From the Blog

Effective Constipation Treatment: Evidence-Based Physical Therapy

effective constipation treatment
Constipation Management | Image Courtesy of Giorgio Trovato via Unsplash

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Issues We Treat

At Fusion Wellness & Physical Therapy, we specialize in treating these conditions that are all too often misunderstood by the medical community.

Pelvic Floor Issues

  • Endometriosis (Endo)
  • Interstitial Cystitis (IC)
  • Pelvic Floor Prolapse
  • Urinary & Fecal Incontinence
  • Bowel & Gut Issues
  • All Pelvic & Core Issues
  • All Types of Pelvic Pain

Pregnancy & Postpartum

  • Pelvic pain, Low Back Pain, Hip Pain
  • Incontinence During & After Pregnancy
  • Diastasis Recti
  • Ligament and Joint Pain
  • All Manner of Core and Pelvic Issues
  • C-section Healing & Pain Management

Orthopedic Issues

  • Neck & Shoulder Pain
  • Lower Back Pain
  • Hip Pain
  • Hip & Knee Replacements
  • Knee Pain
  • Foot & Ankle pain
  • Pre-op Prep & Post-op Care

Let the therapists at Fusion Wellness & Physical Therapy help you along the journey back to wellness and function! Make an appointment today and let’s get started.

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Diagnoses of Male Pelvic Floor Issues

Diagnoses of Male Pelvic Floor Issues:

Pelvic Pain Conditions:

  • Chronic Pelvic Pain Syndrome
  • Nonbacterial Chronic Prostatitis
  • Pudendal neuralgia
  • Penis pain
  • Testicle pain (chronic orchialgia)
  • Rectal pain
  • Coccyx pain
  • Levator ani syndrome
  • Painful erection
  • Painful ejaculation

Bladder Conditions:

  • Urinary incontinence
  • Urinary incontinence (Post-prostatectomy)
  • Chronic Prostatitis (Nonbacterial)
  • Voiding dysfunction/Urinary retention
  • Urinary urgency/frequency

Bowel Conditions:

  • Fecal or gas incontinence
  • Constipation issues
  • Difficulties with defecation
  • Incomplete defecation
  • Bowel frequency/urgency
  • Rectal prolapse
  • Painful bowel movements

Post Surgical Conditions:

  • Scar tissue pain management:
    • colon resections
    • ileostomies
    • colostomies
    • vasectomies
    • prostatectomies
  • Strengthening of the abdominal wall
  • Post abdominal surgery hernia prevention
  • Parastomal hernia prevention

Meet Our Team

About Heather Jeffcoat, DPT | Los Angeles Pelvic Floor Doctor

Heather Jeffcoat, DPT - los angeles pelvic floor doctor

Read more … About Heather Jeffcoat, DPT...

About Laureen McVicker, PT, CLT

Laureen McVicker, PT, CLT

Read more … About Laureen McVicker, PT,...

About Kasia Gondek, PT, DPT, CSCS

Read more … About Kasia Gondek, PT, DPT,...

About Sarina Karwande PT, DPT, CAFS


Read more … About Sarina Karwande PT,...

About Stephany Tritt, PT, DPT

Stephany Tritt, PT, DPT
Low Intensity Extracorporeal shockwave therapy

Read on to find out more about Low Intensity Extracorporeal Shockwave Therapy

Low Intensity Extracorporeal shockwave therapy (LiESWT) is a research supported treatment modality that has applications for a variety of conditions such as wound healing and orthopedic conditions including sprains, strains and joint inflammation. An electrode inside a dome of water sends short, frequent sparks of energy which create soundwaves traveling through the applied tissue, causing an increase in blood flow, as well as decreased inflammation. 

There is also a body of research that supports the use of Low Intensity Shockwave Therapy for a variety of urologic conditions such as erectile dysfunction and chronic pelvic pain syndrome. 

