An Introduction to Adult Bowel Physiotherapy : Dr Carina Siracusa

This will be one of the few  paediatric to adult life span bowel courses to have ever run in in the UK, Ireland or Europe.  It is aimed at paediatric physiotherapists  and pelvic health physiotherapists. 


Description: This course will explore treatment of the bowel from pediatrics to adults. Bowel issues can often start in childhood and plague people throughout their lifespan. When caught early, many of these bowel problems can be eliminated. Constipation is often present early on and can get worse as people age. Conversely, many adults that come to pelvic floor therapy with bowel issues developed these habits in childhood. Therapists must be comfortable asking about bowel history in order to be able to reverse long standing bowel issues. This course will talk about treatment of constipation, fecal incontinence, and other bowel issues from childhood through adulthood. Participants will learn both evaluation and treatment techniques for this population and will come away with things that they can use in the clinic the next day!


  1. Participants will be able to interview patients of all ages appropriately to discern current bowel and bladder habits.
  2. Participants will be able to provide education to patients on good bowel hygiene and positioning habits to optimize bowel health.
  3. Participants will be able to identify proper exercises to facilitate good bowel health.



9:00-9:45 Review of Bowel Anatomy

9:45-10:30 Review of Bowel Physiology

10:30-10:45 BREAK

10:45-11:45 Pediatric Bowel Disorders

11:45-12:45 Adult Bowel Disorders

12:45-1:45 LUNCH

1:45-2:30 External examination for adults and pediatrics

2:30-3:30 Physiotherapy Treatment for Bowel Issues

3:30-3:45 BREAK

3:45-4:45 Case Studies and Modalities



Tutor: Carina Siracus PT, DPT, WCS

Carina Siracusa, PT, DPT, WCS practices with Ohio Health in Columbus, Ohio, USA where she is a pelvic floor therapist and the program coordinator for the oncology rehabilitation team.  She also works closely with the OhioHealth Neuroscience tower where she heads up the wheelchair clinic as well as the neuroincontinence program.  She served as the CAPP Pelvic Committee Chair from 2011-2015.  She has been teaching for the Section on The American Physical Therapy  Women’s Health section  for over 5 years. In 2017 she was part of the 1st Focused Symposium on Paediatric Pelvic Health at WCTP 2017 in Cape Town. Carina is one of the few pelvic health physiotherapists to specialise in both paediatrics and paediatric pelvic health giving her a unique perspective on these young patients. She is seen in the USA as one of the leading PTs teaching bowel dysfunction. Where she differs from her esteemed inetrnational colleauges is her ability to link bowel dysfunction from toddlers, children through to adults.

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