Therapy for Bowel Dysfunction in Franklin County, PA
A Real Pain in the Butt
Bowel dysfunction encompasses a range of conditions that affect normal bowel function and can significantly impact quality of life. Despite affecting millions of people, these conditions are often not discussed openly due to embarrassment or the misconception that nothing can be done. From constipation to fecal incontinence, bowel issues can create daily challenges, anxiety, and lifestyle limitations.
The pelvic floor muscles play a crucial role in bowel function, working in coordination with the rectum, anal sphincters, and abdominal muscles. When this complex system experiences dysfunction, various bowel symptoms can result. Dr. Christine specializes in treating bowel dysfunction through evidence-based, comprehensive care that addresses the underlying causes of your symptoms rather than just managing them.
Common Bowel Symptoms We Address
Constipation
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Infrequent bowel movements (fewer than 3 per week)
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Straining or difficulty passing stool
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Hard, dry, or small stools
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Feeling of incomplete emptying after bowel movements
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Abdominal bloating or discomfort
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Fecal Incontinence and Leakage
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Involuntary loss of stool (solid, liquid, or gas
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Urgency that is difficult to control
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Leakage when passing gas
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Stool seepage or staining of undergarments
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Difficulty differentiating between gas and stool
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Defecation Disorders
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Dyssynergic defecation (inability to coordinate muscles properly)
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Difficulty initiating bowel movements despite urge
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Excessive straining or pushing
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Need for manual maneuvers to complete bowel movements
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Pelvic pain during bowel movements
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Other Related Symptoms
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Abdominal pain or discomfort
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Rectal pain or pressure
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Hemorrhoids or anal fissures related to bowel dysfunction
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Impact on daily activities, social life, and emotional wellbeing
A Holistic Approach to Bowel Dysfunction Therapy
Dr. Christine believes strongly in treating the whole person, not just isolated symptoms. Bowel function is affected by many factors beyond the pelvic floor, which is why our approach is comprehensive and individualized.
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Initial Assessment
Your first session includes a thorough evaluation to understand your specific challenges, health history, and goals. This typically involves:
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Detailed discussion of your symptoms, patterns, and impact on daily life
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Review of your medical history, including pregnancies, surgeries, and medications
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Assessment of posture, breathing patterns, and core function
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Evaluation of pelvic floor muscle function (with your consent and comfort)
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Analysis of potential contributing factors (dietary habits, fluid intake, toileting behaviors)
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Completion of bowel diaries or symptom questionnaires (if appropriate)
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Personalized Incontinence Treatment Plan
Based on your assessment, we develop a customized treatment plan that may include:
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Pelvic Floor Rehabilitation: Specific exercises to improve strength, coordination, and relaxation of pelvic floor muscles
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Manual Therapy: Hands-on techniques to address muscle tension, trigger points, or fascial restrictions
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Bowel Retraining: Techniques to establish regular bowel habits and improve coordination during defecation
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Visceral Mobilization: Gentle manual techniques to improve abdominal and pelvic organ mobility
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Behavioral Strategies: Modification of fluid intake, dietary fiber, positioning, and toileting habits
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Education: Evidence-based information about normal bowel function and self-management strategies​
Frequently Asked Questions
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Is it normal to strain during bowel movements?
No. Healthy bowel function should not require excessive straining or pushing. With proper coordination of the abdominal and pelvic floor muscles, along with good toileting habits, bowel movements should be relatively effortless.
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Will I need an internal examination?
A vaginal and/or rectal internal examination can be very helpful in assessing pelvic floor function for bowel symptoms. We prioritize your comfort and will discuss all examination options thoroughly before proceeding.
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How is physical therapy different from just taking fiber or laxatives?
Medications and supplements address stool consistency, which is only part of the bowel dysfunction picture. Physical therapy targets the muscular and coordination aspects of bowel function, which are often the root cause of persistent symptoms. While dietary modifications are important, they work best when combined with proper pelvic floor rehabilitation.
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What lifestyle changes might help alongside physical therapy?
Depending on your specific condition, beneficial changes might include proper hydration, appropriate fiber intake, regular physical activity, stress management, and proper toileting position (using a footstool and allowing adequate time without straining). We'll discuss personalized recommendations as part of your treatment plan.
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How do you maintain privacy and dignity during treatment for bowel issues?
We understand the sensitive nature of bowel dysfunction and prioritize your comfort and dignity throughout the treatment process. All discussions and examinations are conducted in a private setting with clear explanation and consent. Many effective treatment techniques can be performed fully clothed, and we ensure appropriate draping and privacy for any examinations.
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Your Path to Bowel Health and Comfort
Dr. Christine is committed to helping you achieve better bowel function through specialized pelvic floor physical therapy. Combining clinical expertise with compassionate care, she addresses the underlying causes of bowel symptoms rather than just managing them.
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If you're experiencing constipation, fecal incontinence, or other bowel issues that impact your quality of life, effective treatment is available. Contact us today to schedule your initial consultation and take the first step toward improved bowel function and the freedom to live without the constant worry and discomfort of bowel dysfunction.