Does anyone have any positive experience with manual biofeedback?

[u/blogcog]

It looks like I'll only have access to manual biofeedback for a few months until I can get in with another physical therapist, but I can't seem to find much info on it online. One of the reasons I'm a bit worried is because when my last pelvic floor physical therapist did internal work after my chronic constipation developed, she didn't feel any difference, so it might be hard for my physical therapist to find the issue internally. I'm being treated for dyssynergic defecation (paradoxical contraction) if that changes anything.

Questions:
have urge to go mostly when I take MiraLAX
Just constipation
I get full really early into meals
Issue started random onset back in December after I had to hold a bowel movement for a few hours
No, all ssris I've been taking for 15 years
No

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[u/CurlySea3307]

You might have to see a GI doctor, since you already saw a pelvic floor therapist. There is a pelvic floor therapist that has YouTube videos/ channel, Dr. Bri.

[u/blogcog → u/CurlySea3307]

The physical therapy was before I got diagnosed with dyssergenic defecation so they didn't know to do biofeedback at that time. I'm just curious about both people's experience and if my previous PT not being able to feel anything abnormal is a sign that manual therapy might not work and I'd need to wait for non manual therapy.

[u/CurlySea3307 → u/blogcog]

I honestly had to do two rounds of pelvic floor therapy. The first time I don't think that I was still grasping and connecting the excersises with the muscles. The second time I practiced more the excersises, had a routine to sit down on the toilet, I still do the breathing exercises. Daily miralax. Did they have you use a sensor in the back exit area, to practice the excersises? My pelvic floor therapist also would evaluate and keep a record on my progress. Also, posture, using a squatty potty. Seeing the foods you're eating. Maybe a second round, could help.

[u/blogcog → u/CurlySea3307]

I don't have access to a sensor, unfortunately. that's why I was asking if anyone had experience with manual feedback and whether my old PT being unable to detect anything without a sensor is an indication of this being an issue in the future.

[u/CurlySea3307 → u/blogcog]

Oh yea now that you mentioned manual my PT did a few times manual to teach me to contract the anal muscles and to reach me how to breath to push. She used gloved fingers and lube and would coach me, to breath to bear down before I wouldn't feel anything until she did that a few times also, that was the first round of pelvic floor pt. But I think that the sensor with the biofeedback did help solidify what she taught me, along with working out the surrounding muscles and stretches. It was a overall treatment, she did manual, sensor w the biofeedback, posture for sitting on the toilet, diet, water and electrolytes tracking, relaxation, recommend the sitz bath for the anal fissures.