In regards to outlet constipation physical therapy is a must when the muscles are responsible for the problem.
Tight pelvic floor muscles constipation.
Pelvic floor physical therapists can teach you exercises and stretches to work on any tight muscles you have at home as well.
This can lead to straining during a bowel movement which causes the muscles to tighten even.
If the pelvic floor muscles in the rectum are too tight and unable to relax it becomes difficult for stool to be passed.
Working with an experienced pelvic floor physical therapist who can do transvaginal and or rectal myofascial release and trigger point release to the pelvic floor muscles can decrease or eliminate this problem altogether.
So when on the toilet the pelvic floor muscles are creating a serious kink on the rectum and it s very difficult to push the bowel motion out without straining pain or causing anal fissures little tears in the anus.
For those with tension in their pelvic floor there are specific.
Biofeedback training is the treatment of choice.
Pelvic floor dysfunction is the inability to correctly relax and coordinate your pelvic floor muscles to have a bowel movement.
In constipation the pelvic floor muscles are tight and overactive and do not know how to relax.
Based on the principle of operant conditioning biofeedback provides auditory and visual feedback to help retrain the pelvic floor and relax the anal sphincter.