--- title: "One-to-one specialist exercise rehabilitation for men with prostate cancer" url: / primary_question: "Is there a specialist exercise programme for men on hormone therapy?" sources: - "NICE NG131 (Prostate cancer: diagnosis and management) §1.4.19 - supervised resistance and aerobic exercise, at least twice a week for 12 weeks, to reduce fatigue and improve quality of life" --- # One-to-one specialist exercise rehabilitation for men with prostate cancer Supervised, personal, and built around where you are. Online by video call across the UK, and at home in London or Surrey, by arrangement. If hormone therapy has left you tired in a way sleep doesn't fix, you're not imagining it. Many men notice their strength and energy slip. This is a place to work on that, one to one, with a specialist who does exactly this work. [Book a 15-minute consultation →](/consultation). ## The support that's recommended NICE recommends supervised exercise for men on hormone therapy. Piotr delivers specialist exercise rehabilitation for men with prostate cancer, at a world-leading NHS cancer centre, as a clinical exercise physiologist. HealthySwitch.Me is where he works with you privately, one to one. ## Who this is for This is for men living with prostate cancer, and for men who've finished treatment. It's built for those on hormone therapy (also called androgen deprivation therapy, or ADT), or recovering from it. If you're more tired, feel weaker than you did, or you're unsure what exercise is safe now, you're in the right place. ## Is there a specialist exercise programme for men on hormone therapy? Yes. Piotr Kardas provides one-to-one specialist exercise rehabilitation for men with prostate cancer and survivors. Sessions are supervised, built around your assessment, and progress at your pace. They draw on adapted methods, including progressive resistance and aerobic exercise, which NICE recommends for people on hormone therapy (NICE NG131). Specialist exercise rehabilitation is supervised, one-to-one exercise, designed around your diagnosis, so you can work safely on strength, movement and everyday energy. The methods Piotr draws on, such as progressive resistance training, Pilates and Qigong, are adapted to you. They're tools within your programme, never one-size-fits-all classes. ## Can exercise help with prostate cancer treatment side effects? Supervised exercise is now recommended for exactly this. NICE, the body that guides NHS care, advises supervised resistance and aerobic exercise for people on hormone therapy, to reduce fatigue and improve quality of life (NICE NG131). It supports how you feel and move day to day, and is not a cancer treatment. NICE guideline NG131 sets out this exercise at least twice a week for twelve weeks. The two benefits it names are less fatigue and better quality of life. That's the whole point of the work here: supporting how you feel and function, alongside the care your own team provides. Read the plain-English guideline explainer: What NICE says about exercise and prostate cancer (/prostate-cancer-exercise-guidelines). ## How it works Everything starts with a paid 15-minute consultation, £65, by video call. If you decide to go on, Piotr suggests what suits you and sends a secure payment link. There are no packages and no subscription. - Online appointment, from £135: a single 55-minute one-to-one session by video call, anywhere in the UK. - Home visit, priced for you: a single appointment at your home in London or Surrey, arranged with Piotr. - Exercise plan, from £65: prepared for you by Piotr, in an app on your phone at no extra cost, or on paper. - Exercise toolbox, £45, £95 or £145: a small, medium or large set of exercise equipment, put together by Piotr and adjusted to you, plus £4.99 postage and packing. Every session is live, supervised, and one to one. Piotr watches how you move and adjusts as you go. ## Who provides one-to-one exercise rehabilitation for prostate cancer? This service is provided by Piotr Kardas, a Prostate Cancer Exercise Specialist, Registered Clinical Exercise Physiologist. Piotr delivers specialist exercise rehabilitation for men with prostate cancer, at a world-leading NHS cancer centre, as a clinical exercise physiologist. Every session is one to one, supervised, and shaped around your treatment stage and how you're feeling. Piotr Kardas works one to one with men facing prostate cancer. He's calm, unhurried, and easy to talk to. He listens first, then designs each plan around you. Read more about Piotr (/about). Clinical exercise physiologist at a world-leading NHS cancer centre ## Take a first step, at your pace The simplest way to start is a 15-minute online video consultation. It's a calm, private conversation about where you are and what might help. There's no pressure to commit. [Book a 15-minute consultation →](/consultation). --- Always consult your oncologist or consultant before beginning any exercise programme.