Shockwave for Erectile Dysfunction

 

Erectile dysfunction describes a condition where an erection is either not possible or not sufficient for the desired task of sexual activity. 

 

One of the main drivers causing erectile dysfunction is poor vascular blood flow and patients who respond well or fair to PDE5i medication are shown to have the best outcome.  Patients who are non-responders have shown to improve and become good responders to PDE5i medication following Focus Shockwave .   

At Core Body Clinic we also use Focus ShockWave in the treatment of Pelvic Pain in both men and women, and we are currently using in Hard Flaccid syndrome and erectile function after Prostatectomy.

You can find out more by calling or emailing the clinic or booking online

How does Shock wave help Erectile Dysfunction?

While medication like PDE5 inhibitors provide a solution to erectile dysfunction, they do not change the underlying pathophysiology of loss in vascular supply and reduced nitric oxide release.  Focus shockwave has angiogenic properties and delivers electro shock impulses into the target tissue stimulating healing through the process of angiogenesis.  New blood vessels are formed and the release of nitric oxide is enhanced dialating blood vessles and increasing cell permeability.  The overall effect increases and enhances perfusion and thus provides a longer standing change in erectile tissue physiology and therefore enahnced erectile function. 

Research has shown that these changes achieve better and even spontaneous erectile function, where this might have been unachieveable.  Some patients experience pain during an erection and ShockWave therapy can help by modulating the release of substance P, a powerful peripheral nerve neurotransmitter responsible for the reduction of pain.

 

 

Research has demonstrated that Focus ShockWave therapy can lead to a significant improvement in erectile function and has been shown to improve the International Index of Erectile Function which lasts at least 9 months .  A systematic review (pooling of lots of randomised controlled trials) with a cohort of over 800 patients treated for erectile dysfunction using focus shockwave therapy found that the treatment was indeed highly effective, safe and led to significant improvements in erectile function. Further reading can be found here.

 

How many sessions are required?

It is necessary to repeat the sessions for at least 6 weeks and in a consistent weekly manner.  In some instances it is necessary to repeat 2 sessions a week.

6 to 8 sessions are needed in most cases.  This can last for up to 18 months with a repeat course recommended after this time. 

 

Is it safe?

Shock Wave therapy is very safe provided it is delivered by trained practitioners.  Some patients experience a little ache like pain during the treatment that can last for 24 to 48 hours afterwards. 

 

Is this the only treatment I need?

Erectile dysfunction can have many causes that interact to cause ED.  Therefore, having a holistic approach to treatment is key in ensuring you get the best out of the Shock wave therapy. Other treatments may include:

  • Pelvic floor exercises to release your pelvic floor

  • Specialised Breathing and relaxation work.  Relaxation through breathing has been found to be hugely beneficial for all types of conditions.

  • Re-education of the  pelvic floor, hip and abdominal musculature

  • General exercise

 

 

more reading.........

How does an erection happen?

An erection occurs when we become aroused and messages from the brain signal the penile muscles (Corpus Carvernosa) to relax.  Blood enters the erectile tissue (Corpus Carvenosa) via the pudendal artery and inflates the penis.  The Tunica Albugenia then contracts to trap the blood in the penis and keep it in an erect state.

The erectile tissue  of the Corpus Carvenosa and Corpus spongiosum are under autonomic control are extensions of the pelvic muscles of the skeletal and consciously controlled Bulbospongiosus and Ischiocarvenosus.  It must be noted that these are different. 

 

What Causes Erectile Dysfunction?

There are many causes of erectile dysfunction and finding out the likely cause is a good starting point in getting the right treatment.  This is a list of possible causes:

  • Problems affecting the flow of blood to your penis

  • Conditions of the nervous system, which is made up of your brain, nerves and spinal cord

  • Changes or disease causing change in hormone levels

  • Physical structure problems in the penis

  • Diabetes

  • Smoking

  • Psychological and emotional well-being

  • Intra-pelvic pain syndromes like Chronic Pelvic pain

  • Hard Flaccid or HF

  • Post surgical injury to nerves and muscular tissue (Prostatectomy / TURPS)

  • Cycling

We could always recommend you see your GP 1st to rule out any other co-morbid factors.

