10/03/2026
For female pelvic health physiotherapists, real-time ultrasound imaging (RTUS) is considered the gold standard for assessing how this muscle actually functions.
Here’s why 👇
🔎 It allows us to see the muscle working in real time�Rather than relying purely on symptoms or manual assessment, ultrasound lets both you and us directly observe the external a**l sphincter contracting and relaxing. This gives us clear, objective information about muscle function.
📊 It improves assessment accuracy�Some patients can feel like they are contracting correctly, but the muscle may actually be under-recruiting, over-recruiting, or not coordinating properly. Ultrasound allows us to confirm exactly what is happening.
🧠 It enhances client understanding�Seeing the muscle work on screen provides powerful visual feedback. Clients can immediately understand what a correct contraction looks like, which can significantly improve rehabilitation outcomes.
🩺 It helps guide personalised treatment�Whether someone is experiencing faecal incontinence, urgency, post-obstetric injury, or difficulty coordinating their pelvic floor, ultrasound helps us tailor treatment based on what we see — not guesswork.
✨ It supports evidence-based pelvic health care�Using imaging alongside clinical assessment ensures we are providing the highest standard of care and targeting the right muscles in the right to help our clients regain confidence, control, and function.
If you’re experiencing bowel control issues or pelvic floor concerns, you’re not alone — and effective assessment is the first step toward recovery.
Here at Blizard Physiotherapy Jodie and Jenny our specialist female pelvic health physiotherapists have totted it up and assess a 1000 vagina’s/external a**l sphincters every year! Be reassured, all vulva’s and bottoms are unique, it is the functioning that really matters to us and you for health and longevity.
Keep coming back here for more information on the equipment and gadgets we use to assess and treat female pelvic health issues.
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