Constipation is the infrequent or difficult evacuation of the bowels and affects millions of people worldwide. While there are a variety of reasons constipation can occur some more common explanations may include:

  • weak or tight (or a combination of both) pelvic floor muscles and surrounding musculature,
  • overuse of the pelvic floor muscles,
  • weakness or ineffective use of abdominal musculature,
  • medications that can cause hardening of the stool,
  • diet low in fiber or inadequate fluid intake,
  • poor toileting habits and straining, and
  • stress.


    These are some of the common treatments for patients with constipation:

  • Bowel massage and strategies to help assist and promote bowel movements effectively
  • Pelvic floor down training
  • Use of EMG and RUSI (rehabilitative ultrasound imaging) for assessing muscle resting tone
  • Pelvic floor stretching, trigger point release techniques
  • Diaphragmatic breathing techniques with a combination of assessing correct posture
  • Lengthening and shortening contractions of pelvic floor with the correct strengthening program
  • Self-meditation guidance
  • Recommendations of fluid intake and fiber suggestions

Recommended daily water intake:

MEN – 3000ml

WOMEN – 2200ml

* For each hour spent exercising, add an additional 400-600 ml