In today’s world, discussions about women’s health and well-being have gained significant momentum. One topic that deserves attention is rectoceles, a condition that affects many women but is often under-diagnosed or overlooked. However, there is good news: pelvic floor physical therapy offers a promising solution for rectoceles, helping women regain control of their pelvic floor muscles and overall quality of life.
A rectocele ( posterior vaginal wall prolapse)
Occurs when the supportive tissue between the rectum and vagina weakens or stretches causing the rectum to bulge into the vaginal canal.
Symptoms of rectoceles may include:
- Sensation of fullness or pressure in the pelvic area
- Difficulty emptying the bowels
- The need to push internally from the vaginal canal to complete a bowel movement
- Bowel leakage

The pelvic floor is a group of muscles, ligaments, and tissues that support the organs in the pelvis, including the bladder, uterus, and rectum. These muscles play a crucial role in maintaining continence, supporting the pelvic organs, and ensuring sexual satisfaction. However, childbirth, hormonal changes, surgery, obesity, and chronic straining can weaken or damage these muscles, leading to various pelvic floor disorders, including rectoceles.
Treatment Strategies for Rectoceles:
When it comes to rectoceles, pelvic floor physical therapy offers a range of non-invasive treatment strategies that can significantly improve symptoms and quality of life. These strategies may include:
1. Pelvic Floor Muscle Exercises: Also known as Kegel exercises, these exercises target the muscles that support the pelvic organs. A pelvic floor physical therapist can teach women how to perform these exercises correctly and help them develop a tailored exercise program.
2. Manual Therapy: therapists may use manual techniques to release muscle tension, improve circulation, and restore flexibility and function to the pelvic floor muscles. These techniques can include massage, stretching, and joint mobilization.
3. Education and Lifestyle Modifications: educate women about proper bowel habits, dietary modifications, and techniques for reducing strain during bowel movements. These lifestyle changes can have a significant impact on rectocele symptoms.
4. Behavioral Strategies: Therapists can guide women in adopting correct body mechanics, including proper posture and lifting techniques, to reduce pressure on the pelvic floor. They may also provide advice on managing constipation and bladder issues.
Pelvic floor physical therapy offers numerous benefits for women with rectoceles. By working with a pelvic floor physical therapist, women can:
- Improve pelvic floor muscle strength and coordination.
- Enhance bowel function and reduce symptoms such as difficulty emptying the bowels or bowel leakage.
- Regain confidence and restore sexual satisfaction.
- Avoid or delay the need for surgery, as pelvic floor physical therapy is often recommended as a first-line treatment before considering it
If you suspect you have a rectocele, the experts at legacy physical therapy can provide targeted strategies to reduce symptoms and improve your overall well being. We offer free private phone call conversations to discuss your specific concerns.