Constipation (Pelvic Floor Dysfunction)
Constipation isn’t just about what you eat, it can also be about how your body functions. When the pelvic floor muscles don’t coordinate properly during a bowel movement, it can lead to straining, incomplete emptying, or chronic constipation. This is called dyssynergic defecation, and it’s one of the most common, but least recognized, causes of persistent constipation.
At Sparq Physical Therapy in Castle Rock, CO, we specialize in treating pelvic floor dysfunction as it relates to bowel health. Through personalized, one-on-one therapy, we help you improve muscle coordination, reduce straining, and restore natural, comfortable bowel habits, without relying solely on medications or laxatives.
Affected Area
Pelvic floor-related constipation affects the muscles of the pelvic floor, particularly those involved in bowel control and evacuation, like the puborectalis and external anal sphincter. Tension, weakness, or poor coordination in these muscles can disrupt the normal mechanics of defecation. Over time, this may also lead to dysfunction in the core, abdominal wall, and low back due to excessive straining and compensation.
Symptoms
Common symptoms include infrequent or difficult bowel movements, excessive straining, the feeling of incomplete emptying, the need to manually assist (like pressing on the abdomen or perineum), bloating, and abdominal discomfort. You may also experience pelvic pain, low back pain, or urinary issues due to overlapping muscle dysfunction.
Treatments
Pelvic floor physical therapy is a gentle, evidence-based approach to improving bowel function from the inside out. At Sparq PT, we focus on retraining your muscles to work with—not against—you during a bowel movement. Your customized care plan may include:
Biofeedback or manual therapy to improve awareness and muscle coordination
Pelvic floor relaxation training to reduce tension and improve bowel emptying
Breathwork and pressure control strategies to support abdominal-pelvic synergy
Body mechanics and toilet posture education to ease strain and optimize elimination
Core and hip mobility to support pelvic alignment and function
You don’t have to live with discomfort, bloating, or bathroom anxiety. With the right support, regular and healthy bowel movements are possible.