If you feel frustrated, embarrassed, or like nothing is going to change, you are not alone. And you are not out of options. ED rarely has a single cause, and most men have never had all of them assessed at once.
We look beyond the single symptom.
Most ED assessments stop at blood flow. We evaluate your vascular health, pelvic floor function, nerve signaling, and autonomic state, because all four can contribute at the same time.
Advanced therapies, applied in the right sequence.
Focused shockwave therapy, pelvic floor physiotherapy, and adjunctive modalities like EMTT and NESA are matched to your individual root cause profile, not applied as a one-size package.
A plan for staying well, not just getting through treatment.
Relapse is common when the underlying drivers are not fully addressed. We build your aftercare around pelvic floor habits, lifestyle factors, and maintenance strategies that go home with you.
60-minute one-on-one assessment + treatment plan.
No pressure, no contracts.
If any of this sounds familiar, you're in the right place.
You have difficulty achieving or maintaining an erection consistently, not just occasionally
Medication works sometimes but not reliably, and you want a long-term answer rather than a workaround
You've been told it's "just psychological" but it doesn't feel that straightforward
You have a history of lower back pain, pelvic tightness, chronic pelvic discomfort, or prostate issues
You manage diabetes, high blood pressure, or cardiovascular risk factors, and nobody has connected them to your ED
You want to understand what is actually causing this, not just manage it with medication indefinitely
The Real Problem
Explore 4 slides on Erectile Dysfunction (ED)
ED rarely has a single cause. Most men are treated for one piece of the puzzle when two, three, or even four drivers are active at the same time. That's why medication can manage a moment without resolving the pattern underneath it. Most men have two or more of these active at once. That's why we assess the whole picture, from your vascular health to your pelvic floor to your nervous system, rather than treating the single symptom everyone else has been chasing.
OUR APPROACH
INITIAL VISIT
Assess pelvic floor strength, coordination, and tone to identify whether the pattern is weakness, poor coordination, or overactivity
Screen for vascular, neurogenic, hormonal, and psychosocial contributors so nothing is left unaddressed
You leave with a clear written treatment plan and transparent pricing before anything begins
Weeks 1 Through 6 (Approximate)
Focused shockwave therapy to stimulate vascular repair signaling and improve tissue quality in the erectile structures, typically 6 to 12 sessions consistent with published clinical research protocols
EMTT (electromagnetic transduction therapy) as an adjunctive modality to address pelvic floor overactivity and tissue-level inflammation, where clinically indicated (emerging evidence; adjunctive positioning)
NESA neuromodulation as a supportive adjunct aimed at calming the autonomic nervous system and reducing the sympathetic overdrive that directly works against erectile function (emerging evidence; adjunctive positioning)
Begin improving tissue quality and nervous system tone while retraining pelvic floor coordination.
6+ Weeks and Beyond
Progressive pelvic floor strengthening program with home practice built into your daily routine
Cardiovascular risk factor and lifestyle guidance, because ED and overall vascular health are closely linked and improvements in one support the other
Monitoring for relapse triggers such as high stress, reduced exercise, or poor sleep, and a clear maintenance plan for when progress dips
What To Expect
Every case is different, but research and our clinical experience consistently show:
Many men notice changes in erection quality within the first 4 to 6 weeks of focused shockwave treatment. Clinical research evaluates outcomes at 1, 3, and 6 months after a treatment course, with improvements present across each follow-up window in pooled trial data.
In a landmark randomized controlled trial of pelvic floor physiotherapy with biofeedback, 40% of men regained normal erectile function and 34.5% showed meaningful improvement across the duration of the program.
For appropriate candidates, addressing the underlying physical drivers may reduce dependence on medication over time. We review your specific situation and set realistic expectations clearly at the first visit before anything is committed.
Our promise: we will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your situation requires a different pathway, we'll refer you directly.
EVIDENCE
Low-intensity focused shockwave therapy has been studied in a meta-analysis of 16 randomized controlled trials covering over 1,000 men, showing modest improvements in erectile function scores compared to sham treatment at 1, 3, and 6 months post-treatment.
