Fecal Incontinence

Regain control with pelvic floor physical therapy.
Fecal Incontinence Banner Image

What is Fecal Incontinence?

Fecal incontinence happens when you have trouble controlling your bowel movements. It might feel like sudden urgency, accidental leakage, or even a complete loss of control. Some people experience small leaks when passing gas, while others might struggle with larger accidents.

This condition can feel overwhelming and embarrassing, but it’s actually more common than most people think. It affects people of all ages, though it tends to show up more as we get older or after certain life events like childbirth, surgeries, or injuries. It can also occur when the muscles of the pelvic floor become weak or damaged.

What is Fecal Incontinence_ Image
Symptoms of Fecal Incontinence
Can Include_

Symptoms of Fecal Incontinence Can Include:

  • Leaking stool, especially when passing gas
  • Feeling a sudden, urgent need to use the bathroom
  • Difficulty making it to the toilet in time
  • Unexpected accidents without feeling the urge
  • Frequent constipation followed by loose stools or leakage
  • A constant feeling of needing to empty your bowels
  • Skin irritation or soreness around the anus from leakage
  • Avoiding social activities out of fear of accidents
If any of these sound familiar, pelvic floor physical therapy could potentially help you strengthen control and ease those symptoms. Fecal incontinence isn’t something you have to manage alone.

How Pelvic Floor Dysfunction Can Contribute to Fecal Incontinence

Your pelvic floor muscles play a huge role in controlling your bowel movements. These muscles support your rectum and help you hold in gas and stool until you’re ready to go. When those muscles weaken, become too tight, or lose coordination, it becomes harder to control bowel movements.

Sometimes the muscles don’t relax when they should, causing constipation or incomplete emptying. Other times, the muscles aren’t strong enough to hold everything in, leading to leaks. Injury, surgery, childbirth, aging, or even long-term straining from constipation can all impact how your pelvic floor works.

Pelvic floor dysfunction doesn’t just cause fecal incontinence—it keeps you stuck in a cycle of discomfort and anxiety. The good news is that pelvic floor physical therapy can help break that cycle.

How Pelvic Floor
Dysfunction Can Contribute
to Fecal Incontinence
Treatment for
Fecal Incontinence

Treatment for Fecal Incontinence

Pelvic floor physical therapy focuses on retraining your muscles so you can regain control and confidence. Your treatment plan depends on your specific symptoms, your lifestyle, and what’s actually going on with your body. There’s no one-size-fits-all approach here.

We might work on exercises that strengthen weak muscles or help you better coordinate your pelvic floor during bowel movements. Manual therapy helps release tight muscles or scar tissue that could be making things worse. Breathing techniques, posture work, and relaxation exercises often play a part too.

The goal of pelvic floor physical therapy is to help you feel more in control—whether that means fewer accidents, less urgency, or simply being able to leave the house without worrying about where the closest bathroom is.

What to Expect During Your Sessions

During Your Initial Appointment

During your consultation, you’ll have time to share what you’ve been experiencing—what’s been bothering you, what triggers symptoms, and how it’s impacting your daily life. We’ll ask specific questions to get a full picture of what’s going on and listen to any concerns you might have.

Next comes a thorough physical assessment. We’ll look at your posture, breathing, core muscles, and pelvic floor. This hands-on evaluation helps us figure out what’s contributing to your bowel incontinence. In most cases, we’ll recommend checking your pelvic floor muscles internally since that’s the best way to understand what’s happening. We always explain everything first. You can decline any part of the exam or treatment at any time, no questions asked.

During Your Additional Appointments

Every session builds on the last, with treatment designed to fit your needs. We might use manual therapy, guided exercises, and relaxation techniques—always with your comfort in mind.

We’ll teach you how to strengthen and coordinate your pelvic floor muscles, work on improving bowel habits, and help you feel confident doing the things you’ve been avoiding. The goal is progress—feeling better, having fewer symptoms, and getting back to living your life without always planning around a bathroom.

