MEN’S HEALTH ONLINE COURSE: A Musculoskeletal, Pain Neuroscience and Educational Approach to Male Pelvic Pain and Dysfunction. – via zoom live streaming

MEN’S HEALTH ONLINE COURSE: A Musculoskeletal, Pain Neuroscience and Educational Approach to Male Pelvic Pain and Dysfunction. – via zoom live streaming from 15 – 31 May 2020.

With Pierre Röscher – MPhysT (UKZN), BSc Physiotherapy (WITS); Physiotherapy Clinician and Lecturer

Module 1. Anatomy and Physiology; 15 May 2020 | 2-5 pm South African time
Module 2. Bladder and bowel dysfunction; 17 May 2020 | 9am – 12noon South African time
Module 3. Pain; 20 May 2020 | 2-5 pm South African time
Module 4. Common conditions; 24 May 2020 | 9am – 12noon South African time
Module 5. Assessment; 26 May 2020 | 2-5 pm South African time
Module 6. Treatment; 31 May 2020 | 9am – 12noon South African time

MEN’S HEALTH ONLINE COURSE: A Musculoskeletal, Pain Neuroscience and Educational Approach to Male Pelvic Pain and Dysfunction – via zoom meeting

With Pierre Röscher

Module 1: Functional Anatomy of the Male Pelvic Floor; 15 May 2020 | 2-5 pm South African time

1. The Male Bony Pelvis
2. Muscles of the pelvic floor and surrounds
3. Neurovascular supply to the pelvis
4. Anatomy of the prostate, scrotum and penis
5. Biomechanics of the Male Pelvic Floor

Learning Objectives: By the end of this module the learner will be able to:

• Identify the anatomical structures of the male pelvis
• Explain the anatomy of the pelvic floor to a patient
• Discuss the Neurovascular supply to the pelvis
• Compare the anatomy of the prostate, scrotum and penis
• Describe the biomechanics of the Male Pelvic Floor

Take home message:

Understanding the anatomy is essential to understanding dysfunction and the clinical reasoning process. Explaining the pelvic anatomy to a patient is essential as the pelvis is largely an unknow area, and patients need to understand how the anatomy related to their pain and dysfunction.

Module 2: Bladder, Bowel and the Pelvic Floor: Function and Dysfunction ; 17 May 2020 | 9am – 12noon South African time
1. Normal bladder and bowel function
2. The Pelvic floor muscles role in bladder and bowel control
3. Incontinence
4. Urinary urgency and frequency (the overactive bladder)
5. Bowel dysfunction

Learning Objectives: By the end of this module the learner will be able to:
• Discuss normal bladder and bowel function
• Explain the pelvic floor muscles role in bladder and bowel control
• Describe male Incontinence
• Compare urinary urgency and frequency (the overactive bladder)
• Discuss bowel dysfunction

Take Home Message

Bladder and bowel dysfunction need to be addressed as soon as possible in any patient with pelvic pain and dysfunction. A good understanding of normal bladder and bowel dysfunction enables the learner to identify a dysfunctional bowel and bladder, and to start intervening with managing strategies form the onset.

Module 3: Pelvic Pain; 20 May 2020 | 2-5 pm South African time
1. Brief look into pain neurophysiology
2. Nociceptive Sources of Pelvic Pain
3. The Central Nervous Systems involvement in pelvic pain
4. Explaining Pelvic Pain
5. How to approach chronic Pelvic Pain in men

Learning Objectives: By the end of this module the learner will be able to:
• Briefly explain pain neurophysiology
• List Nociceptive Sources of Pelvic Pain
• Discuss the Central Nervous Systems involvement in pelvic pain
• Explain Pelvic Pain
• describe how to approach chronic pelvic pain in men

Take Home Message

One of the keystone hands off techniques to approach male pelvic pain is to be able to effectively and accurately explain the patient’s pelvic pain to them. The use of analogies is an important tool to explain pain in the pelvis, an already neglected are of the human body.

Module 4: Common Pelvic Conditions in Men; 24 May 2020 | 9am – 12noon South African time
1. Scrotum and penile pain
2. Lower Back, Hip and Groin Pain as referral source into the pelvis
3. Pudendal Neuralgia
4. Urinary Urgency and Frequency
5. Sexual dysfunction
6. Prostate related issues
7. Incontinence
8. Other serious pathologies

Learning Objectives: By the end of this module the learner will be able to:
• To identify and compare scrotum and penile pain
• Explain Lower Back, Hip and Groin Pain as a referral source into the pelvis
• Discuss Pudendal Neuralgia
• Compare Urinary Urgency and Frequency
• Discuss Sexual dysfunction
• List Prostate related issues
• Explain Incontinence
• List other serious pathologies

Take Home Message

Many different male pelvic conditions may present with similar symptoms. It is important to understand the full scope of male pelvic conditions and to use clinical reasoning to come to a accurate understanding of the sources of pain and dysfunction in the male pelvis.

Module 5: Assessment Outline; 26 May 2020 | 2-5 pm South African time
1. Biopsychosocial assessment
2. History taking- Communication
3. History taking- Content
4. Red Flag screening
5. Yellow flag screening
6. Clinical reasoning
7. Clearing the Spine, SIJ and hip
8. Pelvic floor assessment
9. Patient expectations

Learning Objectives: By the end of this module the learner will be able to:

• Perform a biopsychosocial assessment
• Discuss communication strategies to to effectively gather content
• Ask special questions as part of red flag screening
• Perform a yellow flag screening
• Explain the clinical reasoning process
• To Clear the Spine, SIJ and hip
• describe how a pelvic floor assessment is done
• explain how to match patient expectations

Take Home Message

The assessment is the most essential tool. The success of your patient outcomes depends on it. An effective assessment requires skill and most importantly, lots of practice.

Module 6: Treatment; 31 May 2020 | 9am – 12noon South African time

1. Pain treatment strategies
2. Bladder and Bowel treatment strategies
3. Sexual dysfunction treatment strategies
4. Multidisciplinary team (MDT) referral
5. Patient resources

Learning Objectives: By the end of this module the learner will be able to:

• List, explain and develop pain treatment strategies
• Explain and develop bladder and bowel treatment strategies
• Discuss and develop sexual dysfunction treatment strategies
• Explain the role of the MDT
• Discuss available patient resources.

Take Home Message

A treatment approach for pelvic pain and dysfunction may consist of a musculoskeletal approach, and Pain Neuroscience education approach or an educational lifestyle intervention approach. Each treatment strategy needs to be tailor made for each patient based on their assessment finding, and of course their expectations.

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Course times:

15 May 2020 | 2-5 pm South African time
17 May 2020 | 9am – 12noon South African time
20 May 2020 | 2-5 pm South African time
24 May 2020 | 9am – 12noon South African time
26 May 2020 | 2-5 pm South African time
31 May 2020 | 9am – 12noon South African time