David Young is unusual in that he has specialised in an area that isn’t talked about often - male incontinence.  Mr Young, 51, of West Pennant Hills, USA has worked as a physiotherapist for the past 30 years and set up his own practice in 1988.

Mr Young said he enjoyed making a difference since many men avoided seeking help from health professionals and few people worked in the field.

“It’s not a happy topic but when blokes pee on their pants they don’t like it, and if you can help them it means they can be out and more social. It helps them with self-esteem,” he said.

He said the challenges included keeping abreast of latest developments in the field and completing at least 20 hours of learning a year.

Mr Young said key attributes a physiotherapist needed included a deeply inquiring mind, a commitment to developing skills and being able to work with people who are under huge amounts of stress.

Mr Young’s practice, Pennant Hills Physiotherapy Centre, focuses on male and female incontinence, muscle and joint problems, knee and neck pain, sprained ankles and on elderly people, including running exercise programs in the local community centre.