Are there any differences in symptoms when walking versus sitting?

Hey bud, you really hit the nail on the head with that question. This is the nightmare part – sitting and walking feel like two completely different worlds. Let me break it down in plain terms based on my own experience, and you tell me if it sounds familiar.

When Sitting: Feels like sitting on an "instrument of torture"

Sitting, especially on a hard bench or the wrong kind of chair, is where the trouble really starts.

• The Perineum (area between the testicles and anus) is Ground Zero: You feel it intensely – like something's poking or pressing right there, with this unpleasant ache and pressure. Sometimes it feels like a little hot coal is smouldering inside, radiating warmth and burning.
• Increased Pelvic Pressure/Heaviness: Your whole lower abdomen feels weighted down, like it's sagging. This sensation makes you constantly feel like you need to pee, but then you go and can't pass much, or it doesn't come out smoothly.
• Urinary Urgency/Frequency Gets Worse: Because of the strong pressure and irritation, you barely sit down before you feel like you need the bathroom again. All your attention gets sucked into this discomfort, making it impossible to focus on anything else.
• Buttocks and Groin Can Suffer Too: Sometimes, after sitting too long, it's not just the perineum. The deep parts of your buttocks and groin can also get achy and uncomfortable, like a radiating pain.

Simply put, sitting puts pressure on the prostate, turning up the volume on every single discomfort.

When Walking or Standing: Feels "liberated"

The moment you get up and start moving, it's a whole different story.

• Perineal Pressure Instantly Lessens or Disappears: This is the biggest difference. Standing upright removes direct pressure from that sensitive area. That feeling of "sitting on a golf ball" vanishes immediately, and you instantly breathe easier.
• Pelvic Pressure/Heaviness Eases: As you walk, pelvic circulation improves, and that heavy, dragging feeling subsides significantly.
• Distraction Factor: Walking shifts your focus to navigating, the scenery, or other thoughts, so the physical discomfort naturally recedes into the background.
• BUT! Here's the catch. Walking too much, or doing strenuous exercise (running, sports) that fatigues you, can backfire. Muscle tension or increased inflammation might make symptoms return worse than before, especially afterwards.

Simply put, walking takes the pressure off the prostate, lets blood flow better, and the symptoms naturally ease up.

Why is this?

Think of it this way:

Your prostate sits deep inside your body. When you're sitting, the whole weight of your upper body presses directly down through your buttocks onto it, squashing it and all the surrounding nerves and blood vessels. If there's already inflammation present, this pressure traps blood flow and further irritates the nerves – queasy misery.

Standing or walking lifts that direct pressure away. Like taking your foot off a kinked hose, blood and lymph fluid can flow freely again. Instant relief.

Suggestions for you:

1. Avoid sitting for long periods! Set an alarm. Get up every 40 minutes and walk around for 5-10 minutes. Get water, use the restroom, stare out the window – whatever works.
2. Get a "magic cushion" – a donut cushion. AKA prostate cushion. It has a hole in the middle so your perineum rests over empty space, avoiding direct pressure. It makes a HUGE comfort difference! Users will tell you.
3. Walk more, avoid strenuous exercise. A brisk 30-60 minute walk after dinner each day is hugely helpful for improving symptoms. But don't push yourself to exhaustion.
4. Relax your mind. The more stressed or anxious you get, the tenser your muscles become, making symptoms worse. This ailment is a persistent one; you've got to be in it for the long haul. Maintaining a positive attitude actually speeds up recovery.

Hope this helps dude. Hang in there, man, you're not alone in this fight!