Digestive woes? Back Pain?

When it comes to digestive and/or bowel issues, physical therapy is not usually a

solution that pops into most people’s minds. However, symptoms associated with

conditions such as IBS, IBD (Crohn’s and Ulcerative Colitis), Diverticulosis/Diverticulitis, and Gastroparesis can all be improved with pelvic floor physical therapy as there is a strong correlation between these diagnoses and pelvic floor dysfunction. Other symptoms, that may or may not be linked to the diagnoses above, including constipation, diarrhea, fecal incontinence, abdominal bloating/gas, abdominal pain/cramping, hemorrhoids, anal fissures, and difficulty fully emptying the bowel can also be better managed with addressing pelvic floor dysfunction.

It is important to see a pelvic floor physical therapist because a lot of these

symptoms can be present with both pelvic floor muscle tension and pelvic floor

muscle weakness. Another factor that a pelvic therapist will explore is the

neuromuscular function or the coordination of the pelvic floor muscles to assess

whether the muscles can perform their functions correctly and at the appropriate

times. A skilled pelvic therapist will be able to assess the muscles and develop a

clear plan based on what they observe.

Addressing the pelvic floor is crucial to managing bowel related symptoms but

exploring the areas which surround our digestive system is just as important.

Restrictions within the abdominal cavity whether related to soft tissue, connective

tissue/fascia, or muscle tension can greatly impact digestion and bowel motility

which can all contribute to the symptoms listed above. Skills provided by a pelvic

therapist including breathing techniques, manual techniques, and

stretching/relaxing techniques can all positively influence the gut and improve

related symptoms.

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Back Pain?

The low back (lumbosacral) area is another area that is important to explore, but

often overlooked, when it comes to bowel concerns. Asymmetries/malalignments

of the lower spine, pelvis, and sacrum and muscle tension in the low back and

sacral muscles can influence how the colon sits in the pelvis and how easily bowel

can pass through the colon. Manual techniques to help correct pelvic/sacral

instability and reduce muscle tension and strengthening techniques to help secure

the pelvis and sacrum and support the colon can all significantly improve bowel

function.

A well rounded and holistic approach to treating/managing digestive and/or bowel

concerns is crucial for positive outcomes. Luckily, pelvic floor therapy can assess

and address all these areas to provide relief for those suffering with these

conditions and symptoms.

~ by Dr. Kelsey Crosby