Reading and Tilehurst's Physiotherapy, Spinal, Sports and Pelvic Specialists

 

Tilehurst Clinic4 Chapel Hill, RG31 5DG
Reading Clinic Sports Park, University of Reading, RG6 6UR

 

0118 9310053

(phone and online services available 24/7)

email: info@corebodyclinic.co.uk

 

 

Men's & Women's Health Physiotherapy

Hard Flaccid

What is hard Flaccid Syndrome?

Hard Flaccid Syndrome is a condition affecting the penis and is of unknown aetiology among men.  However, hard flaccid synrome is believed to be more prevelant between the ages of 18 and 35.  It is characterised by penile stiffness when the penis is in a flaccid state and flaccid size.  The penis is essentially stiff to the touch, it is engorged and rubber in texture, and is often accompanied by a change in size or shape of erection.  There may be a loss in nocturnal erections and it may require a greater degree of stimulation to achieve an erection.  However, the most common reason for someone seeking help when suffering form hard flaccid is because of alarming changes in penile shape and size.  Patients often self diagnose hard flaccid from reading online forums.  It is different from peyronines disease because there are no visible signs of tissue scarring and plaque formation. Nevertheless, hard flaccid is a distressing and poorly understood condition.  At Core Body cliniic, our pelvic physiotherapists are experts in the treatment of Hard Flaccid syndrome. 

Male Pelvic Pain & Men's Health Physiotherapy

Male Pelvic pain and Men’s Health physiotherapy is a specialist branch of physiotherapy that deals with male pelvic pain (chronic prostatitis) and pelvic organ dysfunction.  At Core Body Clinic we are trained both in musculoskeletal physiotherapy, chronic pelvic pain therapy and men’s health physiotherapy combining a unique skill set to comprehensively assess and diagnose problems affecting the pelvis.

Incontinence

Our pelvic therapists at Core Body Clinic are experts in treating Incontinence. We understand it and we really care about helping you.   

Prostatitis and Chronic Pelvic Pain Syndrome (CPPS)

Chronic Prostatitis (or prostatitis 3b) or Chronic Pelvic Pain Syndome (CPPS) are often considered synonymous where pain in the pelvis is of a persistent nature.  

In Prostatitis, there is often as an infection affecting the prostate gland.  However, only about 5-10% are actually bacteria related with the vast majority related to inflammation or non-specific pain syndromes. Prostatitis can affect all men at any age and accounts for about ¼ of all pelvic pain conditions, genital or urinary conditions in young to middle aged men.  Where pain persists after a period of time and after medicine has failed to resolve pain, by process of elimination, CPPS or Chronic Prostatitis type 3b is a diagnosis often assigned.   

Diastasis Recti

Diastasis Recti - This is a term describing the separation of the abdominal muscles. The abdominal muscles consist of the rectus abdominus, the deeper transversus abdominus, and then the internal and external oblique muscles.

Erectile Dysfunction and Physiotherapy

Erectile dysfunction is a deeply personal and distressing problem that describes a condition where an erection is either not possible or is not sufficient for the desired task of sexual activity.  It is a condition that can have multiple causes and therefore you must discuss it with the GP. 

 

They will look for all medical reasons for this problem and advise you accordingly, conducting tests where necessary.  We know that smoking, alcohol, a poor diet and lack of exercise can have an impact (for some) on erectile function.  Physiotherapy can be very helpful where the pelvic floor is implicated.  We can also advise on exercise, diet and general wellbeing.   

Women's Health Physiotherapy

What is Women’s Health physiotherapy and how can it help me?

Women's Health Physiotherapy is a specialist branch of physiotherapy where the physiotherapist has undergone specialist training and competencies in pelvic anatomy, pathology, diagnosis and treatment. They are trained to assess and treat women suffering from pelvic floor weakness, problems with bowel and bladder, pain in the pelvis and women who have had a baby or who are pregnant and having problems.  At Core Body Clinic our physiotherapists are dual trained in musculoskeletal physiotherapy and Women's Health Physiotherapy.  They have a detailed understanding of pelvic anatomy and pelvic floor function and they are skilled in many techniques to treat pain and rehabilitate function. 

Prostate Cancer: Physiotherapy and Rehabilitation

Prostate Cancer touches one in eight men and many opt for surgery to the remove the prostate (radical prostatectomy).  Other treatments include hormone therapy, radiotherapy and in some instances chemotherapy.  It largely depends on the stage and grade of cancer.  It is accepted that if we live long enough all men will develop prostate cancer cells (you might have to live to 180!).  However, they are slow growing and often people die of other causes before the cancer is diagnosed.  Radical surgery has a 15 year survival rate of almost 90%.  The effects of having surgery can leave a man suffereing incontinence and erectile dysfunction.  

Sporting Pelvis and Groin Pain

Troubling groin or hip pain, unresolved by medical and surgical intervention, can be helped by evaluating the function of the pelvic girdle.  Our Sports Pelvis service is specifically designed to consider the sporting population with the pelvic girdle in mind.  With a background in elite football, we are all too familiar with niggling groin strains, unnecessary surgical procedures and post-surgical complications or pain that can ruin an athlete’s career. 

Pudendal Neuralgia

 

The pudendal nerve is a major nerve (like the sciatic nerve) arising from the sacral plexus.  It is an important nerve for differential diagnosis in cases of CPP (Chronic pelvic pain). The difference between pain arising from somatic structures (muscle, bladder, bowel etc) are that they are often achey or deep.  Nerve pain is different and will behave in a manner where manifestations of lancinating, sharp, throbbing or stabbing sensations are experienced. This is what we call neuropathic pain.  Pain is often felt along the pathway of the nerve.  However, it is not a common diagnosis and is often over diagnosed.