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Men's incontinence
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-- Matt
Men's incontinence 2
"Dr. Brooke's knowledge and understanding have
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Men's incontinence
Men's incontinence 2
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Men's Pelvic Health

pelvic floor dysfunction in men

In males, the pelvic floor refers to a group of muscles and connective tissues in our pelvis which functions to support the bladder, rectum, and prostate. These muscles work to control urinary, bowel, and sexual function. Impairment within the pelvic floor can result in a variety of symptoms and conditions. Male pelvic health physical therapy is a conservative treatment for the pelvic health conditions men may experience including pelvic pain/chronic prostatitis, rehab before or following prostatectomy, coccydynia, fecal or urinary incontinence, and more.

How can physical therapy help?

Working one-on-one with a physical therapist specialized to treat male pelvic health is a non-invasive and holistic approach which can empower individuals to actively manage and overcome pelvic floor dysfunction. By working with a physical therapist, men can regain control over their pelvic floor, alleviate discomfort, and improve overall quality of life, often without the need for surgery or medication. Our pelvic health physical therapists focus on you as a whole person to give you the individualized care and treatment plan to best suit your needs. Whether it be through manual therapy, education, or functional exercise, we strive to address your needs in the most comfortable and effective way possible.

At i’move we offer:

  • One on one assessment and treatment with your physical therapist
  • 3D functional movement screen
  • Internal assessments (based on individual need and comfort level)
  • Manual therapy
  • Soft tissue mobilization 
  • Trigger point release
  • Home exercise program
  • Telehealth visits (case dependent)

therapists

Brooke Meinema, Physical Therapist, Pelvic Health, Cove, Michigan

Brooke Meinema

Physical Therapist, Director of Pelvic Health
i'move-Cove

Haley Ewald

Physical Therapist, Pelvic Health Specialist
i'move-Holland

Frequently Asked Questions

What should I expect on my first visit?

Your first visit will be a 40-minute evaluation with a trained pelvic health physical therapist. We will begin by getting to know you, listening to your goals, your medical history, and any specific challenges that you are facing. We will then move on to the physical examination, including assessment of body movement, functional mechanics, posture, strength, fascial and muscle balance. From this information, we will determine if an internal pelvic floor evaluation is indicated. If we believe that this is an important part of your care, we will discuss this with you and only proceed with your full verbal consent. We will recommend an individualized plan of care and discuss follow-up visits, treatments, and home exercises.

What should I wear to my first physical therapy appointment?

Wear anything that you are comfortable in. Many find that sweatpants, shorts, or workout apparel are comfortable for physical therapy appointment.

Will I have a private space?

Yes, we have a private pelvic health room.

How often do I need to be seen?

We will discuss a plan of care based on your unique situation; however, most recommended plans of care will be 1-2x/week.  

Will I need an internal pelvic exam?

On your first visit, we will spend time learning about your history, addressing your concerns, and hearing your goals. After we discuss and evaluate your unique situation, we will determine together if we need to proceed with an internal pelvic exam. Many treatments do not necessitate an internal examination. If we believe that this is an important part of your care, we will discuss this with you and only proceed with your full verbal consent.

What is an internal pelvic exam?

An internal pelvic floor assessment is beneficial to assess the ability of your pelvic floor muscles to contract and relax and coordinate movements. Just like any other area of the body, the pelvic floor is a group of muscles that helps to provide our body with support, and it assists with specific functions. An internal pelvic exam for men is similar to having your prostate checked at a physician’s office, as we are using a single-gloved finger for our assessment. In most cases this is painless. If at any time you are uncomfortable with the assessment or treatment, we fully respect your decision to decline an internal assessment.

Will an internal exam hurt?

For many people, an internal assessment by a physical therapist should not hurt. You and your physical therapist will discuss the anatomy of the pelvic floor and the specific muscles that make up this area. You will feel some light pressure with our examination, and we are continually encouraging communication with your physical therapist to discuss treatment techniques and to ensure that you are fully informed and comfortable throughout your visit.

Common conditions we treat:

  • Coccydynia
  • Constipation 
  • Fecal incontinence
  • Pelvic pain
  • Pre/post-prostatectomy care
  • Urinary issues

Questions? Want to set up at appointment? Send us an email!

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