Type or speak a real case in your own words, and we’ll match it to the exact episode in the PelvicRounds library.
A man's anal burning gets worse with soft stool and eases when it is firmer, and Steven uses him to open the spinal zone for the bowel that almost nobody tries: extension-based voiding instead of the flexed squatty-potty. Gina pulls the thread to dialing in stool consistency by spreading fiber across the day.
The room subtypes the same tip-of-the-penis pain in real time, using whether it is worse standing or lying down to tell spine from pelvis, then splitting the pelvic floor into the patient you strengthen and the one you teach to relax. Steven's big-bang cycle finally explains the lingering trouble urinating.
A 72-year-old former triathlete has burning at the tip of the penis that arrives hours after ejaculation, and a urologist's ultrasound found nothing. Watch the Tribe run him through the Four Horsemen and learn Steven's move: provoke the pain first, then test against it.
Steven premieres the Magical Fours, his graded-exposure framework for desensitizing raw, hypersensitive tissue, and shows it live on a post-prostatectomy case whose incision burned at 6 out of 10. You leave with three dials to dose touch and turn it into a goal.
A rapid-fire Q&A on three separate patients: a man leaking badly after prostatectomy sorted by storage versus control and the cup test, a spinal-pain case that needs lateral directions, and a 70-something whose breathing won't cooperate. One habit underneath all three: name the question precisely before you reach for the fix.
A live case: Victoria brings a surgeon who can hold a scalpel steady for hours but can't finish in bed. Steven maps it with point-and-shoot, OMG and pelvic fireworks while Erika hunts the answer in his locked knees and calves.
Erika walks the pleasure-mapping practice step by step, hunting nerve endings in the palms, ears, soles and genitals and coaching a man to say 'that's nice' out loud. Her boldest claim: mapping pleasure in one place can quiet pain somewhere else entirely.
Before any hands-on work, Erika teaches you to help a guarded man harvest joy. Gratitude, a slow sensory walk, and 'cock affirmations' that calm an afferent nerve so it carries pleasure instead of pain.
Two psychosocially heavy cases close the session: a man producing far more pre-ejaculate than usual while starting trauma therapy, and Marlise's returning patient with constant testicular pain after a stretch done wrong. Steven normalizes what's normal, re-checks the spine higher than you think, and coaches the buy-in.
A frank, clinical look at a man eight months post-prostatectomy who leaks urine at orgasm, what he calls a hose. Steven walks the mechanism behind climacturia, shows how to train the external sphincter functionally with cough and hop reflexes, says no to the clamp, and finally pins down how to dose repeated flexion.
Two stubborn cases where careful sequencing, not a clever technique, is the real work. Steven exhausts the spine before going internal on Maxim's chronic biker, then takes the gentlest, most patient approach to a posted case of a man gone numb after varicocele surgery while carrying grief.
The wrestler case resolves, and the culprit is not the spine. Steven ranks suspects on the IPC problem map, runs a clean 48-hour spinal trial that changes nothing, and lands on a peripheral nerve irritated by a chronically braced abdomen, plus two of Erica's own wins that rhyme with it.
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