When we say, ‘Men’s health physiotherapy”, we are not talking about how to build a deck, cook a steak or how to become an alpha man. We are referring to any issues relating to the male’s pelvis and the surrounding areas. Yes, to get the awkwardness out of the way, this does mean that we can be referring to someone’s penis, anus, pelvic floor muscles, sexual dysfunction and leaky pipes front or back. As much as it can be uncomfortable to talk about this, it needs to be less of a taboo and more of an upfront conversation. This is because these issues are more common than once thought, in fact 1 in 8 men have a problem with their pelvic floor, bladder or bowel.

There can be a variety of reasons that cause men to have problems with their pelvis and pelvic region. These problems can be brought on suddenly or occur gradually. As much as a family history can influence the risk factor, any male can develop a pelvic dysfunction or pain of some description. And as much as physical problems are generally the cause, we cannot ignore the fact that mental and emotional health is also a major factor in pelvic pain or dysfunction. Common problems and their causes include:

• Prostate problems
  • Prostate problems are the main reason for pelvic problems in men. The most prevalent is prostate cancer, so much so that it is the most diagnosed form of cancer for men. Changes in the prostate size or removal of the cancerous prostate can cause incontinence to varying degrees.
• Bladder problems
  • Bladders are designed to store urine. However, if there’s an abnormality in the bladder it can trigger incontinence or the need to “let a little out” all the time.
• Bowel problems
  • Bowels are designed to store faecal matter. Like the bladder, if there’s an abnormality in the bowel it can trigger incontinence or constipation.
• Sexual function/dysfunction
  • Any damage to muscles, nerves and blood supply to the pelvic floor region can impact sexual functioning, i.e. erectile dysfunction.

Just because there are problems within the pelvic region does not mean that you ignore it because it’s an uncomfortable thing to talk about. There are a variety of treatment options available for various conditions and causes! Treatments options may include:

• Pelvic floor exercises
  • Pelvic floor exercises are one of the major forms of treatment that will assist with the recovery of any pelvic floor dysfunction (any exercise for that matter). Your physiotherapist will provide specific strengthening and coordination exercises to reengage the pelvic floor muscles.
• Manual therapy
  • Hands-on techniques can be used to help release tension or tightness in pelvic floor muscles or surrounding tissues. This will then be followed by a mobility program to follow at home to continue releasing muscles that are overactive.
• Education
  • Understanding your pelvic floor, what to expect, and being honest about the recovery will give you confidence and a sense of autonomy in your rehabilitation journey. Remember, no question is a silly question!
• Lifestyle advice and activity modifications
  • Learning how to modify certain activities, ergonomic positions, and live a healthier lifestyle will improve overall symptoms and help with longevity of the pelvic floor muscles and function.
• Supportive equipment
  • Sometimes, additional assistance is required so that you can continue with your daily activities and reduce the fear of ‘something going wrong’. Supportive equipment can vary from an external bladder valve to a TENs machine. Ask your physiotherapist or specialist for options with supportive equipment.

Depending on the cause of pelvic floor dysfunction, you may have already be seen by either your GP, urologist, oncologist, colorectal surgeon, or sexologist. However, physiotherapy will be able to complete a comprehensive assessment of your pelvic floor to form a better understanding of the specific cause, treatment options and patient goals. A physiotherapist assessment would include questioning about your symptoms and medical history, and a physical examination of how well the pelvic floor muscles work, ability of other muscles to function and overall physical health. Physiotherapy will also collaborate closely with your treating specialist to ensure that you are receiving the best, most holistic care.  

Men’s health physiotherapy is increasingly being recognized as an important aspect of treatment for men experiencing pelvic health issues. With the right physiotherapy and addressing these sensitive and challenging conditions, it can significantly improve your quality of life and allow you to take control of the pelvic related pain or dysfunction.

So, if you or someone you know is struggling with a men’s health condition, let’s raise more awareness and take action! Contact us today to schedule a comprehensive assessment and personalised treatment plan.

Our experienced physiotherapists are here to help you recover quickly and prevent future injuries.

Call us now on (02) 4721 1222 or book an appointment online.