How Pelvic Floor PT Relieves Constipation: Dyssynergic Defecation Explained
Constipation is a common gastrointestinal issue that affects millions of people worldwide, and while dietary changes and medications are often the first lines of treatment, some forms of constipation require a more specialized approach. Dyssynergic defecation, a specific type of constipation caused by improper coordination of pelvic floor muscles during bowel movements, is one such condition. Pelvic floor physical therapy (PT) has proven to be an effective treatment for this complex issue, often transforming patients' quality of life.
What is Dyssynergic Defecation?
Dyssynergic defecation occurs when the pelvic floor muscles fail to coordinate correctly, resulting in an inability to effectively pass stool. Instead of relaxing to allow stool to pass, the muscles may contract or fail to generate adequate propulsive forces. This condition often leads to symptoms such as excessive straining, incomplete evacuation, and discomfort.
How Pelvic Floor Physical Therapy Helps
Pelvic floor physical therapists are trained to assess and address muscle dysfunction that contributes to dyssynergic defecation. Treatment is tailored to the individual’s specific needs and typically includes:
Biofeedback Therapy Biofeedback is a cornerstone treatment for dyssynergic defecation. Biofeedback helps patients visualize and gain control over their pelvic floor muscles. Therapists use this technique to teach individuals how to properly coordinate relaxation and contraction of the muscles during defecation.
Muscle Coordination Training Through exercises and guided practice, pelvic floor PT helps retrain the muscles to perform in sync with bowel movements. Patients are taught how to optimize their breathing, posture, and muscle activation to improve stool passage.
Fascial Abdominal Manipulation and Massage Therapists may use hands-on techniques to release tension in the abdominal fascia and improve mobility in the pelvic and abdominal regions. This can enhance motility and reduce restrictions that may contribute to constipation.
Manual Therapy Hands-on techniques may be used to release tension and improve mobility in the pelvic region, which can enhance overall function and reduce discomfort.
Education and Lifestyle Modifications Therapists provide valuable guidance on diet, hydration, and behavioral changes to support healthy bowel habits. Teaching proper toileting posture and strategies can also help optimize bowel emptying.
The Role of Anal Manometry
An anal manometry study is a diagnostic tool that measures the pressures and coordination of the anal sphincter and pelvic floor muscles. This diagnostic procedure is conducted off-site in collaboration with your gastroenterologist, and our team is fully equipped to read and interpret the results to guide your personalized treatment plan. This test provides objective data on:
Sphincter muscle tone and strength
Rectal sensation and compliance
Coordination of muscles during simulated defecation
By identifying specific dysfunctions, the results of an anal manometry study guide the development of a targeted treatment plan. When combined with the expertise of a pelvic floor physical therapist, these insights lead to highly effective interventions.
Evidence Supporting Pelvic Floor PT for Dyssynergic Defecation
Research has consistently demonstrated that biofeedback therapy, delivered by skilled pelvic floor physical therapists, significantly improves symptoms of dyssynergic defecation. In fact, studies have shown biofeedback to be more effective than laxatives and other standard treatments for this condition.
Success Through a Comprehensive Approach
Dyssynergic defecation can be a challenging condition, but with the right approach, relief is achievable. Pelvic floor physical therapy offers a comprehensive, non-invasive solution that addresses the root causes of the dysfunction. By combining diagnostic tools like anal manometry with targeted interventions such as biofeedback, fascial abdominal manipulation, and manual therapy, pelvic floor PT empowers patients to regain control and improve their bowel health.
If you’re struggling with chronic constipation or suspect dyssynergic defecation, seeking the help of a specialized pelvic floor physical therapist could be the first step toward lasting relief.
Curious about the other conditions we treat? Explore our services here or dive into this blog post to learn more!
Ready to Take the Next Step?
Conveniently located in the middle of Rhode Island, we would love to meet you and help you live a life free from constipation because we understand how it can make every other part of life more challenging. Book your free phone consultation today through our easy-to-use online scheduler and take the first step toward improved bowel health and overall well-being!
