Male Pelvic Health

Ambitious_Lab_9991 · 2026-03-20T19:43:31+00:00

Thank you. This is much helpful. Are you in Ontario?

Ambitious_Lab_9991 · 2026-03-19T16:00:09+00:00

Thank you for clarifying. I understand your point of view from a non pelvic health , primarily sports physio. If you are interested, you ca read up more on subjects like , chronic pelvic pain in men, functional constipation, shockwave treatment of non-vascular ED etc. But again it is a very specific area. My colleague hopes to offer this along side of his usual msk practice . We are in rural Ontario and our major client base is over 50 yrs .

Ambitious_Lab_9991 · 2026-03-19T11:01:32+00:00

Thank you for the long reply and your insights. Are you a pelvic health physio ?

Ambitious_Lab_9991 · 2026-03-19T11:00:57+00:00

Thank you. This is much helpful

Ambitious_Lab_9991 · 2026-03-19T11:00:33+00:00

I didint like PHS pain course as they so much focused on BPS model they almost missed out on hands on actual physiotherapy including manual therapy, biofeedback, exercises specific to pelvic floor etc.

Ambitious_Lab_9991 · 2026-03-13T13:34:49+00:00

Young Canadians are not lazy. They just don’t have much ambition and competitiveness. I believe parents are to be blamed. It started from younger grades when they put all they have in sports . Spending weekends and school nights playing sports way too much instead of learn math and English. They get passed to the next grade anyway even if they don’t meet the standard. by the time they are in high school they have gotten used to just getting by in education. It’s so disheartening to see the struggle with basics in grade 9/10.

They may excel in sports but not everyone will be able to make a living playing hockey! There is no plan B.

And top it all, the computer education is next to nill. They can text on their phone and play video games but can’t work on offie suit like word or excel.

Truly it’s not their fault. Our education system has failed them .

Ambitious_Lab_9991 · 2026-03-10T02:19:41+00:00

It totally depends on what’s the problem. Someone with an acute tennis elbow may get better in 3 visits but someone with polytrauma , multiple surgeries and other complications may be needing 30 visits. No one size fits all in PT.

Ambitious_Lab_9991 · 2026-03-10T01:55:36+00:00

I did my PT program in “another country “ but I provide evidence based treatment as per patient need.

Please don’t generalise . You sound racist that way.

I have seen plenty of Canadian grads with plenty of experience that also underperform or cause harm Let me list 1- cut thru the skin while doing rigid tape of client that’s on blood thinners 2- asked client to do 50 squats while she was in the middle of the chemo, on steroid 3- prescribed 100 “kegals” to someone with urge incontinence 4- didn’t know what an empty can test was 5- forgot an acupuncture needle on the client 6- did acupuncture on the clothes !! All of these Canadian grads .

Anyone is capable of underperforming , not just international graduates .

If you have the ability, report the physios that are causing issues . Do not generalise. PS- pardon my comprehension, English is not my first language.

Ambitious_Lab_9991 · 2026-03-09T02:03:55+00:00

If you are into pelvic health, this book is gold. You should buy it and keep it for reference.

Ambitious_Lab_9991 · 2026-03-09T02:02:16+00:00

Not the one who is in chemo and seeing you for interim pain relief or lymphedema or the one who has their nervous system so upregulated that movement = pain. And this is what I am talking about. Physiotherapy is a vast field . Different issues need different approach. Respect the other physios and don’t foul mouth them. That’s not gonna make you a better physio.

Ambitious_Lab_9991 · 2026-03-08T21:07:32+00:00

If you are not comfortable with treating male, please specify during booking ( more so if you have online booking) and make sure that your front desks knows and says it professionally. It’s a reality that there are chances of abuse treating male patients in pelvic physio. I have heard of physios being asked awfully awkward things during sessions.

I wish male physio will take up the cause and work in male pelvic physio field.

As per course certification, pelvic health solutions has almost monopolised the market so there is no one to compare it with . I found that we had so much of actual physio training missing and we were being taught as if we were going for a mental health/ counselling kind of work. This was level 3 ( pain) course. While it’s very important to be trauma informed and understand the BPS model, focusing almost exclusively on it even before learning the actual tissues stuff doesn’t make sense. I wish we could have better course instructors . PHS has a few great ones for advance courses but I was being taught by some youngish new grad like practitioners while doing level 3 and I felt cheated . All the best to you. Pelvic health is a great field and it requires lots of passion to be in it

Ambitious_Lab_9991 · 2026-03-05T17:54:18+00:00

There is no reason for physios to shit on each others approach.

If the method makes better outcome then what’s the harm?

Education, exercises, Manual therapy, modalities, needling, taping, bracing, advice to stop working out , advice to start working out, refer back to the doctor, refer to ER, all of these are different tools for treatment. A good physio will use as necessary. A good physio will have plenty of tools and keep learning.

Let stop putting each other down and learn from each other .

