The Role of Pelvic Floor Physiotherapy in Children with Constipation

By Lakeview Physio
Julie Tschofen
MScPT, Acupuncture, Pelvic Health Physiotherapist
Pelvic Health
August 25, 2023

Pelvic floor physiotherapy, a specialized approach to address pelvic health concerns, has emerged as an effective option for children struggling with constipation.

Constipation is a common issue that affects children of all ages. While we may consider it a mild inconvenience, chronic constipation can have a significant impact on a child's quality of life, causing discomfort, pain, and even emotional distress. Pelvic floor physiotherapy, a specialized approach to address pelvic health concerns, has emerged as an effective option for children struggling with constipation. In this blog, we will explore the role of pelvic floor physiotherapy in managing childhood constipation and how it can make a difference in a child's well-being.

Understanding Childhood Constipation:

Childhood constipation occurs when a child experiences infrequent bowel movements or has difficulty passing stool. This can lead to stool withholding, making the stool harder and more challenging to pass. Common causes of constipation in children include a lack of dietary fiber, inadequate fluid intake, fear, or anxiety about using the bathroom and a lack of regular toilet habits. Left untreated, constipation can become a chronic issue and can impact a child's bowel function, bladder function and overall health.

The pelvic floor plays a crucial role in bowel movements. It is a group of muscles and tissues that support the pelvic organs and control bowel and bladder function. In some cases of childhood constipation, the pelvic floor muscles may become tense or dysfunctional, making it difficult for a child to relax and coordinate the muscles required for successful bowel movements. This pelvic floor dysfunction can exacerbate constipation and create a cycle of discomfort and withholding.

The Role of Pelvic Floor Physiotherapy:

Comprehensive Assessment: The first step in pediatric pelvic floor physiotherapy for constipation involves a thorough assessment by a specialized physiotherapist. The assessment includes evaluating the child's medical history, dietary habits, toileting routines, and physical examination to identify any pelvic floor dysfunction.

Tailored Treatment Plan: Based on the assessment findings, the physiotherapist designs a personalized treatment plan to address the child's specific needs. This plan may include exercises to strengthen and relax the pelvic floor muscles and coordination training to optimize bowel movements.

Biofeedback Techniques: Pelvic floor physiotherapy often incorporates biofeedback techniques to help children better understand and gain control over their pelvic floor muscles. Biofeedback involves using visual or auditory cues to provide real-time feedback on muscle activity, encouraging proper muscle relaxation during bowel movements.

Toileting Education: Pelvic floor physiotherapists educate both the child and their caregivers about healthy toileting habits. This includes encouraging regular bathroom visits, proper posture on the toilet, and positive reinforcement to reduce anxiety associated with bowel movements.

Dietary Guidance: Proper nutrition plays a vital role in managing constipation. Pelvic floor physiotherapists may offer dietary guidance, including recommendations for increasing fiber intake and staying hydrated.

Behavioral Interventions: Addressing any psychological or emotional factors contributing to constipation is essential. Pelvic floor physiotherapists work with the child and their parents to create a supportive and understanding environment that fosters healthy bowel habits.

Benefits of Pelvic Floor Physiotherapy for Children with Constipation:

Non-Invasive and Gentle: Pelvic floor physiotherapy is a non-invasive and gentle treatment approach, making it suitable for children of all ages. It prioritizes the child's comfort and well-being throughout the process.

Empowerment: By educating children and their parents about bowel health and promoting positive toilet habits, pelvic floor physiotherapy empowers children to take an active role in managing their constipation.

Long-Term Solutions: Pelvic floor physiotherapy aims to provide long-term solutions by addressing the root cause of constipation.

Improved Quality of Life: Successful management of constipation through pelvic floor physiotherapy can significantly improve a child's quality of life, alleviating discomfort and promoting overall well-being. It can lead to improved independence and confidence.

Pelvic floor physiotherapy has proven to be a valuable and effective approach to managing childhood constipation. By addressing pelvic floor dysfunction and providing tailored treatments, this specialized therapy empowers children to overcome constipation challenges and enjoy a healthier and happier life. If your child struggles with chronic constipation, consulting a qualified pelvic floor physiotherapist can make a significant difference in their journey towards improved bowel health and overall well-being.

Want to learn more?

Book with Julie: Book Online | Lakeview Physiotherapy Clinic & Movement Studio (


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