Once I committed to the Spartan race, figured out how to make space for training in my busy schedule, and then got my body (and how it moves) tested by the experts... I decided to up the intensity of my training a few notches!

Ever since I have been treating constipation and bowel dysfunction as a pelvic health physical therapist, I’ve had many clients ask if the laxative they are taking is safe and if they should continue using it, or if they can start their child on a laxative such as Miralax. Many of my clients are afraid they might become dependent and will always have to be on it for their bowels to function. Or they have been told to stop taking it because it is not safe. To have a better understanding of the risk of dependency on a laxative and its safety, let’s first discuss what it actually is, how it works, its side effects, precautions, why you would use it, and the current research on kids taking it.

I’m sure there are a lot of people who can relate to the feeling of constipation. Tummy distended and full; pain in the stomach; a sensation you cannot completely empty your rectum; back pain –– all are symptoms of constipation. We probably have been told to increase our fiber intake and doing so will help loosen our stools. While this is true, there are several things you should know about what type of fiber and how much you should be consuming if you’re trying to improve constipation. 

In this interview, Dr. Elizabeth Dalrymple, lead physical therapist at Activcore, talks with Gail Turner-Cooper, the founder of Align Health coaching, about taking control of your personal health by making small, sustainable changes to your diet and lifestyle.

Do you leak stool with walking, running, or other physical activities? Do you have urgency of your stool and can’t make it to the toilet in time? Do you have to wear disposable underwear because you leak fecal matter?‍ As a pelvic health physical therapist, I see this quite a bit in my practice and everyone always asks the single question: “Why?!!!”

Many physical therapy clients ask their PT about certain diet types or nutritional supplements. Although physical therapists receive some background education about nutrition during their course of study, it is outside of our scope of practice to recommend specific dietary changes or meal plans. As a profession we do strive to be aware of different types of diets, as well as the molecular biology of how food breaks down in our body, which affects our ability to perform physical activity. We are also aware of how nutrition can affect tissue healing which is why we address the topic as an overview for our clients to understand its importance in their recovery.

As much as we would like to avoid the topic, poop happens. Or in many uncomfortable cases, it doesn’t. According to the statistics, approximately 20% of adults between 40-75 have constipation. And those numbers are just the base level, run-of-the-mill, stopped-up versions.

The War on Pain has begun! But in order to defeat this enemy, we first have to understand it. Many people simply mask pain by avoiding activity and taking increasing amounts of medication like opioids.