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Pediatric Pelvic Heath

Physical therapy can help a wide array of bowel and bladder dysfunctions by retraining the pelvic floor muscles in order to restore normal function to the urological, gastrointestinal, and colorectal system. 

Is my child appropriate for this?

Common diagnoses that can be treated are bedwetting, urinary retention, incomplete bladder emptying, urinary incontinence, anal incontinence, chronic constipation, pelvic pain, painful urination or defecation, and urinary or fecal urgency and frequency. Currently the clinic is now opening their doors to pediatric pelvic floor clients on a case-by-case basis depending on the level of complexity. 

What to Expect

During initial examination and all treatment visits, parent/guardian must be present.  You can expect 60- minute treatments once per week. Number of overall therapy visits can vary depending on the level of chronicity and complexity of the issue, as well as extent of home program adherence. Treatment will likely be at least 4-8 visits.  On the first day, you can expect a thorough intake of your child’s medical hx and discussion of current complaints.  It would be helpful to have pertinent paperwork (medical records, diagnostic results, operative reports, etc) present at initial evaluation.  Objective examination may entail postural assessment, strength testing, assessment of flexibility/mobility, and external pelvic floor muscle assessment.  Pelvic floor assessments entail visualization and palpation to the skin near the anus and perineum to analyze quality of muscle contraction and relaxation.  NO internal vaginal or rectal exams will be performed by the physical therapist.  Biofeedback may or may not be used on the first day, but can be a helpful treatment tool to analyze pelvic floor muscle activity and retrain the muscles.  Based on the results of the exam, the therapist with work together with you and your child to create a custom plan of care and therapy program that is tailored to their specific case.  Patient and parent education is a huge component of pelvic floor therapy and will be included in each session, as well as bladder/bowel diaries, therapeutic exercise, and SEMG biofeedback. 

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