Abstract
Anal incontinence and defecatory difficulties are common and have a considerable impact on quality of life and health cost. Conservative management should be the first line management of anorectal dysfunction because there is minimal risk and a high rate of success with completion of therapy. This article aims to describe the principles of the physiotherapy assessment and the diagnostic process and to summarise published literature focusing on level 1 evidence of the physiotherapy strategies utilised as first-line conservative management of the following anorectal disorders: anal incontinence, defecatory difficulties and functional anorectal pain.
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