Client Testimonials

Amber Wolfe
2 weeks ago
Juhi is warm, thoughtful, and knowledgeable. She made me feel comfortable from the beginning and tailored each session to what I needed. I’m very grateful for her care and highly recommend Beyond Basics.
Lourdes Calero
2 weeks ago
My health issue has improved tremendously in a short time, thanks to my amazing therapist,Kiko!
Marina Alton
3 weeks ago
It was a very amazing experience with my therapist, and it helps me a lot
Devin Williams
1 month ago
After a life changing surgery back in 2013, I dealt with chronic pelvic and lower back pain that had impacted and hindered me for years. At one point, I lost all hope that I would ever be able to be rid of it. Then, I had the fortune of coming across Beyond Basics and meeting a wonderful physical therapist in the form of Kiko. After nearly 13 yrs of dealing with this pain, I am happy to say that it is completely gone after my treatment with Kiko. Because of her and Beyond Basics, I am now able to enjoy life so much more and for that, I am eternally gratefully. Coming here was truly a life changing experience.
Audrey Symes
2 months ago
Melanie has been wonderful! Compassionate, kind, a great listener, and I have made so much progress in a few sessions
Tom Powell
2 months ago
I never thought that pelvic floor therapy would be so effective or a worthwhile experience...and then I was lucky enough to find Cory Hazama. She is truly skilled and knowledgable.
Louise Decatrel
6 months ago
I am very happy with this choice for my therapy. My Therapist, Molly, is so fantastic. I feel very much at ease and comfortable with her.
Carol J. Weiss
7 months ago
Melanie is amazing. So knowledgeable, comforting, and enthusiastic.
Barry Gurvitch
7 months ago
Beyond Basics provides sensitive and professional care in a comfortable environment. I was skeptical at first if they could help but now, I am a believer.
Barbara Friedman
8 months ago
A wonderful introduction to pelvic floor therapy. Eliza's engaged, intelligent approach made me feel surprisingly hopeful. She's clearly a great person to work with.
Marian
9 months ago
Courteous and helpful staff. Excellent facilities. My PT is the best I found after months of searching around Manhattan.
Nell De Martini
9 months ago
I had a great experience working with Emily Moore for pre-op PT. She created an incredibly warm and inclusive environment and helped me feel comfortable from the start. In just a few sessions, she really helped me have a better understanding of my symptoms and how to best manage them. She gave me helpful tips to integrate into my daily routine and I noticed results almost immediately. I am looking forward to resuming sessions with her again after surgical recovery. The front desk and administrative staff were wonderful as well. I highly recommend working with Emily!
Elena Golub
11 months ago
Absolutely adored working with Melanie Rocchio. She's truly an expert at her craft and immediately puts you at ease. It's hard to make PFPT a comfortable process but she did. If you need PFPT, go see Melanie--I'll definitely be a returning client if I need further treatment.
Kat M.
11 months ago
I recently saw Kiko for regular PT sessions following a c-section delivery and HIGHLY recommend her, she's the best!! We worked on regaining both pelvic floor and core strength, and while I'm happy both have improved significantly in the months since my delivery, I was sad to have 'graduated' PT as I really enjoyed my sessions with Kiko - she's a pleasure to work with and learn from! I also had a good experience with Beyond Basics as a practice - Veronica at the front desk is very sweet!
Savannah Carlin
11 months ago
I cannot recommend Sonali highly enough, she’s truly incredible!
Sudais Haider
11 months ago
Nice
Lily Zoraster
11 months ago
Had a great experience here, front desk person Veronica is very nice and helpful. It was a delight to have Kiko as my therapist. She is very knowledgeable, easy to talk to/work with, and very thorough. She helped me find the perfect exercises that were very doable to help me progress and I progressed so fast in ways that I couldn’t imagine before. Thank you so much 😊
Mike Honcharik
12 months ago
Went to Beyond Basics for treatment of abdominal pain ,as recommended by my doctor . Kiko treated me , she was very professional and a listened to all my concerns ,and made me feel much better as to my condition . She was very knowledgeable and very helpfull . I highly recommend her.
Garland Horwitz
12 months ago
Emily Moore was fantastic! Great bedside manner and helpful. The whole team was very friendly
Samatha Nemana
1 year ago
So appreciative of the staff at Beyond Basics, especially Emily Moore! Emily was immensely helpful as I navigate my endometriosis journey. During our sessions I feel like I got some real answers around my pain - I so, so appreciate her. Our visits and the exercises she recommended have resulted in noticeable improvement over just a few short months. Highly recommend!
Michele Caplan
1 year ago
I have worked with Beyond Basics for over 15 years. I have an underlying chronic problem that I will have to manage for the rest of my life. With their multitude of skills, Beyond Basics has given me the therapy and strategies to go from acute pelvic pain, severe back, and postural problems to being able to manage my underlying problems with resilience and support. And, with their help and guidance I have avoided back surgery. The therapy and commitment at BB are on an entirely different level from therapy available any other Physical Therapy clinic I have ever encountered. It is entirely unique.
Allie Hemmings
1 year ago
Staff is friendly and efficient. Kiko is so easy to talk to, super informative, genuinely caring & kind, very knowledgeable about the pelvic floor as well as how other areas of the body work with it, and she also gave a great referral when my condition seemed to need treatment outside of her scope of practice. I highly recommend Kiko!
Ava Anderson
1 year ago
My son has autism and struggles with motor coordination. His physiotherapy sessions are tailored to his needs, full of playful yet purposeful activities. He looks forward to every visit and we’ve noticed significant improvements in his balance, posture, and ability to focus during tasks.
Ronlee Ben-Gal
1 year ago
Sonali Patel at Beyond Basis is an incredibly smart, kind, and effective pelvic floor PT. She was great during our sessions and also gave me the tools to continue healing on my own, without ever pushing unnecessary visits. I’d absolutely recommend her and will definitely come back to her if anything ever comes up again.
Kiko is exactly what you want in a PT… Attentive and clearly loves what she does, all with a sense of humor. You’ll be lucky if you get her..
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Beyond Basics: We Can Help