 

To find out more

Please email the clinic or call. 

Ask for Adrian Wagstaff to call you back. 

If you are confident you require Shock wave then simply book online using the online services.

Read more...

New Mumbles Physiotherapy Clinic: Core Body Clinic, Swansea!

New Mumbles & Swansea Physiotherapy, Pelvic Pain and Sports Injury Clinic - OPEN!  

 

About our new Swansea Physiotherapy and Mumbles Physiotherapy Clinics

It is with great pleasure to announce that Core Body Clinic has opened their first and now second Physiotherapy clinic in Swansea and a second in Mumbles.  One clinic is based at the Swansea Wellbeing Centreand the other is at the Mumbles Dental Spa.  They are great places to base the clinics and so well located to allow access for the whole of the Swansea Bay area.

Mae'n bleser mawr gennyf gyhoeddi bod Clinig Corff Craidd wedi agor eu clinig Ffisiotherapi cyntaf yn Abertawe ac ail mewn Mwmbwls. Mae ein clinigau wedi'u lleoli yng Nghanoflan Lles Abertawe a yn yr sba deintyddol y mwmblws.  Maent yn lleoed gwych i gael clinig ac maent mewn sefylla dda i ganiatáu mynediad ar gyfer holl ardal Bae Abertawe.

 

Will physio help?

Yes!  But if you are wondering what the difference is between Physiotherapy, Osteopathy and Chiropractic then read our article HERE

 

 

 

 

 

 

 

 

 

 

 

 

What do we treat?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The list is endless and we treat all sort of problems from BACK PAIN to SPORTS INJURIES and we are also the ONLY clinic to treat MALE PELVIC PAIN in Wales.  We also treat PELVIC PAIN in women and we are experts at rehabilitation, spinal manipulation, sports and soft tissue massage.  Simple click HERE and be redirected to our WHAT WE TREAT page.  If your problem is not listed then please email the clinic as there are conditions that share common signs and symptoms.

  • Back Pain
  • Neck Pain
  • Sciatica
  • Sports injuries
  • Ankle Sprains
  • Tendon Injuries
  • Rehab after an Operation (Like ACL or FAI)
  • Plantarfasciitis
  • Breaks and Fractures
  • Pelvic pain
  • TMJ (Jaw) Pain
  • Headaaches

 

 

What Therapists Treat at Core Body Clinic physiotherapy Mumbles and Swansea?

 

Adrian Wagstaff (originally from North Wales, and also Welsh speaking!) is the director and founder of Core Body Clinic in Reading.  He has built up an international reputation since he qualified in 2001 with a BSc (Hons) in Physiotherapy and then again in 2012 with an MSc in Manual Therapy.  He is a member of the MACP and is one of just 1200 physiotherapists world wide to hold the qualification of this advanced status in MSK care.  Having worked in 2 premiership football clubs (Manchester City & Wolves), the NHS, private practie in the UK and in New Zealand Adrian has a broad experience from chronic back pain to ligament rehabilitation in the elite sports person.  Adrian specialises in the diagnosis and treatment of musculoskeletal pain and has an interest in chronic pain and pelvic pain.  He is one of the few practitioners to treat Male Pelvic pain in the whole of the UK and is trained to use diagnostic ultrasound to help with diagnosis and to retrain the pelvic floor.  Adrian is a teacher of spinal manual therapy and manipulation having taught on the Masters degree at Coventry university, he also travels to teach this very skilled hands on technique.  Read more about Adrian here

 

 

 

How to Book:

You can call 01792369535 (our Reading Central Office) or 07748152377.  We also have a booking system that is integrated into the diary meaning you can see appointment times in real-time.  All you need to do is click BOOK ONLINE and register using either your tablet, iPad, phone or computer.  

