Breaking Free from Constipation: How Pelvic Floor Physical Therapy Can Help
Constipation affects approximately 16% of Americans and is especially common in older adults. Despite its prevalence, this condition can significantly disrupt daily life and well-being.
One of the most frequent types of constipation is functional constipation, which often stems from pelvic floor muscle dysfunction. In particular, dyssynergia occurs when the pelvic floor muscles contract and tighten instead of relaxing and lengthening during bowel movements. This makes it difficult to pass stool efficiently, often resulting in prolonged time on the toilet. While over-the-counter remedies can soften stool, they fail to address the underlying muscle coordination issues, leaving many individuals stuck in a frustrating and chronic cycle.
Why Consider Dry Needling for Constipation?
Dry needling is a technique where small, thin needles are inserted into trigger points within the muscles. This method is used to relieve tension, improve muscle function, and promote relaxation. When applied to the pelvic floor, dry needling can help these muscles relax, supporting smoother and more effective bowel movements.
Additional Pelvic Floor Treatments for Constipation
Pelvic floor physical therapy has been shown to be highly effective in addressing muscle dysfunction associated with constipation, particularly in cases of dyssynergic defecation. Here are some common treatment options that complement dry needling to restore proper bowel function:
1. Manual Therapy
Hands-on techniques can target muscles like the puborectalis, releasing tightness and improving the rectal angle needed for easier stool passage.
2. Coordination Training
Through guided exercises, therapists help retrain the pelvic floor muscles to work in sync with the rest of the body, gradually improving bowel habits.
3. Visceral Mobilization
Visceral mobilization involves gentle, hands-on techniques to release restrictions and improve mobility in the organs of the abdomen, such as the intestines.
Why is this important for constipation? Restricted movement of the organs can create tension and reduce blood flow, impairing digestive function and contributing to constipation. By improving mobility in the abdominal and pelvic organs, visceral mobilization enhances their natural rhythm and function, supporting smoother bowel movements. It can also help reduce feelings of bloating or abdominal discomfort often associated with constipation.
4. Balloon Biofeedback Therapy
This specialized tool can help desensitize the rectum and teach proper defecation mechanics. It’s especially useful for improving sensory awareness and muscle coordination.
5. Vagus Nerve Stimulation
The vagus nerve plays a vital role in regulating digestion and bowel function. Stimulating this nerve can enhance the connection between the brain and the digestive system, promoting improved motility (movement of the intestines) and reducing constipation.
How is this done? Vagus nerve stimulation can involve techniques such as diaphragmatic breathing, gargling, or gentle manual therapy targeting the nerve’s pathways. These techniques help activate the parasympathetic nervous system, which is responsible for the "rest and digest" functions of the body, supporting more efficient digestion and bowel movements.
Holistic Relief with Pelvic Floor Therapy
Pelvic floor physical therapy combines these evidence-based approaches to address the root causes of constipation, helping clients regain comfort, confidence, and control over their bowel health. By targeting the muscles, organs, and their coordination, therapy offers a long-term solution rather than temporary relief.
Ready to Take the Next Step?
If you’re struggling with constipation, our expert team at Awake Pelvic Health & Wellness can help. Schedule your individualized appointment today to start your journey toward lasting relief!
