The Role of Physiotherapy in Men's Health

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The Role of Physiotherapy in Men's Health

• Mags McDonald MISCP MCPWHC
• Senior Physiotherapist
• Bon Secours Hospital
• Cork

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The Role of Physiotherapy in Men's Health

• Continence
• OAB
• Pelvic/Perineal Pain Syndromes

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Post Prostatectomy/ TURP

• Symptoms
• SUI PMD OAB
• Treatment
• Pelvic floor exercises
• Bladder Training
• Advice
• Patient Specific Treatment!!!

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Pelvic/ Perineal Pain Syndromes

• E.g. Pudendal Neuralgia
• Many doctors, many tests, often inconclusive
• Or original condition gone and pain remains

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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

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Pelvic Floor Exercises

• Faster, Higher, Stronger!

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Pelvic Floor ExercisesTechnique!!!

• Co-ordinate with breathing and relaxed abdominals
• Static and dynamic positions
• Increased IAP
• Speed, endurance, strength

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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

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.. The End

• Faster Higher Stronger!!!