Once you are set up you can book an appointment. It is very easy and should you suddenly find your appointment is no longer convenient you can simply change the appointment at any time.  Of course, you can still email or call the clinic and one of the staff members will be more than happy to guide you through the booking process.  Hours for online booking are 24 hours. 

If you have a particularly difficult problem and you are not sure if we can help then please call the clinic and ask to speak to someone.  This could be a difficult back pain or sciatica that you have had for a long time.  It could be a chronic tendon problem that has not resolved.  You might be suffering form chronic headaches or pelvic pain for which no one else has been able to help.  Its worth picking up the phone or emailing and asking for our advice.  Its simple to email  - This email address is being protected from spambots. You need JavaScript enabled to view it., or send a text to 07748152377 and ask for a call back.

 

 

 

 

 

 

 

 

What happens at the appointment?

 

The process of examination and diagnosis:

 

Assessment:

 We will first work out what the problem is by assessing the causes.  This will involve a comprehensive discussion about the history of your complaint, how it started, what makes it better and worse, when does it hurt most in the day, does it disturb your sleep and do you have any other symptoms beside pain.  We will also take a history of your past medical conditions.  We will ask about medication and also about what sports and activites you like to do.  We will ask about your home life ad what you do for a living, whether you drive to work and how often you take time off. 

All of this is called the 'subjective history' and it is really important because it gives us the information to work out what is wrong.  We may ask you a lot of questions and this is called differential questioning and helps us to diagnose one condition from another. It may follow the format of a medical examination similar to what you may experience when seeing a doctor or surgeon.

Examination:

In this part of the assessment we will look at the range of bodily movement or joint.  We will test muscle strength, neurological fuction and normal everyday movements.  We will also perform some special tests to isolate certain structures.    Physiotherapists are trained in delicate handling of the body. However, testing may cause some discomfort.   

Sometimes it is necessary to ask your GP to arrange bloods tests or xrays.  Physiotherapists are trained to look for common conditions and are particularly good at looking for problems not ameanable to physioatherapy.  We can tell if you need to see a surgeon and will refer you to the GP should we deem this necessary.

 

Treatments: 

See our list on treatments to see the types of techniques we offer. 

 

What about Covid and Lockdown?

No probelms, we run a COVID SAFE clinic so you are in safe hands.  This means that during the Swansea Lockdown, you can still attend for physiotherapy appointments.  We cant have people in pain and throughout the pandmic we kept our Reading clinics open for emergency Face to Face and online sessions.  Pain and injury causes misery to millions each year.  With little access to GP or hospital, we have been a life line to patients and this will continue with the opening of our Swansea clinic.  We wear full PPE, as you to wear a mask, ensure you have signed our consent form and check your temperature on your way in.  We like to call it a belt and braces approach.  We have tons of hand sanitiser so we have now officially swapped our hand shake with a blob of hand sanitiser.  Of course, if you dont feel safe then you can select an ONLINE appointment instead of a F2F.  We have been conducting online video appointments for the last 5 years, covering the whole of the UK and the entire world! So, we know they work - just ask the last patient we treated in Dubai! 

You can read all about COVID and our safety procedures here and our online appointments here

 

Our “my pain is still there" Service

Even if you have visited 20 physios, 10 chiropractors, 5 osteopaths, an acupuncturist, the GP or 2 orthopaedic surgeons………..we would still love the opportunity to take a look.  Challenge us with the problem!.   

 

We look forward to seeing you soon! 

Read more...

Prostatitis and CPPS

Chronic Prostatitis or Chronic Pelvic Pain Syndome (CPPS) are often considered Synonymous where pain in the pelvis is of a persistent nature and at Core Body Clinic in Reading, Berkshire we see a large number of men who have been suffering for a very long time.   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, CPPS or Chronic Prostatitis is a diagnosis assigned.  

Read more...
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