Introduction

Did you know that pelvic floor issues aren't just an adult concern? Children, too, can experience problems that affect their daily lives and well-being. If your child struggles with bladder control, constipation, or pelvic pain, pediatric pelvic floor physical therapy (PT) might be the key to their recovery.

Understanding how specialized therapy can address these sensitive issues is crucial for your child's health. In this comprehensive guide, we'll explore what pediatric pelvic floor PT is, how it helps, and what you can expect from treatment.

Understanding Pediatric Pelvic Floor Issues

Common Challenges Children Face

Children may experience a range of pelvic floor dysfunctions, including:

• Urinary Incontinence: Difficulty controlling bladder function, leading to accidental leaks.

• Constipation and Encopresis: Chronic constipation or involuntary fecal soiling.

• Pelvic Pain: Discomfort in the pelvic region that may affect movement and daily activities.

These issues can lead to embarrassment, social withdrawal, and impact a child's confidence and quality of life.

Recognizing the Signs

Pelvic floor issues in children can manifest in various ways. Being attentive to these signs can help you identify problems early and seek appropriate care.

1. Persistent Urinary Incontinence

• Frequent Daytime Accidents: If your child is older than 7 and continues to have regular urinary accidents during the day, it might indicate an underlying issue.

• Bedwetting Beyond Expected Age: While occasional bedwetting can be normal, consistent nighttime accidents beyond the age of 7 could be a concern.

• Urgency and Frequency: A sudden, strong need to urinate or needing to use the bathroom more than 8 times a day may indicate bladder hypersensitivity and or a possible influence of constipation. Check out our social media post on the influence of constipation on bladder health.

• Straining to Urinate: Difficulty starting urine flow or straining can indicate muscle coordination problems or difficulty with relaxing the pelvic floor muscles.

2. Constipation and Bowel Issues

• Infrequent Bowel Movements: Fewer than three bowel movements per week can be a sign of constipation.

• Hard or Painful Stools: Straining or pain during bowel movements suggests difficulty with relaxing pelvic floor muscles, chronic withholding of bowels, and/or lack of fiber or water in the diet.

• Soiling (Encopresis): Involuntary leakage of stool, especially in a potty-trained child, may result from chronic constipation and muscle dysfunction.

• Avoidance of Bowel Movements: Withholding behavior, where a child resists the urge to have a bowel movement, can exacerbate constipation.

3. Pelvic and Abdominal Pain

• Chronic Discomfort: Ongoing pain in the pelvic region, lower abdomen, or lower back without a clear medical cause.

• Pain During Physical Activity: Complaints of discomfort while running, jumping, or playing may indicate muscle issues.

• Painful Urination or Defecation: Discomfort during bathroom activities can be a red flag.

4. Difficulty with Toilet Training

• Delayed Progress: Struggling with potty training beyond the typical age range (>8 years old).

• Fear or Anxiety: Extreme reluctance or fear about using the toilet can be linked to pain or discomfort.

• Regression: Returning to diapers after successful potty training may signal underlying problems.

5. Unusual Postures or Behaviors

• Holding Maneuvers: Squatting, leg crossing, or pressing the heel into the perineum to prevent accidents.

• Frequent Trips to the Bathroom: Going to the toilet excessively without significant output.

• Avoiding Physical Activities: Reluctance to participate in games or sports that might trigger symptoms.

6. Recurrent Urinary Tract Infections (UTIs)

• Multiple UTIs: Frequent infections may result from incomplete bladder emptying due to pelvic floor dysfunction.

• Symptoms of UTIs: Burning sensation during urination, cloudy urine, or a persistent urge to urinate.

7. Changes in Behavior or Mood

• Irritability or Mood Swings: Discomfort may cause changes in temperament.

• Withdrawal from Social Interaction: Embarrassment or anxiety about symptoms can lead to isolation.

• Decreased Academic Performance: Distractions from pain or the need to use the bathroom frequently can affect concentration.

8. Physical Signs

• Abdominal Bloating: Swelling in the abdomen due to constipation.

• Visible Straining: Noticeable effort during urination or bowel movements.

• Poor Posture: Slouching or tilting the pelvis to alleviate discomfort.

When to Consult a Specialist, Pelvic Floor PTs

If you observe one or more of these signs persisting over time, it's important to seek professional advice:

• Extended Duration: Symptoms lasting more than two weeks should be evaluated.

• Impact on Daily Life: If symptoms interfere with school, play, or sleep.

• Emotional Distress: Signs of anxiety, embarrassment, or frustration related to symptoms.

