Men’s Health

Pilates in Sydney CBD

Sydney Physiotherapy Solutions has a dedicated Pilates Studio and expert, caring instructors who are all experienced physiotherapists.

We offer a wide variety of classes from beginner to advanced and have something for everyone. There are private and duet sessions, mat classes and classes utilising the pilates equipment such as the reformer and trapeze table. We also offer specialist classes for ante-natal clients, runners, cyclists and men’s health.

Clients are required to undergo a thorough assessment before commencing pilates with us & this allows the instructor to tailor exercises specifically for you.

Recovering From Surgery

Be a Beacon!

Recovering from surgery can be quite a lonely time. People often have family and friends around them, but the pain, and loss of function is not easily visualised and sometimes men internalise their feelings and suffer in silence.

Once a ‘person’ becomes a ‘patient’ they loose a sense of being in control of their situation and their self-belief begins to suffer. They allow themselves to bob around in the rough waters of their ‘health’ with well meaning practitioners poking at them to get them to move through this rough patch and back towards smoother waters.

As clinicians we are good at analysing data and planning pathways. We are great at dishing out advice, but we often lack in one key area… Encouragement.

Encouragement can provide people with the strength to look ahead, move forward, and strive for the next goal. It’s like infusing them with courage or giving them a paddle so they feel like they can play a more active part in their recovery journey.

To be able to lift someone’s spirits so that they can see over the crest and regain a sight of their goals is a vital part of any rehabilitation process. It can be done in many ways, from a simple smile to loud applause but it is something that is often left out of treatment sessions.

Of course we need to instruct, educate and give feedback to improve performance…it goes without saying that errors need to be corrected. To infuse courage into your patients and to praise their progress will undoubtedly increase compliance and improve outcomes.

Encouragement shines light into patients’ lives. Be a beacon!


Erectile Dysfunction

In order for men to have good penile health, for the tissue to stay healthy, men need to get erections.

There can be many reasons for men to develop erectile dysfunction but they can be largely broken down into 3 main categories.

Psychological erectile dysfunction.  Depression, anxiety and stress all have adverse effects on erectile function.  The solution?  clinical psychologists, sex therapists, even simple strategies like meditation and relaxation time.

Medical erectile dysfunction. Vascular issues, neurological issues (such as occurs following prostate surgery), hormonal issues…all of these complex factors have to be assessed and evaluated by an experienced GP or sexual health doctor.  Treatments of these issues can range from surgery and medications to counselling that patience and time should improve matters.

Physical dysfunction.  Erections occur when blood moves into the penis and is held there.  Pelvic floor muscles can act as both a pump to move blood in, and as a tourniquet to keep it in there.  Pelvic floor muscles can become weak as we age, which is one reason that erectile dysfunction becomes more prevalent as we get older.  But like all muscles that we have voluntary control over, we have the ability to target them specifically and then expose them to progressive training.  Thats where we mens health physios come into play.

RTUS led training of pelvic floor muscles has started to become the gold standard to show men how to isolate their muscles more effectively, and once you know where they are there are now gadgets like the private gym, a US based product (that has now got early scientific evidence behind it) to help men with pelvic floor muscle  Lifting weights has never been so much fun!!!

Ischaemic Heart Disease

We are all familiar with the cause of a heart attack (not enough blood getting to the heart) or stroke (not enough blood getting to the brain). How does this happen?

Atherosclerosis is the build up of plaque in the vessels carrying blood to the brain or heart. A good diet and lots of exercise are important to keep plaque to a minimum. The tricky bit comes when Men start to age a little, their capacity to exercise diminishes somewhat due to general aches and pains, accumulation of small injuries over many years or degeneration of joints.  This coincides with a Man’s time of life when he is more vulnerable to a heart attack or stroke. Therefore, there is an acute need to not allow these relatively innocuous ailments to reduce exercise capacity.

Strategies to improve exercise tolerance includes

1. Finding the correct type exercise for a Man’s capacity. e.g. if walking/running is too hard then try cycling or swimming

3. Finding the correct intensity of exercise to match a Man’s capacity. e.g. if walking up and down hills is too much then walk on the flat.

