Many of the pelvic floor-related problems described
in our Women’s Health programs
also affect men. Each physical therapy program is tailored to
meet the needs of the individual.
A typical therapy program begins with an initial
appointment to evaluate problems and set up a treatment plan.
Treatments are usually scheduled once weekly for 6-12 weeks, with
each treatment lasting 45-60 minutes. The program may include
exercises, education and modalities (the use of therapy equipment).
A short home exercise program is a recommended part of the treatment.
Referral from a physician is required for physical
therapy services. Please contact your physician regarding a prescription.
Physical therapy services are covered by most insurance programs.
Women’s health services are offered at all of our clinic
locations (Newark and Pickerington),
as well as several satellite locations around Columbus, OH.
Choose one of the following options to read more
about specialized services.
Incontinence
and Voiding Dysfunctions
Pelvic
Pain
Chronic
Prostatitis
Chronic
Constipation
Incontinence and Voiding Dysfunction
Though men have incontinence much less often than
women, the experience is usually more difficult. Men are not accustomed
to using garment protection, and leaking urine is very disturbing
to most men. Men usually develop incontinence due to problems
with the prostate gland. As men age, the prostate gets larger.
This usually causes a problem “getting started” with
urination, but can occasionally lead to incontinence. Urine leakage
occurs most often with removal of the prostate, which happens
commonly with cancer treatment. When the prostate is removed,
men do not have as much pelvic floor muscle strength or as much
ability to prevent urine loss. While physical therapy effectiveness
depends on the amount of damage to the nerves and muscles, most
men can regain a significant amount of function back, and in many
cases full control.
Pelvic Pain
Pelvic pain can occur from a musculoskeletal problem.
Most of the time when there is pain, the muscles are too tight,
or in “spasm”. Pain can be felt in the pelvis, rectum,
penis, bladder or abdomen; possibly even in the low back or upper
thighs. Muscle spasm can be treated in many ways, but the most
effective is a combination of exercise, deep muscle massage, electrical
muscle stimulation and teaching new habits for how you use your
body. In many cases pain can be decreased or eliminated with physical
therapy.
Chronic Prostatitis
Prostatitis is a serious medical condition of infection
in the prostate gland. This is usually treated with antibiotics,
and most people do very well and have no more symptoms. In some
men, however, this develops into a more chronic problem. The infection
is gone but the pain remains. In many of these cases, pain and
spasm develop in the pelvic floor muscles, and it feels like the
infection has returned. If the doctor has determined that you
do not have infection, but your pain remains, it may be a musculoskeletal
problem, and physical therapy may help. Muscle spasm can be treated
in many ways, but the most effective is a combination of exercise,
deep muscle massage, electrical muscle stimulation, and biofeedback.
Chronic Constipation
Chronic constipation is a common problem in men
and women of all ages. If left untreated, the straining involved
in emptying your bowels can lead to other problems, such as prolapse,
weak or painful pelvic muscles, or urinary and stool leakage.
Chronic constipation can happen for many reasons and often includes
a musculoskeletal cause. To successfully empty your bowels, you
must coordinate and correctly use your stomach muscles, respiratory
muscles, and pelvic floor muscles.
The most important part of treatment will
be for the therapist to evaluate how you use your muscles when
you try to empty your bowels and teach you more effective ways
to use your muscles. Treatment may also include positioning techniques,
exercises, biofeedback, and discussion of dietary factors.
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