Taking Action

Start with Your Pediatrician

• Medical Evaluation: Rule out infections or anatomical abnormalities.

• Referrals: Your pediatrician can refer you to specialists like pediatric urologists or gastroenterologists.

Consult a Pediatric Pelvic Floor Physical Therapist

• Specialized Assessment: Therapists can evaluate muscle function and coordination.

• Personalized Treatment: Development of a tailored therapy plan addressing specific issues.

The Importance of Early Intervention

Addressing pelvic floor dysfunction early can:

• Prevent Complications: Reduce the risk of chronic constipation, urinary retention, or kidney issues.

• Enhance Quality of Life: Improve your child's comfort, confidence, and participation in activities.

• Support Development: Ensure symptoms do not hinder physical or emotional growth.

Supporting Your Child

• Open Communication: Encourage your child to talk about their symptoms without shame or embarrassment.

• Positive Reinforcement: Praise efforts and progress, no matter how small.

• Education: Teach your child about their body in an age-appropriate way to empower them.

  What Is Pediatric Pelvic Floor Physical Therapy?

A Specialized Approach

Pediatric pelvic floor PT focuses on evaluating and treating muscle dysfunction in the pelvic area. Therapists use child-friendly techniques to:

• Strengthen weak muscles.

• Relax overly tight muscles.

• Improve coordination and control.

Tailored Treatment Plans

Each child receives an individualized treatment plan that may include:

• Biofeedback Training: Using visual or auditory feedback to help the child understand and control pelvic muscles.

• Exercises: Gentle movements and stretches to enhance muscle function.

• Education: Teaching the child and family about pelvic health and strategies for improvement.

How Therapy Makes a Difference

Improving Physical Symptoms

Through consistent therapy, children often see improvements such as:

• Reduced urinary accidents.

• Regular bowel movements.

• Decreased pelvic pain.

Enhancing Emotional Well-being

Beyond physical benefits, therapy can:

• Boost self-esteem.

• Reduce anxiety related to symptoms.

• Encourage participation in social activities.

What to Expect During Therapy

The Initial Evaluation

A thorough assessment includes:

• Medical history review.

• Physical examination (conducted with sensitivity and care).

• Discussion of symptoms and goals.

Ongoing Treatment Sessions

Therapy sessions are:

• Interactive: Engaging activities that keep the child involved.

• Supportive: Therapists provide encouragement and celebrate progress.

• Educational: Families learn how to support therapy at home.

Collaboration with Healthcare Providers

Therapists often work closely with:

• Pediatricians.

• Urologists.

• Gastroenterologists.

This team approach ensures comprehensive care.

Supporting Your Child at Home

Encouraging Healthy Habits

Help your child by:

• Promoting regular bathroom schedules.

• Encouraging hydration and a fiber-rich diet.

• Practicing exercises recommended by the therapist.

Open Communication

Maintain an open dialogue about:

• Your child's feelings and concerns.

• Progress and any challenges faced.

• Questions for the therapist or medical team.

When to Seek Help

Recognizing the Signs

Consider consulting a specialist if your child:

• Has frequent accidents after potty training age.

• Complains of pelvic pain.

• Shows signs of constipation or bowel issues.

Taking the Next Step

Early consultation can lead to effective treatment and improved outcomes. Don't hesitate to reach out to a pediatric pelvic floor PT specialist.

Conclusion

Pediatric pelvic floor physical therapy offers hope and healing for children facing challenging pelvic health issues. By addressing these problems with expert care, you can enhance your child's health, confidence, and happiness.

Ready to make a difference in your child's life? Contact us today to schedule an appointment and take the first step toward improved well-being.

Note: This information is for educational purposes and is not a substitute for professional medical advice. Please consult a healthcare provider for personalized care.

Written By,

Dr. Jana Richardson, PT, DPT, WCS, PRPC, CIDN
Dual Board Certified Pelvic Floor Therapist and Owner of Chicago Pelvic Health

Dr. Jana Richardson is a highly accomplished pelvic floor therapist with dual board certifications and extensive experience in treating complex pelvic floor dysfunctions. As the owner of Chicago Pelvic Health, Dr. Richardson is dedicated to providing personalized and effective care for her patients. With a Doctorate in Physical Therapy, and specialized certifications in Women’s Health and Pelvic Rehabilitation, Dr. Richardson is a leading expert in her field. She is also certified in Integrative Dry Needling, further enhancing her ability to offer comprehensive treatment plans. Dr. Richardson’s commitment to patient-centered care and her passion for helping individuals achieve optimal pelvic health make her an invaluable asset to the community.

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