Tony Kosoko is a Specialist Musculoskeletal physiotherapist who has had personal experience of Chronic Pelvic Pain (CPP) .
Due in part to his own experience of CPP he has over the past 6 years studied with leading Men’s Health Physiotherapists from the U.K, South Africa, and the USA with the express purpose of developing a physiotherapy service aimed at treating this often misunderstood condition.
Male Pelvic pain is an often misdiagnosed condition that encompasses a multitude of overlapping presentations. Often misdiagnosed as Prostatitis this can lead to years of unwarranted antibiotic treatments and leads in many cases to an increase in personal anxiety and depression.
COMMON ISSUES THAT WOULD BENEFIT FROM A BESPOKE PROGRAMME:
- Chronic Pelvic Pain (CPP).
- Hard Flaccid Syndrome.
- Erectile dysfunction.
- Pain Following Sex.
- Pre and Post Proctectomy issues.
- Bowel problems such as constipation.
- Sporting related Pelvic and Hip Pain including Pudendal Neuralgia.
THE PRESENTATION OF CPP CAN ALSO INCLUDE:
- Lower back pain.
- Hip and groin pain.
- Abdominal pain.
- Pelvic pain in the penis/testes/rectal area.
- Bladder control problems – urgency, increased frequency, post void dribbling, post urinary leakage.
- Bowel control problems- diarrhoea, constipation, faecal incontinence.
- Erectile Issues- ejaculatory dysfunction, post ejaculatory pain.
- Numbness/tingling/pins and needles in the penis/testes/rectal area.
Men’s Health Appointments – What to expect?
Initial Appointments are 60 minutes in duration. This ensures time to carry out a subjective assessment where you will be asked to fill out the relevant paperwork, we discuss the history of your presentation and importantly leave time for any questions you may have.
It is of the utmost importance that other possible causes of your problem are discounted and where necessary we may refer you to your GP or a specialist consultant for further investigation. However, most patients have been seen by their GP or specialist consultant and had relevant tests before they see a Men’s Health Physiotherapist.
Following the subjective part of the assessment there is time for a thorough unhurried objective examination that includes a thorough musculoskeletal screening. We also use Real Time Ultrasound in the assessment of your bladder and pelvic floor. This provides real time information as to how your pelvic floor is functioning.
If appropriate and only with informed consent, there may also be an internal examination of the pelvic floor. An internal assessment is useful to examine the muscles that make up the pelvic floor to assess for areas of tightness or increased tenderness.
A large part of a pelvic floor programme may involve techniques to relax these sometimes overactive pelvic floor muscles using manual therapy techniques carried out by your physiotherapists or yourself as part of your home programme.
Follow up treatment sessions are 60 minutes duration and include a combination of manual therapy, soft tissue techniques, specific exercises including pelvic floor retraining, breathing and relaxation techniques.
Movement plays an important role in the management of chronic pelvic pain and in addition to your bespoke home programme the overall treatment plan may include supervised exercise in our in house Pilates Studio.
A home programme plays the most important role in the management and needs commitment and lifestyle changes that can feel overwhelming at times but this with a combination of the above physiotherapy interventions can help you successfully manage your condition and move towards a pain free life.
What our clients say
“It has been so wonderful to find such a highly trained, caring team. I find their approach so eminently sensible and helpful that I have sent many friends to The Practice with problems that many others had tried to ‘fix’ and failed. Each time they came away with an improvement and much more importantly the tools to avoid repeating their injury!”
“ I have known Tony Kosoko of The Practice for many years and have nothing but extreme confidence in him and his colleagues. Tony’s knowledge of the human body is considerable and I know that he has studied treatments extensively. His advice is impeccable and all treatments I have undergone have been successful ! A friend of mine in L.A., who is a renowned physiotherapist, asked me if I could recommend someone in London for a client coming over to work here. I recommended Tony. She was so happy with the feedback she received that she has since sent other clients to him. I do Pilates at The Practice and have seen Tony for physiotherapy when necessary and also the osteopath there recently. The Practice is run vey efficiently and has a very friendly atmosphere indeed.”
“ Tony is my ‘go-to expert’ for my various hyper-mobility related injuries, aches and pains. I’ve seen him and also, more recently, Ellen and both are absolutely brilliant, I can’t thank them enough for always fixing me!! I have no hesitation in recommending The Practice to anyone that has a need for physio or medical Pilates. “
“ I am a huge fan of The Practice Centre, which I first attended several years ago for physiotherapy. I was then introduced to Pilates, which has become a mainstay for my physical health. The staff, clinical and admin, are wonderful.”
“ My teenage daughter attend The Practice (Anthony Kosoko) for physiotherapy treatment on her foot following an accident. Throughout, Tony listened very carefully to her, asked her the questions (rather than the parent, which is so important), took time to understand the injury and explained each step of her rehabilitation and follow up exercises. Tony addressed her as it was her injury and was very careful to make sure the correct approach was applied as it was a tricky injury.”
“ A very friendly atmosphere throughout. I felt very welcomed, treatment was brilliant and very patient focussed – Tony really listened to the goals I wanted to achieve and helped get me there. “
“ 1 have been a client at The Practice Centre for over 10 years and during that time the care has always been welcoming and professional.”
“ I can’t rate The Practice, its practitioners and its staff highly enough. I first attended several years ago for physiotherapy and was introduced to Pilates. I’ve been taking classes regularly ever since and have seen a significant improvement in my strength and flexibility. The staff are lovely — friendly, professional, caring. “