Erectile dysfunction (ED), or the inability to achieve and maintain erections adequate for sexual intercourse, is one of the most common conditions affecting middle-aged and older men. There are many common medical conditions such as hypertension, diabetes mellitus, cardiovascular disease, endocrine disorders, and psychological conditions such as depression, stress, and anxiety that contribute to sexual dysfunction. Hypertension, diabetes and cardiovascular disease cause insufficient blood supply of the penile tissue which is essential for achieving erection, and there are many medications whose side effects can affect erectile dysfunction.1 Currently, erectile dysfunction is treated with medication such as phosphodiesterase type 5 inhibitors. However, a considerable number of patients do not respond well to drug therapy and these medications do not treat any of the underlying causes of erectile dysfunction.2

Moreover, erectile dysfunction is directly related to endothelial dysfunction, as the release of nitric oxide from the vascular endothelial cells of the penile arteries is essential for the relaxation of the smooth muscle cells in order to fill erectile tissue with blood. 

Current clinical evidence suggests that LiESWT significantly increases penile rigidity and function by allowing for increased angiogenesis and neovascularization (formation of new blood vessels), as well as increasing erectile tissue smooth muscle cells, resulting in improved penile blood flow and endothelial function, thus treating the cause of Erectile Dysfunction (or ED).3 

Chronic pelvic pain syndrome (CPPS) is a common condition that can greatly impact quality of life. The pelvic floor has many essential functions such as maintaining continence of both bowel and bladder, allowing for proper sexual function including orgasm, and providing stability to the abdomen and spine. Thus, pain and associated impairments with the pelvic floor can lead to a variety of dysfunction with important bodily functions. Current clinical evidence supports the use of LiESWT in the treatment of CPPS as it promotes angiogenesis and increased perfusion of overactive, ischemic tissues, thus releasing trigger point and reducing muscular tone.4 

There is also a body of emerging evidence that supports the use of Low Intensity Shockwave Therapy (LiESWT) for the treatment of stress urinary incontinence (SUI).

SUI is the involuntary leakage of urine upon physical effort, exertion, coughing or sneezing. In a 2020 study, results revealed that 8 weeks of weekly shockwave therapy (LiESWT) meaningfully improved urine leakage via pad test, post-void residual urine leakage, urinary frequency and nocturia.5 Moreover, this type of shockwave therapy is reported to have an anabolic effect on muscular tissue and is thought to strengthen the pelvic floor muscles when it is applied. 6

Frequency of treatment is usually provided 1 time per week, up to 2 times per week for more acute conditions. Some patients find benefit from as little as 1-3 sessions, but more typically for 6-9 sessions. 

Our team at Fusion Wellness and Physical Therapy is committed to providing the highest level of evidence-based care and utilizing the most advanced and innovative treatment techniques. That is why we are conducting a research study to determine the effectiveness of low intensity shockwave therapy for patients with dyspareunia, or pain with intercourse. We are searching for volunteers to participate in this high quality study. Those who qualify to participate will receive a reduced rate on all visits related to the study!  

If you are interested in this opportunity, please read the following criteria to determine if you are eligible:

Must answer YES to the following: 

  1. Do you currently have pain with intercourse or vaginal penetration?
  2. Were you assigned female sex at birth, and do you have your own vaginal tissue?
  3. Do you have the ability to access the informed consent form and other outcome measures electronically? Meaning do you have computer and email access to view and complete components of the study?

Must answer NO to the following: 

  1. Have you started hormonal therapy within the past 2 weeks?
  2. Have you received pelvic floor physical therapy within the past 2 weeks?
  3. Do you currently have an active infection? (e.g. herpes, yeast infection, UTI)
  4. Have you had surgery within the past 12 weeks?
  5. Have you given birth within the past 6 weeks?
  6. Do you have a history of gynecologic cancer?
  7. Have you had pelvic radiation?
  8. Are you currently receiving treatments for cancer?
  9. Are you currently pregnant?
  10. Are you currently using lidocaine or cortisone to treat your dyspareunia?
  11. Have you received shockwave before?

If you are interested in trying this innovative treatment, please reach out to us at our Sherman Oaks office! 

