Gastroparesis is a condition that affects the normal movement of the muscles (motility) in the stomach. Normally, strong muscular contractions propel food through the digestive tract with gastroparesis, the stomach’s emptying is slowed down or doesn't work, which prevents it from emptying properly. Common symptoms of gastroparesis include nausea, bloating and vomiting.

The pelvic floor muscles are closely connected to the digestive system, and studies have shown that dysfunction in these muscles can contribute to the development or worsening of gastroparesis symptoms. By addressing these underlying muscle issues, pelvic floor physical therapy (PFPT) can help alleviate the symptoms of gastroparesis and improve the overall functioning of the digestive system. One of the key techniques used in PFPT for gastroparesis is biofeedback. This involves using specialized equipment to monitor the activity of the pelvic floor muscles and provide visual feedback to the patient to help the patient learn how to properly use these muscles. 

In addition to biofeedback, PFPT also teaches diaphragmatic breathing, also known as belly breathing, which can help improve gastroparesis by stimulating the vagus nerve, improving stomach function to help reduce symptoms. The diaphragm sits underneath the ribcage and is the main muscle for breathing. When the diaphragm is tight, shallow breathing can occur which can affect the vagus nerve and the overall ‘rest and digest’ function of the parasympathetic nervous system that promotes digestion. Tightness or weakness in the muscles of the chest, hips and neck can all affect our posture and poor posture can affect the diaphragm and the vagus nerve.  As always, it is important to consult with a healthcare professional to determine the best treatment plan for your specific condition and if pelvic therapy can be a part of your healthcare team.