pelvic floor. Getting to the Root: Why the Proper Diagnosis Matters The body is a connected system. A problem in one muscle often creates symptoms elsewhere. That’s why chasing pain rarely leads to lasting relief. You need a full-body evaluation, not just a local, myopic look. That’s exactly what I do during sessions for women’s pelvic floor dysfunction treatment in Memorial . I assess how your hips, back, core, and pelvic floor are all working together (or not). Sometimes the pain is coming from multiple sources. But more often than people realize, the pelvic floor is the missing piece. Consider consulting a pelvic floor physical therapist. Your Next Step Toward Real Relief If you’ve been stretching, massaging, and guessing your way through sciatic pain with no results, it’s time to try something different. You don’t have to live with chronic buttock pain or vague sciatica that keeps returning. I offer one-on-one sciatica pain physical therapy in Spring Branch that includes a full pelvic floor evaluation when appropriate. My practice is private, and focused entirely on helping you get to the root of your symptoms, not just mask them. Whether you’re recovering from birth, managing pelvic floor changes with age, or simply haven’t gotten real answers yet, women’s pelvic floor dysfunction treatment in Memorial might be the missing link. You deserve a treatment plan that looks at your whole body, not just one muscle. If you're ready for that kind of care, I am here to help.

If sitting hurts, if you feel fullness in the rectal area as if you are sitting on a golf ball, If sex feels different or painful. If you’ve brought up your symptoms and left the doctor’s appointment more confused than when you walked in, you’re not alone.Your symptoms may involve the pudendal nerve.

Confidential pelvic floor therapy for men in Houston, Memorial, Spring Branch & Bunker Hill Villages. Treat pain, leakage & sexual dysfunction today.

Testicular pain, or orchialgia, is defined as discomfort that lasts longer than three months. It can come and go, stay in one spot, or move around. Some men feel it directly in the testicle, while others feel it in the groin, lower abdomen, or inner thigh. It might feel sharp, aching, or like a pulling sensation.

If you’ve been treating your endometriosis for years, but something still doesn’t feel right—pain that lingers, sex that hurts, or a bladder that just won’t cooperate—you’re not imagining it.

Pelvic floor dysfunction (PFD) is more common than most women realize. It shows up in different ways, sometimes subtle, sometimes loud, but always disruptive. Beckham Physical Therapy & Wellness specializes in helping women get real answers — and real relief — through one-on-one, holistic pelvic floor care in a private home setting.

Most men rarely think about their pelvic floor—until something starts to feel off. Whether it's persistent groin pain, frequent trips to the bathroom, discomfort during intimacy, or unexplained lower back or hip pain, these issues are often silently endured and misunderstood. What many don’t realize is that these symptoms may be tied to a condition called pelvic floor dysfunction (PFD) . This condition is more common than most people—and many healthcare providers—realize. Thankfully, with the right care, it’s also highly treatable. What Is Male Pelvic Floor Dysfunction? The pelvic floor is a group of muscles, ligaments, and connective tissue at the base of your pelvis. In men, these muscles support important organs, including the bladder, rectum, and prostate, and are critical for bowel and bladder control, sexual function, and core stability. Pelvic floor dysfunction occurs when these muscles are too tight, too weak, or poorly coordinated . Instead of relaxing properly to allow urination or bowel movements, the muscles stay tense, leading to a wide range of symptoms that may affect everyday life. Common Symptoms in Men Pelvic floor dysfunction can show up differently for each person, but most symptoms fall into one or more of the following categories: Urinary Issues Frequent urge to urinate with little output Hesitation or difficulty starting the urine stream A sensation of incomplete bladder emptying Pain or burning during or after urination Dribbling after urination Bowel Dysfunction Constipation or straining during bowel movements A feeling of incomplete evacuation Pain before, during, or after bowel movements Gas or stool leakage Sexual Dysfunction Pain with arousal or ejaculation Erectile dysfunction or trouble maintaining erections Testicular, penile, or perineal pain Numbness or decreased sensation during sex Musculoskeletal Pain Pain in the perineum, tailbone, or sit bones Lower abdominal or groin pain Hip, lower back, or sacroiliac joint discomfort Tightness in the inner thighs or pelvic muscles These symptoms can be confusing and deeply personal, often leading men to delay seeking help. At Beckham Physical Therapy and Wellness, I frequently work with individuals who have struggled in silence for months or even years. Why the Condition Often Goes Undiagnosed One of the most frustrating realities of male pelvic floor dysfunction is how often it’s misdiagnosed . Many men are treated repeatedly for prostatitis , often with rounds of antibiotics—even when there’s no infection present. Unfortunately, most urologists receive little or no training in pelvic floor disorders during medical school, which means they may not recognize when muscle dysfunction, not infection, is the root cause. In fact, studies show that men with pelvic pain often spend up to seven years seeking an accurate diagnosis. During this time, symptoms may worsen, and quality of life may decline. This is why finding a knowledgeable pelvic floor therapist for men in Bellaire, Texas, is so crucial. What Causes Male Pelvic Floor Dysfunction? The causes of pelvic floor dysfunction can vary. Often, multiple contributing factors are at play. Some of the most common include: Post-surgical trauma (such as prostatectomy or vasectomy) Orthopedic injuries (spine, hip, or pelvic injuries) Excessive exercise or poor lifting mechanics Chronic constipation or habitual straining Long hours of sitting or a sedentary lifestyle Psychological stress, anxiety, or trauma Practices like jelqing or attempts at genital enhancement Not every case is tied to a dramatic event—sometimes, it’s the accumulation of stress, poor posture, or muscular imbalance over time. How Pelvic Floor Physical Therapy Helps The good news? Pelvic floor dysfunction is highly treatable, without surgery or medication. Working with a trained pelvic floor specialist allows men to address the root of the problem, not just the symptoms. As a leading pelvic floor physical therapist in Memorial, Texas , my approach includes: Manual therapy to release tight or spastic muscles Neuromuscular retraining to improve muscle coordination Breathwork and core training to restore pelvic stability Education on bladder/bowel habits, posture, and stress management Personalized exercise programs to support recovery at home I treat each individual holistically, recognizing that the pelvic floor is interconnected with the rest of the body—and that healing often involves addressing emotional and psychological components, too. Why Choose Beckham Physical Therapy and Wellness At Beckham Physical Therapy and Wellness, I specialize in one-on-one pelvic health care for both men and women. My setting in West Memorial is private, welcoming, and designed to put patients at ease. Many of my male clients tell me it’s the first time they’ve felt truly heard and understood. I’m proud to be a trusted pelvic floor therapist for men in Bellaire, Texas , offering: Over 40 years of clinical experience More than 15 years dedicated exclusively to pelvic health Gentle, evidence-based techniques Individualized treatment plans in a relaxed home-based setting And while this blog focuses on men’s health, I also offer expert care from a pelvic floor physical therapist for women in Memorial, TX , addressing conditions such as postpartum recovery, incontinence, pelvic organ prolapse, intercourse pain, endometriosis, and more. Whether you're navigating new symptoms or have been searching for answers for years, I am here to support your journey. Take the First Step Toward Relief If you’re experiencing pelvic pain, urinary urgency, bowel issues, or sexual discomfort, you’re not alone—and you don’t have to keep guessing. These are treatable conditions, and recovery is absolutely possible. Connect with a compassionate, experienced pelvic floor physical therapist in Memorial, Texas, who understands the unique challenges men face. At Beckham Physical Therapy and Wellness, I’m here to help you get back to living fully and comfortably. Relief begins with the right support. Schedule your consultation today.