Physical Therapy for Fecal Incontinence

Physical therapy is a crucial component in the conservative management of fecal incontinence. It focuses on strengthening and improving the coordination of the pelvic floor muscles, which play a vital role in bowel control.

Understanding Pelvic Floor Physical Therapy

Pelvic floor physical therapy is a specialized form of treatment that targets the muscles, ligaments, and connective tissues of the pelvic area. For fecal incontinence, it aims to improve the strength and function of the anal sphincter and surrounding muscles.

Key Point

Pelvic floor physical therapy is not just about doing Kegel exercises. It’s a comprehensive approach that may include various techniques and tools.

What to Expect in Pelvic Floor Physical Therapy

1. Initial Assessment: Your physical therapist will evaluate your pelvic floor strength, coordination, and overall function.

2. Education: Learn about pelvic floor anatomy and how it relates to bowel control.

3. Pelvic Floor Exercises: Customized exercises to strengthen and coordinate pelvic floor muscles.

4. Biofeedback Training: Uses sensors to help you visualize and improve your muscle control.

5. Electrical Stimulation: May be used to help strengthen very weak muscles.

6. Manual Therapy: Hands-on techniques to improve muscle function and reduce tension.

Common Techniques Used

Tip:

Be patient with yourself. It takes time and consistent practice to see improvements in pelvic floor strength and control.

1. Kegel Exercises: Contracting and relaxing the pelvic floor muscles.

2. Coordination Exercises: Learning to use the right muscles at the right time.

3. Relaxation Techniques: To reduce tension in the pelvic area.

4. Core Strengthening: To support overall pelvic floor function.

Benefits of Pelvic Floor Physical Therapy

• Improved bowel control
• Increased pelvic floor muscle strength
• Better coordination of pelvic floor muscles
• Enhanced awareness of pelvic floor function
• Potential reduction in the frequency of incontinence episodes

What to Wear and Bring

• Comfortable, loose-fitting clothing
• A list of your current medications
• Any relevant medical records or test results
• A diary of your bowel habits, if you’ve been keeping one

Duration and Frequency of Treatment

The duration and frequency of pelvic floor physical therapy can vary depending on individual needs and progress. Typically, you might expect:

• Initial sessions: 1-2 times per week
• Duration: 4-12 weeks or longer
• Each session: 30-60 minutes

Home Exercise Program

Your physical therapist will likely give you exercises to do at home. Consistency with these exercises is key to seeing improvement.

Important

Always perform exercises as instructed by your physical therapist. Incorrect technique can potentially worsen symptoms.

When to Expect Results

Improvement timelines can vary, but many people start to notice changes within 4-6 weeks of consistent therapy and home exercises. However, it’s important to continue the program as recommended by your physical therapist, even after you start seeing improvements.

Combining with Other Treatments

Pelvic floor physical therapy often works best when combined with other treatments such as dietary modifications, medication, or bowel retraining. Your healthcare team can help create a comprehensive treatment plan tailored to your needs.

Take the Next Step

If you’re struggling with fecal incontinence, pelvic floor physical therapy could be an important part of your treatment plan. Dr. Ryan Stewart can assess your condition and, if appropriate, refer you to a specialized pelvic floor physical therapist.