The Practice Men’s Health Physiotherapy Clinic is open from January 2022

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).
  • Prostatitis.
  • 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 90 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.