Physical Therapy for Bowel Dysfunction

Karine providing pelvic floor physical therapy by gently massaging a patient's lower back at PelviCare in Boulder, Colorado

Bowel dysfunction can have a significant impact on quality of life, but it is often a difficult topic to discuss. Whether you are experiencing constipation, fecal incontinence, are suffering from hemorrhoids or fissures, please know that you are not alone, and that there is help.

We specialize in pelvic floor physical therapy for bowel dysfunction and take a compassionate, whole-body approach to care. Each session is one-on-one and tailored to your specific needs. Treatment plans are designed not only to improve symptoms, but also to address the underlying causes of your bowel concerns.

What is Normal?

A healthy bowel routine is different for everyone. For some, a bowel movement every day is typical; for others, three times per week may be normal. What matters most is that you feel comfortable and are not experiencing leaking, fecal incontinence, pain, straining, or a sense of incomplete emptying.

Common Bowel Conditions We Treat

  • Constipation

  • Fecal incontinence

  • Irritable bowel syndrome (IBS)

  • Rectal prolapse

  • Pelvic floor dyssynergia

  • Hemorrhoids and anal fissures

  • Post-surgical and post-radiation changes

How Pelvic Floor Physical Therapy Can Help

Bowel dysfunction is often linked to poor coordination or tension in the pelvic floor muscles. In some cases, these muscles may be weak; in others, they may be overactive and unable to relax. We will perform a thorough evaluation to determine how your pelvic floor is contributing to your symptoms and will create a personalized plan to help restore healthy bowel function.

Treatment may include:

  • Pelvic floor muscle training

  • Biofeedback and neuromuscular re-education

  • Breathing and pressure management techniques

  • Training on rectal dilator training

  • Manual therapy for pelvic, abdominal, or rectal scar tissue

  • Guidance on proper toileting posture and bowel habits

  • Lifestyle and dietary modifications

Ready to Get Started or Have Questions?

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