I had the anal manometry and found out my muscles were not contracting and relaxing properly leading to pelvic floor dysfunction. I was sent for pelvic floor therapy. Also had a defecagraphy test done and found out had a mild rectocele. I was sent to pelvic floor therapy again. Due to DJD and spinal arthritis and weak pelvis was unable to gain much benefit from it. The concept is good and may work for many but due to other issues did not work for me. I continue to struggle with severe constipation and primarily use Senna since also have slow transit constipation. Due to painful spinal arthritis, DJD and constipation and pelvic floor issues it is challenging to know what to do. Still working on it. Recently started seeing a pain management group . and am hopeful. Constipation issues still awful and trial and error. have tried miralax, linzess, dulcolax, MOM . Any suggestions welcome. thank you for the opportunity to compare notes with these issues. I just keep praying and being hopeful. TY