Men's Health Physiotherapy
Men's health physiotherapy is a very specialised area of physiotherapy. The key areas of practice within Men’s Health Physiotherapy are:
- Prostatectomy: Urinary Incontinence, Erectile dysfunction
- Chronic Pelvic Pain
- Testicular Pain
- Sexual Dysfunction
- Athletic Pelvic Dysfunction especially complex lumbar spine, pelvis and hip pain
- Faecal Incontinence
- Post colorectal cancer
- Urinary Incontinence
What does Ruth Jones do in Men’s Health?
Ruth is one of the top International Physios on both male and female pelvic pain and has written a seminal textbook on it and teaches on this worldwide. Patients travel from all over the Uk to see her and also from abroad. She is also one of the other Physios in the UK specialised in the treatment of testicular pain. Ruth also works with the UK’s leading pelvic pain consultants and is heavily in demand to speak at national and international conferences on pelvic pain.
What else we do?
In the Men’s Health Clinic at Ruth Jones Physiotherapy we see a lot of men who have had surgery for prostate cancer and have developed some of the common post op problems such as urinary incontinence. We also treat men post surgery for pelvic pain and some who have developed erectile dysfunction. Some of the treatment for these conditions involves pelvic floor rehab.
Isn’t pelvic floor rehab helpful for women with urinary incontinence?
Great news, women with stress incontinence do really well with pelvic floor physiotherapy. Men post-prostate surgery also do well with specialist Men’s Health Pelvic Physiotherapy.
a few key facts about the male pelvic floor:
You have one
- Before progressing read the line above again
- It has both sprint fibres (Usain Bolt) and endurance fibres (Mo Farah)
- It needs to be trained with other muscles like your abdominals and hip muscles, co-ordinating with breathing is also key. Breathing helps everything.
- Your pelvic floor needs to be strong (exercise helps) and a good blood supply (exercise helps).
- A strong fit pelvic floor is essential for a good erection (is there ever a bad one!).
What is Male Pelvic Pain
In addition to male pelvic pain Ruth is one of the few Physiotherapists who is specialised in also treating penile and testicular pain and has a national and international reputation for this.
Pelvic pain can be described as ongoing symptoms in possibly the pelvic area, abdomen, anorectal area ( bum ) , scrotum or testicles. There may also be pain on sexual activity or passing urine or on bowel movements. It’s likely you will also have undergone considerable examinations such as urological, colorectal with usually negative findings which can be both reassuring and frustrating as the pain and symptoms remain despite the negative tests. The absence of any infectious or bacterial cause also usually results in the somewhat worrying diagnosis of Chronic pelvic pain syndrome.
What symptoms are common:
- Pain on sexual activity
- Urinary symptoms
- Rectal symptom
- Low back pain or abdominal pelvic pain
- Low mood, anxiety, often difficultly with relationships
Why might I develop Pelvic Pain?
- Chronic Prostatitis or Chronic Pelvic Pain
Pelvic Pain can be associated with Prostate Problems especially Chronic prostatitis or Chronic pelvic pain
This is the most common type of pelvic pain.
This is another common condition which affects the important Pudendal nerve in the pelvis. Compression or irritation of this can lead to pain, pins and needles and numbness as it supplies the penis , perineum ( between penis and rectum) and rectum. It’s also very common in cyclists
Pelvic pain can be common post bowel or prostate surgery.
Can I be treated for Pelvic Pain?
Yes but it’s very specialised area of Physiotherapy practice
What might Specialised Pelvic Pain Physiotherapy involve?
Your treatment will depend on your diagnosis and may include some of the following
- Hands on manual therapy treatment to your low back and pelvis, getting the joints moving correctly
- Trigger point therapy: Getting the muscles working properly and rid of the over-active parts in both the low back muscles, hip muscles and pelvic floor muscles. You will also be taught how to do this yourself also.
- Pelvic floor exercises to release your pelvic floor
- Getting you moving better, think yoga poses and squatting
- Specific hip, spine and pelvis exercises to get you and your pelvic floor moving better
- Specialised Breathing and relaxation work
- Re-education of the pelvic floor, hip and abdominal musculature General exercise
- Education regarding pain
"DEDICATED TO HELPING YOU BACK TO OPTIMAL FUNCTION"
Physiotherapy lead by Dr Ruth Jones PhD MCSP
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