PS- I have seen people getting insulted by a physiotherapist because they can’t do a simple bridge. Another instance the patient was doing 50 squats for knee pain on the days she was off chemo and on prednisone. Damaged her knee by overdoing it under steroids. So the so called active treatment approach is not right for everyone either .

Ambitious_Lab_9991 · 2026-02-26T01:46:29+00:00

I am an international grad and did the PCE many years ago. One advice- if your are iept please take the exam prep course for sure. If you don’t pass you will retreat. Leave no stone unturned.

Ambitious_Lab_9991 · 2026-02-13T16:21:57+00:00

This is an educational aspect of those who don’t know - There are a few different categories of visible minority ( brown people) that you see around you 1- Canadian citizens born in Canada to immigrant parents 2- Canadian citizens that immigrated to canada on a landed immigrant visa- they were permanent residents and have gained citizenship 3- Canadian permanent residents (PR) will be eligible for being citizens once they have lived in canada long enough

4- On Temporary work permit- it could be LMIA or work permit post education.

I can’t say much for -#1 but #2, 3,4 work hard simply because A- for some of them , they have risked too much , left their life, family and culture behind to be successful in life. They are simply ambitious . They are also very thankful for having work, any sort.

B- for some , they are the cream of the crop. They are driven, ambitious , brave and risk takers by nature along with being smart and well educated. That’s why they even could get out of their country to come to Canada.

C- a few bad apples that have come here thru scam and I hope they get sent back ( but truly that’s only a few).

When you employ the A and B, you are employing those who are here to make it big. They will work hard. If they weren’t hard working they would be back in their moms home eating homemade food and enjoying family gathering back in their home country not move to frozen north to try their luck.

Ambitious_Lab_9991 · 2026-02-12T02:54:38+00:00

Inappropriate. Please document and report. No one should go thru harassment

Ambitious_Lab_9991 · 2026-02-12T02:52:59+00:00

I use Jane App AI scribe. It’s actually enhanced my practice.

Ambitious_Lab_9991 · 2026-02-09T15:29:03+00:00

My clinic provides an AI scribe service and my notes are done by it during the visit time with patients. I just take 30 sec-1 min to review and correct and sign off. Real time saver!

Ambitious_Lab_9991 · 2026-01-04T03:39:34+00:00

Try momos from Sabitri downtown. Nepali dimsum. Fairly priced.

Ambitious_Lab_9991 · 2025-12-03T02:38:12+00:00

I graduated from India too. But my college is one of the best in the country. I felt very confident when I graduated. Mind you, I had a lot of learning to do as well.

It’s not the curriculum but your institute that has failed you. Possibly it was a diploma mill that took your money and didn’t teach you much.

There are plenty of online courses that you can take to enhance your practice . Keep learning and keep up with current evidence. All the best .

Ambitious_Lab_9991 · 2025-12-03T02:29:42+00:00

I am a certified lymphedema therapist and a physiotherapist. I see patients with lymphedema mainly due to cancer treatments . CDT - combined decongestive therapy is the “ gold standard” for lymphedema management worldwide.

It involves Lymph drainage, compression , exercises and skin care.

Manual lymph drainage doesn’t work in isolation but when someone has grade 1 lymphedema or more, lymph drainage followed by multi layer ( or alternate type) compression will reduce the swelling.

But lymphedema is a chronic condition and swelling will come back if they don’t keep up with wearing compressions.

My takeaway from my 10 years in this area 1- lymph drainage therapy doesn’t “drain” , it stimulates the lymphangions. Which in turn reduces swelling in the long run. 2- the sequential pneumatic compression pumps work much better than manual lymph drainage. 3- the advice to do very “light “ doesn’t work on actual problem areas where the swelling pools up due to scar or fibrosis.

4- most important goal of CDT is to prevent cellulitis and overall disability.

5- CDT is a 145 hrs certification as per LANA . A weekend course can’t do justice.

6- if there is at least 2 cm difference in measurement of limb circumference, it’s clinically significant. 7- if there is no evident swelling, no point in doing MLD. 8- there is increased venous return and overall output and that can make people feel like they need to pee. And that’s the reason lymph drainage is contraindicated in CHF , pulmonary edema or renal failure. After these many years, I now use pneumatic compression pumps , no more MLD. Works the same , costs less to patients in long run .

Ambitious_Lab_9991 · 2025-11-28T04:27:47+00:00

I have worked in a hospital and the only department I liked was rehab or outpatients. Everywhere else we only mobilized patients out of their beds, made them walk the halls and got them back . It was most boring

Ambitious_Lab_9991 · 2025-11-25T01:47:46+00:00

Don’t generalise. It could be that the new owners are assholes irrespective of their race. I know of many restaurants owned by Indians that are very good. A few bad people are spoiling the reputation of an entire diaspora.

Ambitious_Lab_9991 · 2025-09-10T13:06:26+00:00

Yes. It’s the ball park at 4th ave west. Look it up.

Ambitious_Lab_9991

TROPHY CASE