Designed for pelvic health physiotherapists

This immersive course integrates anatomy, defecation dynamics, digital rectal examination, biofeedback, manual therapy and patient-centred management planning.

  • Trauma-informed consent and communication

  • Supine, prone and side-lying anorectal examination

  • Rectal balloon and sensation testing

  • sEMG, RTUS and tactile biofeedback

  • Complex case study integration

  • Suitable for Physiotherapists working in Female or Male Pelvic Health

2 Day Practical Course

Build the clinical reasoning, confidence and practical skills required to assess and manage complex anorectal presentations using trauma-informed, evidence-informed physiotherapy.

Move from theory to confident clinical application

By the end of the course, you will be able to complete a structured anorectal assessment, interpret key findings and design a comprehensive management plan for common and complex presentations.

  • Assess with confidence

    Use a structured interview, physical assessment and digital rectal examination to guide clinical reasoning.

  • Integrate biofeedback

    Apply tactile, visual and auditory feedback using anorectal assessment, sEMG and real-time ultrasound.Bring together education, retraining, manual therapy, abdominal massage and multidisciplinary referral.

  • Plan complex care

    Bring together education, retraining, manual therapy, abdominal massage and multidisciplinary referral.Plan complex care

Two days of focused anorectal learning

Course Curriculum

Foundations

  • Functional anorectal anatomy
  • Defecation dynamics
  • Pelvic floor muscle dysfunction and the anorectum
  • Clinical interview and symptom classification

Digital Rectal Examination

  • Indications and contraindications
  • Trauma-informed consent
  • Side-lying anorectal examination
  • Supine and prone examination approaches

Sensation Testing & Biofeedback

  • Rectal balloon testing and anal sensation
  • Tactile, visual and auditory biofeedback
  • Surface electromyography
  • Real-time ultrasound

Treatment Techniques

  • Prone anorectal manual therapy
  • Internal and external manual therapy
  • Abdominal massage
  • Designing comprehensive management plans

Apply your skills to real clinical presentations

Clinical reasoning is embedded throughout the course, with practical discussion of assessment findings, differential diagnosis and management priorities.

Faecal Incontinence

  • Urge incontinence
  • Passive incontinence
  • Overflow incontinence
  • Post-defecation soiling

Obstructed Defecation

  • Functional dyssynergia
  • Structural contributors
  • Rectal prolapse
  • Coordinated evacuation retraining

Pain Presentations

  • Anal fissures
  • Pelvic floor muscle dysfunction
  • Coccyx pain
  • Traumatic medical interventions

Course Dates