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Patient: 40-year-old female with 8 year history of constipation.
Chief Complaint: Difficulty with bowel evacuation, normal stool consistency. Patient leans back and presses on stomach to evacuate.
Past Medical History: 2 vaginal births, insomnia since last birth 3 years ago.
Physical Therapy Treatment: Manual therapy to pelvic floor and abdomen; review of proper bowel evacuation and stool formation; breathing mechanics; postural education and exercise; LE stretching; core strengthening exercises; HEP.
Results: Complete bowel evacuation 1-2x per day without straining or altered mechanics after 8 visits.