Pediatric Pelvic Floor Rehabilitation
We can improve a variety of children's health issues
Enuresis is the clinical diagnosis for bed-wetting, and is the most common type of elimination disorder in children. Many factors may be involved with the development of bed-wetting, including physical, emotional, or psychological. A child may experience bed-wetting if they have a small bladder, persistent urinary tract infections, severe stress or trauma, or developmental delays that interfere with toilet training.
If a child is beyond the age expected for acheiving bladder control, they may be experiencing a variety of dysfunctions including overactive bladder, underactive bladder, vaginal reflux, urge or stress incontinence, voiding postponement, dysfunctional voiding, or bowel-bladder dysfunction.
We can help parents and children understand the pathology and anatomy of the pelvic floor muscles and how they relate closely to the bowel and bladder systems. Education is a key component to a successful rehab program, especially when working with children. We will collaborate closely with your child’s physician or specialist in order to come up with a comprehensive rehab approach.
We can help parents and children understand the relationship between pelvic floor muscles and normal bowel and bladder function.
How we treat
We believe that successful treatment is the result of consistency in care. Our model is designed to foster this concept and is, frankly, unique in Portland. Typically, you will work with the same physical therapist throughout your rehabilitation. This partnership will help you achieve your goals, ensuring your progress is closely monitored and quickly address any issues or concerns to keep your recovery on track.
Your therapist will collaborate with you to develop a comprehensive treatment plan.
Constipation is prevalent in 12% of children, and in 30-50% of children with other lower urinary tract symptoms. The pathology of constipation is still not completely understood, however there are some techniques to minimize constipation ranging from change in routine, social situations, illness, availability of toilets, ability to use a toilet in public, withholding for fear of pain, and other possible gastrointestinal issues. We can teach parents and children how to use manual skills to help decrease constipation, as well as discuss dietary needs and nutritional balance.
Bowel-Bladder Dysfunction (BBD)
Often children experience coexisting urinary and bowel dysfunction. Treatment for these issues involve urotherapy, muscle re-education to pelvic floor muscles, timed voiding schedules, and education. Because everyone is different, each child is provided with an individualized rehab approach.
Understanding Pelvic Floor Muscles
Pelvic pain and voiding dysfunction can be mitigated or resolved with identification of muscle tension patterns, relaxation training to regulate excess tension, manual therapy to reduce spasms and treat trigger points, stretching exercises, posture training,