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Pelvic Floor Therapy – Internal Splinting Guidelines

Home News & Videos JAG-ONE Physical Therapy Blog Pelvic Floor Therapy – Internal Splinting Guidelines

Have you ever experienced any of these symptoms?

  • Constipation
  • Fecal incontinence
  • Heaviness in the Vagina
  • Feeling like you haven’t emptied your bladder all the way
  • Having drops of urine come out as you stand up from the toilet

If you answered yes, then splinting may be a useful tool for you. Splinting is a technique often used by patients with pelvic organ prolapse to help them fully empty their bowels or bladder. Splinting is primarily suggested for helping with constipation, but certain splinting techniques can also help with urinary symptoms. Typically, splinting is performed by inserting a clean finger into the vagina to help hold, or splint, the pelvic organs and stabilize them in a more optimal position while using the bathroom. This can help hold the bowels or bladder in a more upright position to allow for full emptying when you go to the bathroom. You may also find that splinting externally can also help; this involves applying some gentle upward pressure to the perineum (see pictures below). Video coming soon!

Internal splinting for the bladder/urethra

Begin by sitting on the toilet. Then use a clean finger with or without some toilet paper around it. Insert the tip of your finger into the vagina and gently apply some pressure forward, away from your spine.

External View (from below)
Internal View (from above)

Internal splinting for the bowels

Begin by sitting on the toilet. Then use a clean finger with or without some toilet paper around it. Insert the tip of your finger into the vagina and gently apply some pressure backward, toward your spine.

External View (from below)
Internal View (from above)

External splinting for bowels

Begin by sitting on the toilet. Then use a clean finger with or without some toilet paper around it. Next gently apply some pressure with your finger to the perineum upward, toward your head.