2. Get professional medical help to deal with musculoskeletal problems to allow better exercise capacity

Men’s Health is gathering momentum in the general community. Men have a much higher prevalence of Ischaemic Heart Disease than Women. When basic solutions can make a big difference Men need to devote enough attention to themselves to keep exercising from middle to old age.

Men’s Health and Back Pain

Back Pain has a stronger link to Continence and Respiration than Obesity. 

Inside our trunk is our lumbar spine, our core muscles, our pelvic floor muscles and our breathing muscles. In a functional body these muscles need to be co-ordinated during movement. If this is made harder due to a respiratory problem (coughing, shortness of breath) or if your pelvic floor muscles are trying too hard to compensate for a poor core, then pelvic floor dysfunction can develop. This can be the underlying cause of continence issues.

So, its no surprise if your trunk muscles are not performing functionally, back pain can develop along side continence issues. Many people will go to the physio for a back problem and have continence issues, but do not mention their continence issues. This may be due to being embarrassed or unaware that physio’s can help with incontinence.

Especially when it comes to men, Sydney Physio Solutions are leaders in this field. We have state of the art equipment for retraining trunk muscles and physiotherapists dedicated to Men’s Health.

For an article related to this go to Continence and Back Pain

Back pain

Back pain

Prostatectomy Training

Sydney Men's Health Physiotherapy

Sydney Men’s Health Physiotherapy

Incontinence and erectile dysfunction are unfortunately common issues following radical prostatectomy operations for men with prostate cancer.

New research highlights the need for men to focus on improving their awareness of which muscles they are targeting within the pelvic floor before developing strength.  This early motor control is often more readily learnt BEFORE surgery and the right muscles can be easily viewed working using real time ultrasound.

A good analogy is that just hitting a golf ball hard doesn’t always lead to a good outcome…better to work on the golf swing first….THEN you can develop strength.

For more information, contact the Men’s Health physiotherapists at Sydney Physiotherapy Solutions

Continence Foundation of Australia upcoming NSW State Conference

I am very honoured to have been asked to make a keynote speech at the NSW state conference for the Continence Foundation of Australia in May.  Click here to see the program.

I’ll be talking about the role Men’s Health Physiotherapy can play in managing men with pelvic pain.  This is a hugely under reported and under researched area within medicine.  I will be speaking to consultant urologists, doctors, continence nurses as well as CFA members (carers and sufferers too).

I have also been asked to present alongside Dr Vincent Tse, the current president of the CFA NSW, in presenting the current research and practical interventions I make with men with prostate cancer to improve their continence and erectile function following prostatectomy.

Going to be a busy day!!



Pelvic Pain in Men (Chronic Pelvic Pain Syndrome – CPPS)

Pelvic pain in men is more common that you might think.  We don’t hear about it because men don’t like to admit they’re in pain, especially when the pain is in his penis and causes pain on ejaculation, or testicular pain, groin pain, a frequent need to urinate, loss of libido….Not only does he shut up and close ranks internally but inside he is terrified he has some kind of cancer and he often sticks his head in the sand and hopes to ‘wait it out’.

Often a partner or friend is the first to notice signs of changes in libido or irritability and it can take quite a while to finally get the guy to get medical help.

That’s where sometimes the problems can get worse!  GP’s routinely screen for ‘prostatitis’, refer to Urologists who also test for a medical cause for his pain and quite often all tests are returned as normal. The pain persists and pelvic pain sufferers know of nowhere else to turn.

There is now growing evidence that some CPPS sufferers may actually have pelvic floor muscle spasm (hypertonicity) rather than an inflamed or infected prostate gland. In light of this, men’s health physiotherapists may provide an important role in helping to diagnose and improve the dysfunctions that cause pelvic floor hypertonicity.

Treatments can range from breathing exercises, to acupuncture/dry needling techniques, to massage (both externally to muscles around the core and internally within the pelvic floor).

Pain is both a physical and emotional entity, so often both medicinal (drugs) and psychological (cognitive) interventions can be of use in conjunction with physical treatments – it is a well known fact that multimodal management of patients with pain provides significantly better outcomes.

The key is NOT TO SUFFER IN SILENCE…and as bad as the pain and dysfunction may seem to you right now, there is always potential to improve the situation if the right help is given.

Men's Health

Men’s Health