At Beyond Basics, we are committed to treating pelvic floor issues with sensitivity to each individual’s needs, regardless of sex, race, identity, age, or orientation – we treat the whole person with a comprehensive, caring biopsychosocial approach.

Since 2003, Beyond Basics has been a place of hope and healing for our patients. We believe skilled and compassionate healing can restore your body’s harmony and balance. Founder, Amy Stein, and co-founder, Corey Hazama are renowned experts and leaders in pelvic floor PT.

The skilled physical therapists at Beyond Basics receive extensive training to qualify them to be the world’s leaders in pelvic floor rehabilitation. All of our therapists have been carefully selected to work at Beyond Basics because they possess the right expertise, kindness, and empathy to allow them to excel at our practice. Our therapists have completed hundreds of additional hours outside of their doctorates both internally and externally through institutes such as Herman and Wallace and the American Physical Therapy Association, to help hone their practice and provide exceptional treatment efficiently and compassionately. In addition to being the world’s first and foremost experts in pelvic floor dysfunction, our individual therapists have cultivated additional skills unique to their own personal interests. Read more about each one of our therapists here.

Get help now from a pelvic floor therapist for fecal incontinence.

Fecal Incontinence

— Beyond Basics PT | Pelvic Floor Therapy NYC.

Frequently Asked Questions

How does pelvic floor dysfunction cause fecal incontinence?
Your pelvic floor muscles support your rectum and control bowel movements. When these muscles weaken or stop working properly, it becomes harder to hold back stool, leading to fecal incontinence. This can sometimes be mistaken for irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD) since the symptoms overlap. Your physical therapist or physician can rule out other issues and confirm if pelvic floor dysfunction is the cause of your fecal incontinence.
What role do the anal sphincter muscles play in bowel control?
The anal sphincter muscles surround your anus and work with your pelvic floor to keep stool in until you’re ready. If they’re weak or damaged, your bowel control suffers, especially with liquid stool or during sudden urges.
Can pelvic floor therapy help if I’ve had rectal surgery?
Yes, pelvic floor therapy helps strengthen the pelvic muscles and anal sphincter after rectal surgery. It can improve muscle coordination and reduce bowel incontinence symptoms.
What’s passive incontinence, and is it related to pelvic floor problems?
Passive incontinence happens when stool leaks without you realizing it. This often connects to weak pelvic floor and anal sphincter muscles that can’t hold stool in, even without a strong urge.
Does chronic constipation make pelvic floor issues worse?
Yes. Chronic constipation strains your pelvic floor muscles and anal sphincter over time. That strain weakens the system, making bowel incontinence more likely.
Who should I see to get a proper diagnosis?
Many healthcare providers don’t assess – or don’t know how to assess – the pelvic floor muscles and nerves, so it’s important to get a proper diagnosis from a practitioner who specializes in pelvic floor dysfunction and pelvic pain. Too often patients tell us that they’ve been to 10 different doctors and healthcare providers and their symptoms have not improved, or have worsened. Find a specialist right away and get on the path to healing as quickly as possible.
How often should I attend pelvic floor physical therapy sessions?
The frequency of pelvic floor physical therapy sessions varies based on the severity of your symptoms and your individual treatment plan. Typically, patients might start with weekly sessions and gradually reduce frequency as they progress.
