Jaap Switters – Male chronic pelvic pain – contributing factors and management strategies.

Physio Foundations

This week I spoke to Jaap Switters about chronic pelvic pain and the range of contributing factors and management strategies that practitioners can use to help people in the clinic.

Jaap is an osteopath and physiotherapist based in Vienna, Austria who specialises in male chronic pelvic pain and associated conditions. Jaap is also a university educator and researcher with a series of research publications on chronic pelvic pain and associated conditions.

In this episode:

• 0:00 About this episode
• 3:07 Welcome back Jaap, background and interests
• 4:20 Definition of male chronic pelvic pain and the noisy neighbours analogy
• 7:30 What causes chronic pelvic pain? The dodgy garlic kebab analogy
• 12:10 How acute stress contributes to chronic pelvic pain. The alarm system analogy
• 18:00 Can new graduate practitioners help men with chronic pelvic pain, and if so, where do they start?
• 19:25 Negative findings on investigations is a good thing!
• 21:20 Red flags and contributing factors for chronic pelvic pain
• 26:15 Overactive bladder – understanding normal frequency of urination and screening questions to use in the clinic
• 32:30 Education strategies related to fluid intake, nocturia and retraining the nervous system
• 37:20 Bladder health and retraining
• 41:00 Incontinence
• 44:58 Summary and tips for managing chronic pelvic pain in the clinic – the flat tyre analogy
• 49:41 Bringing it all together and what’s next

Read more about Jaap here.

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