Pelvic floor physical therapy treatment for children revolves around empowering the children to understand what the pelvic floor is and how to use it. Through education and exercise instruction, your child will learn how to relax and contract the pelvic floor muscles appropriately and efficiently to help them stay continent when needed and to allow for passage of urine and feces when ready. Learning the basics of pelvic floor contraction and relaxation can help with the following disorders your child may be experiencing: nighttime bedwetting (enuresis), daytime wetting (daytime incontinence), urinary urgency, urinary frequency, constipation and encopresis (loss of stool). More often than not, a child’s urinary disorders (nighttime or daytime wetting) are strongly linked to chronic or severe constipation. Due to the anatomy of the bladder and rectum in relation to one another, if there is stool that has been impacted in the rectum, there will be increased pressure on the urinary bladder which can lead to wetting accidents.
Through education of the parent on diet, toileting positions and toileting habits, as well as working with the child to strengthen the core muscles (this includes the abdominal, hip, back and pelvic floor muscles) and increase awareness of the pelvic floor muscles, pelvic floor PT can help make positive changes. I work closely with the child’s pediatrician to ensure all angles of treatment are being pursued to help the child through this time.
"Although enuresis tends to disappear spontaneously as the child grows, a significant proportion of patients continues to wet the beds into adolescence or adulthood. The impact of enuresis on affected children is mainly psychological and may be severe. This makes treatment not only justified but mandatory. Enuresis in a child older than 5 years is not a trivial condition, and needs proper evaluation and treatment." ICCS 2010