How long does it take to see improvements from pelvic floor physical therapy?
The timeline for seeing improvements varies among individuals. Some patients might notice relief after a few sessions, while others may take several months to experience significant changes. Consistency with physical therapy and at-home exercises is key to achieving the best results.
How do I know if PT is helping?
Your symptoms should start to improve within 4-8 weeks if not sooner. Just keep in mind that, like any muscle, pelvic floor muscles can feel sore at the onset of a new exercise routine, or after a soft tissue mobilization. If you feel new or different discomfort after the first few sessions, that’s normal – and actually a good sign for future recovery. Your therapist is always ready to communicate and explain, and can talk you through what to expect.
Are there any at-home exercises I can do to complement my pelvic floor physical therapy?
Yes, your physical therapist will likely recommend specific at-home exercises tailored to your needs. These might include stretches, relaxation techniques, and strengthening exercises to support your pelvic floor health.
What insurance providers do you work with?

We accept Cigna, United Healthcare, and Aetna, and Oxford insurance out-of-network plans. Our billing staff will submit claims on your behalf.
You can also make convenient monthly payments with various finance options with Care Credit. We offer our patients special interest-free financing of 6, 12, or 18 months. We also offer discounted package rates through Care Credit.

If you have any questions about insurance coverage or financing, call our billing office: 212.354.2622, text us at: 212.354.2622 or email [email protected]

Is pelvic floor physical therapy covered by insurance?

At Beyond Basics, we are out of network with most insurance providers. This allows us to offer better care, including full-hour, one-on-one sessions without passing you off to aides. We create a treatment plan based on your specific needs rather than the limitations set by insurance plans, and we focus on functional goals that truly improve your life.

We accept out-of-network plans from Cigna, United Healthcare, Aetna, and Oxford. Our internal billing staff will work with you to submit claims on your behalf and walk you through your options. You can also make convenient monthly payments with various finance options through Care Credit, offering special interest-free financing of 6, 12, or 18 months, as well as discounted package rates.

If you have any questions about insurance coverage or financing, call our billing office at 212.354.2622, text us at 212.354.2622, or email [email protected].

What if I live out of town?

It can be hard to find highly-skilled, pelvic floor PT specialists. As a result, we often see patients who live out of town. We work with you in advance to make the most of your travel. We start with a two-hour initial evaluation and schedule daily follow up sessions that last at least 90 minutes during the remainder of your stay.

We encourage you to continue treatment with a local pelvic floor PT when you go home. If you can’t find someone near you, we recommend returning to us every month or couple of months for in-person visits.

We also offer telehealth – one-on-one video sessions completed over an online platform during which a PT guides you through treatments, progresses your exercise, and gives you support. This is another option to ensure that you progress at home when traveling isn’t an option. Click here to find out more about telehealth and to schedule an appointment.

Either way, we’ll give you as many tools as possible to continue your journey of healing at home.