Physical therapy can be an extremely effective noninvasive, conservative option in the management and treatment of adult urinary and fecal incontinence. Specially trained physical therapists are able to evaluate and treat pelvic floor muscle dysfunction and retrain fecal evacuation.

Primary candidates for this type of therapy include postpartum women, post-surgical colorectal or sphincter repair patients, coccyx fracture patients, irritable bowel syndrome patients, and post anismus patients.

Neuromuscular re-education typically includes:

• External and internal evaluation of the sacral and pelvic floor musculatur
• Surface electromyography (biofeedback) evaluation of the pelvic floor muscles
• Food diary and diet modifications/education; fluid intake
• Pelvic floor muscle re-education/strengthening/training using biofeedback
• Detailed home exercise program with on-going patient education
• Instruction in proper posture for fecal elimination
• Instruction /training in proper voiding techniques
• Coordination training of the pelvic floor muscles during lifting and exertion
• Electrical stimulation for pelvic floor re-education and strengthening
• Abdominal stabilization exercises for pelvic girdle support

Patients are typically seen once/week over a course of 8-12 weeks. Physical therapy is covered by Medicare and most third party insurance carriers, with a physician’s prescription.

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