Biofeedback Therapy for Chronic Constipation at Healing Hands Clinic

1. Biofeedback Therapy for Chronic Constipation at Healing Hands Clinic We have always believed in the best and practiced the best at Healing Hands Clinic and to add on to this, we introduce Pune’s first biofeedback machine (sphinctometer) for ODS (a form of chronic constipation), stress urinary incontinence, pelvic organ prolapse and pelvic floor dyssynergia. Biofeedback is the process of gaining greater awareness of your pelvic floor muscles, their strengths, functions and at the same time it provides you with the information on the activity of your muscles with a goal of manipulating them at will. Pelvic floor muscles are which stretch between your pubic bone and tail bone, cradling your bladder, bowel, uterus, urethera, helping you to control your urine bowel movements and also sexual functioning. Damage to pelvic floor not only contributes to urinary incontinence but can lead to pelvic organ prolapse. In females, the muscles can be damaged in pregnancy/childbirth/hysterectomy. Studies show that up to 50% of patients with chronic constipation have pelvic floor dysfunction or dyssynergia, this condition is characterized by impaired coordination between pelvic floor relaxation and abdominal wall motion, which is necessary for normal defecation. Biofeedback helps in strengthing of Pelvic Floor Muscles and thus curing and preventing stress urinary incontinence and pelvic organ prolapse. Goals of therapy : •Improve symptoms and bowel function •Accelerate colonic transit •Stimulate gut motility •Facilitate defection Several different relaxation exercises are used in biofeedback therapy, including: •Deep breathing •Progressive muscle relaxation : alternately tightening and then relaxing different muscle groups

2. •Guided imagery : concentrating on a specific image (such as the color and texture of an orange) to focus your mind and make you feel more relaxed •Mindfulness meditation : focusing your thoughts and letting go of negative emotions And now, here at Healing Hands Clinic we provide you with this facility, ensuring to give you the best and continue curing with care, under the guidance of Dr Ashwin Porwal, who owns the credit of performing first STARR surgery for Obstructed Defecation Syndrome and has also performed surgeries for pelvic organ prolapsed.