Constipation & IBS treatment in North Liberty.

To empty, your pelvic floor has to release at the exact moment your abdomen pushes. In a lot of people it does the opposite and tightens under pressure. That is a coordination problem, and no amount of fiber fixes coordination. Add ribs that have stopped moving with your breath, hips and a lower back that have been guarding, and a nervous system running hot, and the gut ends up taking the blame for mechanics. And straining is not neutral. Pushing hard against a floor that will not release, year after year, loads the pelvis in a way it was never built for.

Here is where we are careful. Constipation and IBS are medical diagnoses, and physical therapy is not a treatment for underlying gastrointestinal disease. Keep your physician and your GI team. What we work on is the mechanical and nervous system side: pelvic floor coordination, abdominal and rib mobility, breathing, how you sit on the toilet, and how your system handles pressure and stress. That work sits alongside your medical care, not instead of it.

You have already cut the foods, bought the powder, and read the entire internet about this. That is exactly the kind of patient who does well here. Dr. Alex Furtado, DPT, CPPC, leads pelvic health at Motion Matters, with more than a decade across orthopedics, sports physical therapy and pelvic health. It starts with a cause-first evaluation, one-on-one with a licensed physical therapist. An internal assessment is one option, never a requirement: it gets explained first, you can decline it, and you can stop at any point. You are in control the whole time.