The Constipation Connection: Why Your Pelvic Floor Matters

When you are struggling with chronic constipation, the standard advice is usually to drink more water, eat more fiber, or take a probiotic. But what if your diet is perfect and you still can't go?

Often, chronic constipation isn't just a digestive issue; it is a mechanical issue located at the very end of the digestive tract: your pelvic floor.

The Puborectalis Sling

Your pelvic floor muscles, specifically the puborectalis muscle, act like a sling around your rectum. To have a healthy bowel movement, these muscles must coordinate perfectly—they have to relax to let waste out, while the rest of the core pushes. If your pelvic floor is weak, uncoordinated, or in a state of hypertonic spasm, evacuation becomes incredibly difficult.

Why Manual Kegels Aren't Enough

You might think doing Kegels will help strengthen these muscles. However, there is no progressive resistance or load when doing Kegels. Strengthening muscles, including pelvic floor muscles, requires resistance exercise. As resistance increases, more muscle fibers are recruited, which results in stronger, more toned, and developed muscles. Kegels improve strength only a little and tone minimally because there is no progressive resistance, which is absolutely required for muscle strengthening, building, and development.

The EMSELLA Solution

At Phelts Chiropractic PC, we use the EMSELLA chair to completely rehabilitate the pelvic floor. Using High-Intensity Focused Electromagnetic (HIFEM) technology, every muscle fiber is stimulated to contract maximally for maximal strengthening, building (for men), toning (for women), and development.

In just 28 minutes, EMSELLA delivers 11,200 supramaximal contractions, recruiting many more muscle fibers than standard Kegels ever could. This not only restores the mechanical strength needed for healthy bowel movements but also provides incredible sexual health benefits. The massive increase in muscle causes the body to create new blood vessels in the area (angiogenesis), which in turn further increases blood flow for firmer erections in men and better lubrication and arousal in women.

By combining Nutrition Response Testing (NRT) to fix your digestion from the top down, and EMSELLA to fix the mechanics from the bottom up, we provide a complete solution for chronic constipation.

Learn more about our integrated approach to gut and pelvic health:
The "Bloat" That Won't Go Away: Fixing the ICV.


References

  1. Pelvic Floor and Constipation: Clinical gastroenterology studies establish that dyssynergic defecation (the inability to coordinate pelvic floor muscles) is a primary mechanical cause of chronic constipation, requiring neuromuscular rehabilitation.
    Source: PubMed - Dyssynergic defecation and biofeedback therapy
  2. HIFEM for Pelvic Floor Rehabilitation: Research confirms that HIFEM technology (EMSELLA) induces deep, supramaximal contractions that safely and effectively rehabilitate the entire pelvic floor musculature, significantly outperforming standard voluntary exercises.
    Source: PubMed - Safety and Efficacy of a Non-Invasive High-Intensity Focused Electromagnetic Field (HIFEM) Device
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March 20, 2026