The Role of Physiotherapy in Men`s Health
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Transcript The Role of Physiotherapy in Men`s Health
The Role of
Physiotherapy in Men's
Health
Mags McDonald MISCP MCPWHC
Senior Physiotherapist
Bon Secours Hospital
Cork
The Role of Physiotherapy in
Men's Health
Continence
OAB
Pelvic/Perineal Pain Syndromes
Post Prostatectomy/ TURP
Symptoms
SUI
PMD
OAB
Treatment
Pelvic
floor exercises
Bladder Training
Advice
Patient Specific Treatment!!!
Pelvic/ Perineal Pain Syndromes
E.g. Pudendal
Neuralgia
Many doctors, many
tests, often inconclusive
Or original condition
gone and pain remains
Physiotherapy for Pelvic Pain
Syndromes
Overactive muscles & connective
tissue stiffness in Pelvic floor,
Superficial Perineal muscles,
Adductors
PFE contra-indicated
Relaxation and breathing techniques
Aerobic exercises & stretches
Myofascial trigger point therapy
Connective tissue mobilisation
techniques
Pelvic Floor Exercises
Faster, Higher, Stronger!
Pelvic Floor Exercises
……Technique!!!
Co-ordinate with
breathing and
relaxed abdominals
Static and dynamic
positions
Increased IAP
Speed, endurance,
strength
The Practicalities
Need to be seen by Urologist at some point
The ones that get away!
Many months post surgery
Surgery in other parts of the country
Pelvic/ perineal pains
OAB where medication alone isn't working
…….. The End
Faster
Higher
Stronger!!!