Debbie Dy PT, DPT, Board-Certified Orthopedic Clinical Specialist 



  1. Pan, M. M., Raees, A. & Kovac, J. R. Low-Intensity Extracorporeal Shock Wave as a Novel Treatment for Erectile Dysfunction. Am. J. Mens. Health 3-5 (2015). doi:10.1177/1557988315574511
  2. Lu, Z. et al. Low-Intensity Extracorporeal ShockWave Therapy Treatment Improves Erectile Function: A Systematic Review and Meta-Analysis. Eur. Urol. 2838, 1-11 (2016)
  3. Sokolakis, I. et al. The Basic Science Behind Low-Intensity Extracorporeal Shockwave Therapy for Erectile Dysfunction: A Systematic Scoping Review of Pre-Clinical Studies. Journal of Sexual Medicine (2019). doi:10.1016/j.jsxm.2018.12.016
  4. Wang, H. J., Tyagi, P., Chen, Y. M., Chancellor, M. B. & Chuang, Y. C. Low energy shockwave therapy inhibits inflammatory molecules and suppresses prostatic pain and hypersensitivity in capsaicin induced prostatitis model in rats. Int. J. Mol. Sci. (2019). doi:10.3390/ijms20194777
  5. Long CY, Lin KL, Lee YC, Chuang SM, Lu JH, Wu BN, Chueh KS, Ker CR, Shen MC, Juan YS. Therapeutic effects of Low intensity extracorporeal low energy shockwave therapy (LiESWT) on stress urinary incontinence. Sci Rep. 2020 Apr 2;10(1):5818. doi: 10.1038/s41598-020-62471-4. PMID: 32242035; PMCID: PMC7118154.
  6. Yuan, P. et al. Efficacy of  low-intensity extracorporeal shockwave therapy for the treatment of chronic prostatitis/chronic pelvic pain syndrome: A systematic review and meta-analysis. Neurology and Urodynamics (2019). doi:10.1002/nau.24017

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**This information is for educational purposes only and is not intended to replace the advice of your doctor.

About Fusion Wellness PT

Fusion Wellness & Physical Therapy are licensed physical therapists specialized in treatments for male, female, transgender and nonbinary pelvic health conditions, sexual health, chronic pain disorders, sexual dysfunction, prenatal and postpartum symptoms, bowel and bladder issues and general sports and orthopedic diagnoses. We also specialize in Pediatric pelvic health.
Certified Attain Specialist 

Sherman Oaks

13425 Ventura Blvd.
Suite 200
Sherman Oaks, CA 91423

(818) 877-6910

The Sherman Oaks office is adjacent to Studio City and serves the Bel Air, Brentwood, West LA, Mulholland, Beverly Hills, Encino, Calabasas and San Fernando Valley area.

Map to Fusion Wellness PT Sherman Oaks Location


Monday 7:30-6:00
Tuesday 7:00-6:00
Wednesday 7:00-6:00
Thursday 8:00-6:00
Friday 7:00-6:00

Glendale/Montrose and Pasadena Areas

3702 Park Place
California 91020

(818) 873-1403

The Montrose area of Glendale is located minutes from Pasadena, Burbank, Silver Lake, Atwater Village, Los Feliz, Echo Park, and Eagle Rock.

Map to Fusion Wellness PT Montrose Location


Monday  7:00-6:00
Tuesday 7:00-4:00
Wednesday 7:00-6:00
Thursday 7:00-4:00
Friday CALL

Beverly Hills

9012 Burton Way
Beverly Hills, CA 90211

(310) 871-9554

The Beverly Hills office is convenient to Mid-Wilshire, West Hollywood, Hollywood, Beverlywood, Korea Town, Downtown LA, Culver City, Century City, Santa Monica and Malibu.

Map to Fusion Wellness PT Sherman Oaks Location


Monday 12:00-5:00
Tuesday CALL
Wednesday CALL
Thursday 7:00-6:00
Friday CALL
Saturday CALL
Sunday CALL

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