DCT for pelvic pain or Dynamic Contraction Technique is both a program of resistance stretching exercises and a support group. Initially created by Nic Bartolotta and David Mccoid to treat CPPS,  it also supports hard flaccid syndrome. In the last version of the program a section is fully dedicated to HF.

The theory

The common understanding for pelvic pain is that the root cause of the pain comes from the pelvic floor muscles themselves. Based on the tensegrity concept, DCT goes against everything that we’ve been told about pelvic pain since years. For Nic and David the pelvic floor is a bystander not the prime cause for chronic pelvic pain, it only reacts to tension that comes from the larger muscles that are attached to the pelvis and the spine. These muscles are called primer movers : The psoas, the hip flexors, the gluts, the deeper gluts, the outer rotators and the hamstrings. Because all these muscles are all interconnected when a few of them no longer have their full capacity of contraction and lose their range of motion, other muscle groups overcompensate which drives tension in the pelvic floor. In the pelvic pain equation, the pelvic floor has to overcompensate which produces the myriad of symptoms that sufferers complain of. In regards to HF, the penis is also a bystander, reacting to the tension in the pelvic floor and to the tension in primer movers.

How basicly does it work ?

The program is a set of resistance stretching exercises. If you isolate a muscle concentrically, working it very specifically until you feel a burn in the tissue and then work the same muscle eccentrically and increase the resistance step by step, over time it will produce changes in these muscles and remove chronic tension from the body.

Although this program looks a lot like simple stretching exercises, the DCT program has nothing to do with basic stretching. Static stretching simply stretches the fascia without any muscle strengthening, here you will both strengthen the muscles and stretch the fascia all around them. The aim of DCT is not to become ulta flexible but to regain the right flexibility necessary for good muscle coordination and release the chronic tension that led people to live in pain.

HFI opinion

This is by far the best explanation we’ve seen for muscle tension, now don’t get us wrong, it does not mean that DCT will cure you in one month, and it won’t. Any muscle strengthening program is based on the body’s ability to adapt and biologically speaking, any adaptation takes at least several months to get results.This program requires strong dedication and patience. When everything else has so far failed, DCT is worth a try. Moreover, they provide great support on their Facebook group that has today more than 600 members (both CPPS/HF people are present there). Members are very supportive and David McCoid is everyday available to answer the questions.

Price : $395:

Nic Bartolotta is the creator of DCT, Graduating in 2003 from UC Berkeley with a BA in Rhetoric Nic went on to continue his education by completing a 1,000-hour Holistic Health and Massage program at the International Professional School for Bodywork (IPSB) in San Diego. He then went on to attend Cal State University in 2007 at Long Beach where he earned his Masters degree in Physical Therapy performing his graduate research on DCT. His research study, titled “Dynamic Contraction Technique vs. PNF: A Comparative study of Two Stretching Procedures on Increasing muscle Length of the Hamstrings and Iliopsoas” demonstrated that DCT was clinically viable as a physical therapy modality.

David McCoid suffered from pelvic pain for 14 years, he underwent several surgeries which all failed. Qualified as a Restorative Exercise Specialist in April 2014 in Ventura, California. In 2015 he completed his training in MovNat and became a Level 2 MovNat certified trainer. David has also trained with Jules Mitchell of Jules Mitchell Yoga. It was whilst researching muscle tension David discovered Dynamic Contraction Technique. David qualified as a practitioner of Dynamic Contraction Technique in Los Angeles in 2016. David has a Bachelors Degree in Politics from the University of Stirling in Scotland.

Rocco Castellano is the Chief Digital Officer (CDO)