Bladder

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  • Urinary Incontinence (leakage), Stress, Urge, Giggle or Mixed Incontinence

  • Urgency

  • Frequency changes

  • Incomplete Voiding

Incontinence is the accidental leakage of urine. 1 in 5 males may be affected by Bladder Incontinence and or bladder function changes. The two more frequently occurring forms of Incontinence are Stress Incontinence (when a cough, laugh, sneeze or jump may trigger leakage) and Urge Incontinence. Urge Incontinence may also know as Overactive Bladder because the uncontrolled contraction of the bladder leads to leakage of urine. The cause of male bladder issues may vary, however the most common being associated with the prostate and pelvic floor muscle dysfunction, bladder stones, bladder cancer, diabetes, and or infection. 
 
Physiotherapy can assist to resolve these symptoms with pelvic floor muscle re-education, massage, the release of associated muscles of the anus and pelvic girdle, and re-education of the bladder function, to achieve complete emptying of your bladder and normal frequency.

 

Bowel

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  • Bowel Incontinence (leakage)

  • Constipation

  • Irregular Bowel Motions (IBS)

  • Flatulence

  • Incomplete Empty

Everybody's bowel movements vary depending on their age, diet, lifestyle, and daily activities. There is no exact number of bowel movements, that is deemed exact. However it is suggested that up to three bowel movements a day,  to three bowel movements a week, would be considered within the normal.
 
Healthy bowel functioning should include a pain-free and complete empty of your bowels, at your desired time. You should not feel the need to bear down and strain (Constipation) or have watery uncontrollable stools (leakage) and or be experiencing incomplete emptying of your bowel.
 

Physiotherapy can provide you with education on good bowel functioning, correct postures on the toilet, and treatments to assist to normalise your bowel movements. Often pelvic floor education is needed, be it relaxation or strengthening of the pelvic floor muscles. Manual therapy such as soft and or deep tissue releases and or anal examination may also be suggested. 

 

Abdominal Muscle Separation

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  • Diastasis Rectus Abdominal Muscle Separation (DRAM)

Diastasis Rectus Abdominal Muscle Separation (DRAM) in males often develops gradually over time, is more acceptable in society with aging males and therefore not diagnosed early and or is misdiagnosed, as a beer belly or weight gain. One of the most common contributing factor is due to exercises done incorrectly such as weightlifting, sit-ups, crunches, push-ups, and front planks. 
 
Other factors such as a family history – if a father or grandfather has had a DRAM it may occur in the younger males. Certain medical conditions associated with liver disease, diabetes, and or abdominal cancer or hernia may also be the cause of abdominal wall separation. 
 
The classic sign of a DRAM is a vertical bulge that appears between the abdominal walls either at rest or with a crunch, or simply getting up out of a chair or your bed. Other symptoms may include lower back pain, urinary incontinence, difficulty breathing, or poor breathing pattern, signs of a hernia in the groin or inguinal areas, and an overall weak feel in your core and abdominal muscles.
 
Whatever the signs or symptoms, the correct abdominal exercise program can reduce the DRAM separation and strengthen the abdominal core muscles. The use of Real-Time Ultrasound (RTUS) allows physiotherapist to view the abdominal separation and muscles in action. And to develop a core strengthening program to close the separation and regain abdominal strength. 
 
It is encouraged that an individualised and correct core and floor physiotherapy program should always be part of a post-recovery program for hernia and or abdominal surgery.

 
Pre & Post Surgical
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  • Hernia repair
  • Abdominal surgery
  • Bariatric surgery
  • Pelvic girdle pain (often associated with chemotherapy and or radiation therapy
If you are preparing to have surgery of any kind, be it abdominal (Diastasis Rectus repair or Weight loss (Bariatric surgery), hernia repair, or pelvic surgery, all major surgeries involve anaesthesia, bed rest and recovery.  Often bladder and bowel function can be affected. Breathing altered and muscle deconditioning occurs.
 
Preparing for the surgery, will better prepare you and your muscles for a healthier rate of recovery and reduce your anxiety and worry.
 
A pre – op visit to our clinic is a great opportunity to get detailed information, advice, education, and a management plan for your recovery. A conditioning and strength program, can then be planned for your return to fitness.  Muscles memory allows muscles that are trained and strengthened prior to surgery, to respond quicker and recover more efficiently post-surgery.
 
 
Musculosketal
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  • Neck, Shoulder, Back pain
  • Pelvis girdle pain
  • Piriformis Syndrome 
  • Pelvic floor muscle dysfunction (Penal and or Anal pain)
Musculoskeletal (MSK) conditions typically characterised by pain (often persistent) and limit mobility, dexterity, and overall level of functioning.
 
The more common MSK pain in males occurs in the neck, shoulders, and back areas. Lower back pain being of greatest prevalence in the 35 - 65-year range and is the greatest cause of absence from work. Typically, majority of MSK pain in the above body areas, increase in occurrence with age, an increase in body mass index above 25 and with sedentary lifestyles.

Many men experience pain in the pelvis at some point in their life. Common symptoms may include difficulty and or painful and frequent urination; pain in and around the bladder, groin, anus, and abdomen; or an inability to obtain an erection or pain during ejaculation.

The evidence and research is clear that musculoskeletal physiotherapy, is the most effective long-term non-surgical option for treating musculoskeletal and pelvic gridle pain. By avoiding physiotherapy treatment, you are much more likely to experience increasing pain, cause further muscle imbalance and develop a chronic pain pattern.

Seek physiotherapy treatment sooner rather than later.