When people think about physiotherapy, they usually think of back pain, neck pain, sporting injuries or recovering from surgery. And that’s exactly what we help people with every day.
However, healthcare isn’t always straightforward. Sometimes, what appears to be a musculoskeletal problem can lead to a very different conversation.
At PhysioElite, we occasionally see men who present with pelvic pain, lower back pain, groin discomfort or urinary symptoms. Whilst these problems are often musculoskeletal in nature, they can sometimes overlap with a man’s prostate health.
Knowing when to recognise the difference is an important part of providing the best possible care.
What Is a PSA Test?
A PSA (Prostate Specific Antigen) test is a simple blood test that helps assess the health of the prostate. It’s important to understand that a PSA test does not diagnose prostate cancer. Instead, it helps identify men who may require further investigation.
In the UK, any man aged 50 or over can request a PSA blood test from their GP, even if they have no symptoms. This is known as a patient initiated test.
Some men have a higher risk of developing prostate cancer, particularly:
Black men.
Men with a close family history of prostate cancer.
For these higher risk groups, it’s sensible to have a proactive conversation with your GP from around the age of 45.
There is no single recommended interval for repeat PSA testing. Your GP will advise you based on your age, PSA level, symptoms and individual risk factors.
What If My PSA Level Is Raised?
A raised PSA result does not necessarily mean prostate cancer.
PSA levels can be elevated for several reasons, including:
An enlarged prostate.
Prostatitis (inflammation of the prostate).
Urinary tract infections.
Recent ejaculation or vigorous exercise in some circumstances.
Prostate cancer.
As a general guide, GPs may investigate PSA levels above approximately:
3 ng/mL for men aged 50 to 59.
4 ng/mL for men aged 60 to 69.
However, these values are only part of the assessment and are always interpreted alongside your symptoms, examination findings and medical history.
Is a Digital Rectal Examination Still Important?
A Digital Rectal Examination (DRE) is another way of assessing the prostate. Some men understandably feel anxious about this examination, but it is usually quick and straightforward. A DRE allows the GP to assess the back surface of the prostate for abnormalities. However, it does have limitations because only part of the gland can be examined by touch.
Today, MRI scanning has become an important investigation when there is concern about prostate cancer. MRI can identify abnormalities throughout the prostate, including areas that cannot be assessed during a physical examination, and has become a key part of modern prostate cancer assessment.
Why Are Physiotherapists Talking About Prostate Health?
Because good healthcare is about looking at the whole person. As physiotherapists, we don’t simply treat painful muscles and joints. We assess movement, function and symptoms to understand what may be causing the problem.
Occasionally, a patient’s symptoms don’t quite fit the pattern we would expect from a musculoskeletal condition. When that happens, recognising the need for further medical investigation is just as important as providing physiotherapy treatment.
Equally, many men continue to experience symptoms following prostate surgery or live with pelvic pain, urinary symptoms or erectile dysfunction that may benefit from specialist physiotherapy alongside their medical care.
Don’t Ignore the Conversation
Prostate cancer remains one of the most common cancers affecting men in the UK. Early assessment and appropriate investigation can make a significant difference.
Whether you’re experiencing symptoms or simply want to understand your prostate health, having an informed conversation with your GP is an important step.
Looking after your health isn’t just about staying active. It’s also about asking the right questions at the right time.
How We Can Help
As some of you may already be aware, we’ve recently launched our dedicated men’s health service www.menshealthbristol.co.uk. The website provides educational resources and information on conditions including erectile dysfunction, chronic pelvic pain and rehabilitation following prostate surgery.
