PEDIATRIC PELVIC HEALTH / PHYSICAL THERAPY FAQ
What is the pelvic floor?
A group of muscles located between your hip bones that contribute to bowel and bladder control
What are common problems with the pelvic floor?
Incontinence, bedwetting, constipation, encopresis, frequency or pain are common diagnoses we treat.
How do you treat the pelvic floor?
Focus on optimizing muscle control and strength, breathing and relaxation techniques, and addressing posture along with educating and encouraging good habits.
Who do you collaborate with?
We collaborate with many medical providers including but not limited to pediatricians, pediatric urologists, surgeons, gastroenterologists, and/or gynecologists.
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P3 does require communication / collaboration with a medical provider
What should I expect at the first appointment?
We will discuss symptoms, concerns, and toileting habits as well as evaluate strength, breathing, and posture. We will also provide education regarding your specific diagnosis and create an individualized home plan including exercises and recommendations.
How long do you typically see patients for?
Follow-up treatment sessions are scheduled every week or every other week to start and taper as needed. Patients typically require 4–12 sessions over the course of a few months to meet goals with goals focusing on general strengthening, pelvic floor control, and symptomatic improvement.
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An example of treatment frequency =1x/week for month #1; bi-weekly for month #2, monthly check-in as needed.
SIGNS THAT YOUR CHILD MAY BENEFIT FROM PELVIC FLOOR PT
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Bedwetting beyond the age of 7
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Daytime incontinence beyond the age of 4 (delayed potty training)
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Delaying toileting as long as possible, often with “avoidance maneuvers”
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Bowel movements less than 3 times/week
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Large bowel movements that clog the toilet
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Showing signs of fear, anxiety, or pain with toileting
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Streaks of stool in underwear despite proper hygiene
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Complaints of pelvic pain
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IMPORTANT REMINDERS
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Unlike adult pelvic floor PT, pediatric therapy never involves internal pelvic floor muscle exams or treatment. A therapist can gather plenty of information with a thorough report from the child’s parent and an external physical exam.
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Physical therapy is one part of your child’s treatment plan–continue to follow all recommendations from your provider and medical team. If you have medication or other plan-of-care questions, please contact your medical provider.
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We will always prioritize making every patient feel safe and comfortable!