Education Articles
Anal Trauma in Men: A Restorative and Trauma-Informed Approach
Anal trauma in men is an often hidden and under-discussed issue, yet it can have profound impacts on physical function, sexual health, and psychological well-being. Whether the result of consensual sexual activity, a medical procedure, an athletic injury, or assault, anal trauma can lead to long-term symptoms such as rectal pain, bleeding, bowel dysfunction, and pelvic floor dysfunction. Men may avoid seeking care due to embarrassment, fear of judgment, or previous dismissive experiences in healthcare settings.
Resolving Chronic Scrotal Pain: A Comprehensive, Non-Surgical Strategy
Scrotal pain, also known as orchialgia, is a distressing and often misunderstood condition that affects men of all ages. While acute causes such as testicular torsion or infection require urgent evaluation, many men suffer from chronic or intermittent scrotal pain that has no clear surgical target. In these cases, the pain may persist for months or even years, impacting physical comfort, emotional well-being, and sexual function.
Phimosis: A Non-Surgical Approach to Promote Retraction and Restore Function
Phimosis is a condition in which the foreskin cannot be fully retracted over the glans penis. While this is common in children and typically resolves naturally by adolescence, in adults it can cause pain with erections, hygiene problems, and recurring inflammation. In more severe cases, phimosis may progress to paraphimosis, a urologic emergency where the retracted foreskin becomes stuck behind the glans, restricting blood flow and risking permanent injury.
Modern Tendinopathy Treatment: Beyond Rest and Injections
Tendinopathy is a degenerative condition of tendon tissue that impairs function and often resists standard treatment. Tendinopathy can be broadly divided into two categories: tendinitis which is the early onset of tendon injury, and tendinosis which is a chronic, painful, degenerative state. Traditionally, management involved rest, NSAIDs, corticosteroid injections, or even surgical debridement. But modern research has shown that these strategies often miss the underlying problem: tendinopathy is not primarily an inflammatory condition, but a failed healing response driven by mechanical and molecular dysregulation.
Muscle Fibrosis and Aging: Why Strength Fades and What Can Be Done
As we age, many people assume that weakness and muscle loss are inevitable. While some decline in strength is expected, much of what we attribute to “aging” is actually due to specific biological processes, particularly muscle fibrosis. Unlike muscle atrophy alone, fibrosis involves a shift in tissue architecture, replacing healthy muscle fibers with stiff, disorganized collagen. This change reduces mobility, strength, and responsiveness to exercise.
Avoiding Cryotherapy is Beneficial in the Treatment of Many Musculoskeletal Injuries
For decades, ice packs were a cornerstone of injury management. Coaches and clinicians routinely prescribed “RICE” (Rest, Ice, Compression, Elevation) for everything from sprains to muscle soreness. But in recent years, our understanding of muscle physiology and tissue repair has evolved, and so has our use of cryotherapy.
How Blood Sugar Damages Tendons: The Hidden Role of AGEs
Tendons are resilient structures, built to transmit force from muscle to bone. But like other tissues in the body, they are vulnerable to the damaging effects of elevated blood sugar. One of the most important biochemical contributors to tendon degeneration in metabolic disease is the formation of advanced glycation end products, or AGEs.
Prescription Preworkout: Tadalafil and L-Citrulline for Vascular Performance, Increased Strength and Muscle Pump
Traditional preworkout supplements often rely on stimulants like caffeine or yohimbine to deliver short-term energy and vascular effects. While these ingredients may enhance alertness and temporary vasodilation, they often come with side effects like anxiety, rapid heart rate, and crashes. At the Performance Medicine Institute, we offer a prescription alternative grounded in vascular physiology: a combination of daily tadalafil (5mg) and L-citrulline (750-1500mg) to safely and sustainably enhance performance, blood flow, and muscle pump without overstimulation.
A Comprehensive, Integrative Approach for Chronic Migraines
Chronic migraines are more than just frequent headaches. They represent a complex neurological disorder that often resists conventional pharmacologic treatments. Many patients are prescribed medications or receive Botox injections, yet continue to struggle with persistent pain, tension, fatigue, and reduced quality of life. At the Performance Medicine Institute, we take an integrative, multimodal approach that targets the root causes of migraine, not just the symptoms.
TriMix Therapy: A Temporary Tool for Long-Term Erectile Function
Erectile dysfunction (ED) is a multifactorial condition that can result from hormonal imbalance, vascular insufficiency, nerve injury, or chronic illness. While many patients respond to first-line oral medications like tadalafil or sildenafil, others require more direct interventions. TriMix, an intracavernosal injection therapy, is a powerful short-term solution used in select cases. At the Performance Medicine Institute, we view TriMix not as a lifelong therapy, but as a transitional tool, one used to restore penile tissue responsiveness while working to correct the underlying causes of ED.