Clinical Collaboration Commentary: Breaking Down the Role of Pelvic Health Physical Therapy in Colorectal Care.

Pelvic health treatment demands an understanding of multiple pelvic subspecialties to adequately address. While there are many providers who identify as pelvic health physical therapists, not all are sufficiently able to manage bowel dysfunction. There is a limited number of certified pelvic health specialists within the United States. The goal of this clinical commentary is to break down the role pelvic health physical therapy (PHPT) plays in treatment for colorectal care. The "background" provides insight into the physical therapy (PT) education process and pelvic health specialization. The "methods" discuss PHPT treatment including patient education, examination techniques, value of tests and images, as well as common colorectal conditions. A table summarizes possible findings and treatment considerations for common colorectal conditions, methods for optimizing pelvic floor muscles (PFMs) are discussed, and pelvic devices are explained. The "results" of referring patients and expectation for goals is reviewed along with a "discussion" of room for improvement and "conclusion" of important takeaways. The depth of the vast subjects covered shall only be briefly summarized in this clinical commentary with the hope that it provides context, explanations, recommendations, and leads to future discussions and research that includes PHPT.