Constipation is a common gastrointestinal issue that affects millions of people around the world. While many individuals resort to medications and dietary changes to find relief, some continue to struggle with constipation even after trying various remedies. As a physical therapist specializing in pelvic floor health, I encounter numerous cases of chronic constipation in my clinic. Let’s explore the underlying causes of constipation, the role of peristalsis, and how physical therapy can offer effective solutions for this uncomfortable condition.

The Mystery of Constipation:

Constipation is often a secondary concern that people deal with, despite not being the primary reason for their visit to the clinic. Medications and laxatives are commonly used to alter chemical digestion processes, while dietary changes can impact the passage of food through the gut. Understanding peristalsis, the coordinated muscle action responsible for moving stool through the colon, helps shed light on why constipation occurs in some individuals.

Peristalsis plays a vital role in maintaining a healthy gut and preventing constipation. The smooth muscles in the gut contract and relax, pushing stool through the intestines. However, if these muscles are weak or slow, constipation can become a recurring issue. Moreover, conditions like Crohn's or diverticulitis can complicate the situation, requiring tailored treatment approaches.

The Role of Pelvic Floor Physical Therapy:

Pelvic floor physical therapy offers valuable insights and effective treatments for constipation. By assessing coordination, strength, and pressure management, therapists can identify areas that need retraining. Some individuals with chronic constipation inadvertently tighten their rectal sphincter, leading to further complications. Pelvic floor physical therapy can help rectify these issues, reducing the risk of prolapse, hemorrhoids, and other related problems.

To alleviate constipation, it's essential to assess how efficiently the gut pushes stool through the system. Massage techniques can assist in moving stool through the intestines, and these can be practiced at home for convenience. By considering the coordination at the pelvic floor and sphincter levels, we can retrain the muscles for more effective bowel movements.

Understanding the pelvic floor's role in bowel movements is crucial for effective treatment. The pelvic floor muscles are generally mildly supportive throughout the day, becoming more active during exercise or high-impact activities. Chronic stress and the continuous activation of the sympathetic nervous system can exacerbate constipation, making it essential to explore mindfulness and relaxation techniques.

Collaboration with other healthcare providers, such as functional medicine doctors and naturopaths, can significantly improve overall gut health and pelvic floor function. A holistic approach that considers various aspects of an individual's well-being can lead to more comprehensive and lasting solutions for chronic constipation.

Constipation can be a challenging and distressing condition, but with a deeper understanding of the factors contributing to it, we can find effective solutions. Physical therapy, especially pelvic floor-focused treatments, offers hope for individuals struggling with chronic constipation. By addressing coordination, muscle strength, and stress management, we can empower patients to take control of their digestive health and improve their overall well-being. Remember, there are various options available, and with the right approach, relief from constipation is within reach.

If you've been dealing or suffering with constipation, let's chat about it. All you have to do is click this link to schedule a completely free 15 minute consultation call. Let's get those bowels MOVE-ing!