Pelvic floor muscle training with biofeedback has been shown to help 40% of men regain normal erectile function and an additional 34.5% achieve meaningful improvement in a landmark randomized controlled trial with 6-month follow-up.
Device type matters significantly: radial pressure wave therapy showed no meaningful difference from sham in at least one rigorously controlled trial, making the distinction between true focused shockwave and radial wave an important factor when evaluating treatment options.
Depression and anxiety are strongly and consistently associated with ED in meta-analytic data, confirming that autonomic nervous system regulation is a physical, not merely psychological, component of treatment for many men.
Emerging evidence from electromagnetic and neuromodulation therapies shows signal in related populations; ED-specific clinical trials for EMTT and NESA are still developing, and these modalities are positioned as adjunctive at this time.
Outcomes are group averages from clinical trials; individual results vary.
Here are answers to some of the most common questions about Erectile Dysfunction (ED).
6 results found
For the right candidate using the right device, yes. Low-intensity focused shockwave therapy has been studied in multiple randomized controlled trials and meta-analyses, showing modest improvements in erectile function compared to sham treatment at 1, 3, and 6 months. The key word is "focused." Radial pressure wave devices, which look similar but operate differently, have not shown consistent benefit in sham-controlled research. We use true focused shockwave at Unpain and assess candidacy carefully at your first visit.
No, and the difference matters for outcomes. True focused low-intensity shockwave delivers energy to a precise, deep target point and is the device type supported by the bulk of positive RCT and meta-analysis evidence. Radial pressure wave therapy uses a different physical mechanism and showed no difference from sham in at least one well-designed sham-controlled trial. Systematic reviews also highlight that results depend heavily on device physics and protocol parameters. We explain this clearly at your assessment so you know exactly what you are receiving and why it was chosen for your case.
Most published clinical research protocols involve 6 to 12 sessions, with outcomes typically measured at 1 month after completing the course and at follow-up points of 3 and 6 months. The right number for you depends on baseline severity, your contributing factors, and how your body responds. We build a realistic estimate into your written treatment plan at the initial assessment so you know what to expect before you commit to anything.
For many men, yes. A randomized controlled trial of pelvic floor training with biofeedback showed 40% of men regained normal erectile function and 34.5% improved meaningfully over the program. However, the right kind of exercise depends on what's actually going on with your pelvic floor. If it's too weak, strengthening helps. If it's already too tight and overactive, strengthening exercises may make things worse. Identifying your pattern before starting is essential. We do that in your initial assessment.
Relapse is most common when the underlying contributors were not fully identified and addressed, or when protective habits slip over time. High stress periods, reduced physical activity, poor sleep, and stopping pelvic floor work are the most commonly reported relapse triggers. This aligns with what the research shows about psychosocial and behavioral factors in persistence and recurrence. We build a specific maintenance plan around your risk factors so you have a clear response plan when progress dips. We map this out during your initial assessment.
For most men, the honest answer is both, and that framing is part of why treatment often falls short. Performance anxiety causes measurable sympathetic nervous system activation, which physically prevents the parasympathetic state needed for erection. Poor circulation and tissue quality increase performance anxiety. Depression and anxiety disorders show strong associations with ED across meta-analytic data. A thorough root-cause assessment identifies which drivers are most active for your specific case. We review that picture with you in full at your first visit.
YOUR NEXT STEP
Stop guessing and stop collecting random treatments. Get a plan that treats the whole system, not just one piece of the symptom.
Initial Erectile Dysfunction (ED) Assessment — Edmonton
60-minute one-on-one session. Here’s what’s included:
Full pelvic floor, vascular, neurogenic, and psychosocial assessment
Identify which drivers are most active in your specific case
Review of your full history and any existing imaging or lab results
Clear written plan with transparent pricing before you commit to anything
No referral needed. No obligation to continue beyond the first visit.
No pressure, no contracts.
We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.
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