Chronic Pelvic Pain
Chronic Pelvic Pain, (or Pudendal Neuralgia) is a very complex and misunderstood condition. Just like the sciatic nerve which refers pain from the lower back/buttocks and into the legs (with or without pins and needles) the pudendal nerve when irritated causes problems in and around the genitalia. Once irritated the pudendal nerve causes a range of symptoms involving the bladder, bowel and male genitalia;
- severe pain in the pelvis, testicles or rectum
- overactive or painful bladder symptoms
- sexual dysfunction (erectile or ejaculatory)
Following a detail assessment and with an understanding of the relevant anatomy, your physiotherapist can offer a range of treatments that will also involve lifestyle solutions.
Prostate Cancer - No man is an Island
Prostate cancer is the number 2 cancer killer of males in Australia. With 12,000 males living each year with the diagnosis of prostrate cancer, many are or will be living with the post operative health issues associated with prostrate cancer. Blokes being blokes, can put issues on the back burner with a 'she'll be right mate' attitude.
Sure, a lot of things improve with time, but not prostrate cancer or its management. A much better approach is get educated, get involved and start preparing and planning. Given their age and gender, there are often many related health issues for men. One of the main post operative side effects is urinary incontinence and research has shown that undertaking a 'preseason' program significantly aimed at strengthening your pelvic floor pre operation, reduces the time to achieving your goal of being dry again.
Our recommendation as soon as you receive a diagnosis of prostate cancer, is to consider getting your physical body into order. Doug can assist you develop and follow an appropriate exercise program, with specific emphasis on learning how to develop your pelvic floor. After your surgery this preparation will go a long way to achieving control of your bladder in the shortest period of time.
Physiotherapy can assist you with education, physical training and a sounding board for ideas.
Resources Worth Seeking
Beyond Blue Maintaining Your Well Being - www.beyondblue.org.au
- Information booklet discussing anxiety and depression for men with prostate cancer
Prostrate Cancer Foundation of Australia - www.pcfa.org.au
- Prostrate Education Pack (free)
- What every man should know (brochure)
- Be a man - talk to your doctor about prostate cancer (brochure)
- Information about local support groups
Australian Government - www.health.gov.au
- Pelvis Floor Muscle Training for Men (brochure)
- Brochures & Fact sheets
Resources Worth Reading
Conquering Incontinence - Peter Dornan
Peter is a physiotherapist who had one of the early radical prostatectomies, writes about finding out how to cure himself and continue to achieve his life's goals. A real ground breaking story.
Facing the Tiger - Suzanne Chambers
Psychologist and nurse writes about the importance of mental preparation for men and their loved ones for the challenges ahead when dealing with prostate cancer.
Prostate Recovery Plan - M.A.P. - Craig Allingham
Physiotherapist with a strong interest in post prostrate cancer and developing a physical recovery plan for incontinence.
Redefining Prostate Cancer - Lamm, Lepor & Sperling
Co authored by an men's health internist, a researching & clinical urologist and an interventional radiologist, this book explores the research evidence of different treatment options for prostate cancer. Written in an easy to read style it ranges from the preventative stage, treatment pros and cons to lie after treatment. It is filled with case studies and patient check lists to assist discussion with your GP and medical team.