Legacy Physical Therapy 2961 Dougherty Ferry Road Saint Louis, MO 63122
Call: 636-225-3649 Fax: 888-494-7074 Email: info@legacytherapystl.com

Men’s Health

Men's Health involves conditions that affect men throughout their lifespan from childhood through adulthood. Men can experience musculoskeletal injuries from daily activity or sports such as back pain, neck pain, pelvic pain, or upper extremity and lower extremity dysfunctions. Men can also experience bladder and bowel disorders that include urinary urgency-frequency, incontinence, irritable bowel syndrome and hemorrhoids. Other conditions can affect the prostate and/or irritate muscles of the pelvis such as chronic prostatitis and levator ani syndrome.

 

 

Incontinence Disorders

Incontinence is the involuntary loss of urine or stool (leaking). This may occur due to an increase in abdominal pressure upon the bladder and/or rectum with coughing, sneezing, changing positions, walking, and lifting objects to name a few. It may also occur due to a strong uncontrollable urge to urinate or defecate. Incontinence is mostly associated in males after surgical procedures affecting the prostate gland, bladder or rectum, but it may also occur gradually over time after the fifth decade of life.

Legacy Physical Therapists manage this condition using a progressive and functional exercise program to help strengthen the pelvic floor muscle. The pelvic floor muscles function to maintain good closure of the sphincters to help restore control of the bladder and rectum. Additional interventions include patient education for fluid and fiber intake, behavioral modification and possible sEMG biofeedback for pelvic floor muscle awareness training.

Common diagnoses we treat include: 

  • Urinary stress/urge incontinence
  • Fecal incontinence
  • Pot-Prostatectomy Incontinece
  • Post-TURP Incontinence
  • Post-Bladder Reconstruction

 

 

Voiding Disorders

Voiding dysfunction is abnormal holding along with a disturbed voiding pattern. There is potential for this condition to affect urination, defecation, and/or ejaculation. One probable cause is poor coordination between the bladder and/or rectum with the external sphincter (pelvic floor muscles). The associated symptoms may be inclusive of increased urgency, frequency, hesitancy, weak stream, dribbling, or constipation. Usually environmental and psychological factors feed into voiding dysfunction making this condition challenging for both the sufferer and the healthcare community to manage. Many voiding dysfunctions have causes rooted in the neuro-musculo-skeletal system. Some of these causes may include: inability to achieve relaxation of the pelvic floor muscles during times of attempted voiding, resultant spasms and tightness within the muscles and connective tissue of the pelvic area, and/or poor body awareness. Interventions usually consist of behavioral training for pelvic area body awareness and proper voiding strategies, therapeutic exercise instruction, relaxation techniques, sEMG biofeedback for downtraining, manual therapy for joint, muscle, connective tissue and myofascial mobilization, as well as, self-management strategies.

Common diagnoses we treat include: 

  • Urgency / Frequency
  • Syndrome Nocturia (night wakeups to urinate)
  • Urinary Hesitancy
  • Weak Stream
  • Post-void Dribble
  • Constipation
  • Thin / Fragmented Stools
  • Poor Quality Ejaculation

 

 

Pelvic Pain

Pelvic pain syndromes encompass several conditions that cause pain throughout the pelvis and can also cause difficulty with bowel, bladder and sexual function. Our experienced pelvic therapists are trained in identifying the musculoskeletal causes of male pelvic pain. Some of these causes may include: spasms and tightness within the muscles and connective tissue of the pelvic area (pelvic floor muscles) and/or irritation of one or more of the pelvic area nerves (pudendal nerve).

Physical therapy can help to alleviate male pelvic pain conditions through identification of the nerve branch irritation and/or specific tight muscles. Interventions usually consist of manual therapy for joint, muscle, connective tissue and myofascial mobilization, therapeutic exercise instruction, relaxation techniques, sEMG biofeedback for downtraining, behavioral training for pelvic area body awareness, and self-management strategies.

Common diagnoses we treat include: 

  • Prostatodynia
  • Chronic Pelvic Pain
  • Prostatitis
  • Proctalgia Fugax
  • Levator Ani Syndrome
  • Coccydynia
  • Anismus
  • Pudendal Neuralgia
  • Sexual Dysfunction