Bowel Care In Female Pelvic Health

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Obstetric Anal Sphincter Injury (OASI) Recovery Pathway

Recovering from childbirth can be challenging. When this is complicated by a 3rd or 4th degree tear the associated symptoms and slow progress can feel overwhelming — but with the right specialist support, you can rebuild confidence in your body, step by step and regain function in a timely and safe manner. You do not have to face this alone.

Our structured postnatal pathway focuses on what matters most:

Every stage is guided, personalised and grounded in clinical expertise — so you’re never left guessing what to do next.

At Blizard Physiotherapy, your care is led by specialists, not generalists.

Over 40 years of specialist experience in female pelvic health physiotherapy — including senior NHS and Clinical Lead roles. You are seeing highly trained specialists who work predominantly in female pelvic health – not general physiotherapists offering pelvic floor care as an add-on.

The only FULL MEMBERS of the Pelvic Obstetric and Gynaecological Physiotherapy (POGP) in Doncaster — the recognised gold standard for pelvic health physiotherapy in the UK. This means advanced postgraduate training, strict professional standards and true specialist expertise.

If you’ve experienced an OASI tear, you don’t have to navigate recovery alone.

Book a pelvic health physiotherapy assessment today and take the first step towards better bowel health.

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Our Constipation Treatment Pathway

Our constipation pathway follows current NICE guidance, clinical evidence and specialist pelvic health physiotherapy practice.

We begin with a comprehensive assessment before progressing through lifestyle advice, bowel retraining and pelvic floor rehabilitation where appropriate. If further investigations or specialist input are required, we can help guide you through the next steps of your care.

Our aim is not simply to improve symptoms in the short term, but to help you understand your body, restore confidence and develop long-term strategies for healthy bowel function.

You Don’t Have to “Just Live With” Constipation

Constipation is one of the most common bowel problems we see in pelvic health physiotherapy, yet many people suffer in silence for years before seeking help.

If you regularly strain to open your bowels, feel that you do not empty properly, need to spend a long time on the toilet, or experience bloating, discomfort or a sensation of blockage, you are not alone. These symptoms are common, but they are not something you simply have to put up with.

At Blizard Physiotherapy, we understand how frustrating, uncomfortable and sometimes embarrassing bowel symptoms can be. Our specialist pelvic health physiotherapists provide expert assessment and personalised treatment to help you regain confidence, improve bowel function and feel more comfortable in your day-to-day life.

Many people are surprised to learn that constipation is not always caused by diet alone.

The pelvic floor muscles play a vital role in bowel emptying. Sometimes these muscles can become weak, overactive, uncoordinated or unable to relax effectively when needed. This can make it difficult to pass stool even when there is a strong urge to go.

Our role is to identify the factors contributing to your symptoms and create an individual treatment plan tailored specifically to you.

Treatment may include:

No two people experience constipation in exactly the same way.

Your assessment begins with a detailed discussion about your symptoms, medical history, medications, lifestyle and goals. We may ask you to complete bowel questionnaires or keep a bowel diary to help us understand your symptoms more fully.

Where appropriate, we may recommend a pelvic floor examination or use Real Time Ultrasound imaging to assess how your pelvic floor and abdominal muscles are functioning. Any examination will be fully explained beforehand and only carried out with your consent.

This allows us to identify whether factors such as pelvic floor dysfunction, difficulty coordinating the muscles used for bowel emptying, prolapse, previous childbirth, surgery or other contributing factors may be affecting your bowel function.

You may benefit from pelvic health physiotherapy if you:

We know bowel symptoms can feel difficult to talk about.

Our specialist pelvic health physiotherapists have extensive experience helping people with sensitive bowel concerns and provide care in a supportive, professional and confidential environment.

You will be listened to, believed and treated with compassion throughout your journey.

If constipation is affecting your daily life, we are here to help. Book a pelvic health physiotherapy assessment today and take the first step towards better bowel health.

Faecal Incontinence Pathway

Regain Confidence and Control with Specialist Pelvic Health Physiotherapy

Faecal incontinence (bowel leakage) can be a distressing and often isolating condition, affecting confidence, social activities, exercise and day-to-day life. Whether you experience difficulty controlling wind, leakage of stool, urgency to reach the toilet, or staining after opening your bowels, specialist pelvic health physiotherapy can help. Physiotherapy is recognised as a first-line treatment for many bowel control problems and can be highly effective in improving symptoms and quality of life.

At Blizard Physiotherapy, our specialist pelvic health physiotherapists provide evidence-based assessment and treatment for faecal incontinence. We are not musculoskeletal physiotherapists offering pelvic health as an additional service; we are dedicated pelvic health specialists with extensive experience in assessing and treating bowel dysfunction. We understand how personal these symptoms can feel and provide care in a supportive, sensitive and confidential environment.

Our Faecal Incontinence Treatment Pathway

Our pathway follows best practice guidance and focuses on identifying the cause of your symptoms, restoring pelvic floor and bowel function, and helping you return to the activities that matter to you.

Your treatment begins with a comprehensive assessment to understand your symptoms, lifestyle, medical history and personal goals.

This may include:

Every treatment plan is tailored to the individual because no two people experience bowel symptoms in the same way.

The pelvic floor muscles play a vital role in bowel control. If these muscles are weak, poorly coordinated or unable to relax appropriately, bowel leakage can occur.

Treatment may include:

Our aim is not simply to improve muscle strength but to optimise how your pelvic floor functions during everyday life.

Successful treatment often involves addressing factors that influence bowel health and function.

We provide personalised advice on:

Small changes can often make a significant difference to bowel control and confidence.

Some people benefit from additional support alongside physiotherapy rehabilitation.

Where appropriate, we can advise on:

These options may help improve symptom management while rehabilitation is ongoing.

Most people benefit significantly from physiotherapy-led treatment. However, if further assessment is required, we can support you in accessing additional investigations or specialist medical input.

This may include:

Our role is to ensure you receive the right care at the right time and feel supported throughout your journey.

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Why Choose Blizard Physiotherapy?

At Blizard Physiotherapy, we take a whole-person approach to pelvic health. We understand that bowel symptoms affect far more than physical function—they can impact confidence, exercise, work, relationships and wellbeing.

Our treatment philosophy focuses on:

With expert assessment and a structured rehabilitation programme, many people achieve significant improvements in bowel control, urgency and confidence.

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You Don't Have to Live With Bowel Leakage

Many people assume bowel leakage is something they must simply accept as part of ageing, childbirth, surgery or other health conditions. It isn’t. Effective treatment options are available, and specialist pelvic health physiotherapy is often an important part of recovery.

If bowel leakage, urgency or loss of control is affecting your life, our specialist pelvic health physiotherapists are here to help you feel confident, comfortable and in control again.

Book a pelvic health physiotherapy assessment today and take the first step towards better bowel health.