Pediatric Pelvic Health

Pelvic health physical therapy for your child

The pelvis serves many vital functions for kids. As the center connection point between the child's upper and lower body, it is core to how they move, breathe, and regulate normal bodily processes like bowel and bladder function.

Most children by the age of 2 years old are ready to be potty trained. In some cases though, the child may not be ready and continue to leak urine throughout the day or night. There can be multiple reasons why this happens:  their sensory system is not fully developed, increased muscle weakness in their core (abdominals and pelvic floor muscles), the child is not ready mentally, a poor diet with increased intake of bladder irritants, difficulty adapting to life events, and many other reasons. In fact, according to a research study performed at Wake Forest Baptist Medical Center, children who are potty trained before 24 months of age are three times more likely to develop a daytime wetting problem later in life.

There is also an association between constipation and urinary leaking in children. This happens because there is limited space inside the pelvis, especially in a child, and extra bowel in the rectum causes compression on the urinary system. These issues can continue into adulthood and need to be addressed at an early age.

Furthermore, in many cases a child can be potty trained for several years and then all of a sudden have some occasions of day time incontinence or enuresis. This can be caused from a life changing event such as a move, a new school, or a change in the family dynamic (divorce, new child, etc.).

If your child is having troubles with his/her bladder you should know it is not on purpose. Punishing a child or making them feel embarrassed about their day or night time wetting is not the way to handle their problem. Children do not wet their pants on purpose and need to see a specialist who treats the pelvic floor, specifically a pediatric pelvic health specialist.

 

  • Are your kids still having accidents at night?
  • Are they peeing their pants at school?
  • Do they feel embarrassed?
  • Are they missing out on social activities?
  • Are they experiencing low back or tailbone pain?

Urinary incontinence could be normal for their age but there does come a time when children should be dry during both the day and night. A pediatric pelvic health specialist can determine why they're still having accidents and how to help.

If this sounds familiar, click here to find an Activcore location to get help now.

 

 

The Pediatric Pelvic Health Specialist

In each State, there are only a handful of physical therapists who treat the pediatric pelvic floor. This is an area of specialty within the field of physical therapy. It is typically not part of a physical therapist’s education. Rather, it is a specialization requiring much further study, training and practice following graduation from PT school. The pediatric pelvic health specialist holds both a degree in physical therapy as well as advanced credentials in the assessment and treatment of children with diagnoses that involve the pelvic floor musculature. Having this additional knowledge gives the physical therapist an even greater understanding of how to help your child from head to toe.

 

Pelvic Health Physical Therapy

How can Activcore help?

Some of our physical therapists at Activcore are uniquely qualified to assess and treat kids. They go beyond the pelvic floor and look at the child's whole body. Equipped with the Redcord suspension system and other industry leading tools, they are specially trained to optimize how the mind and pelvis work together so that your child can gain control of his/her own body.

During a physical therapy session, the specialist will assess your child’s pelvic floor muscles by using a technique called biofeedback. This is either done with a mirror or a computer program as the child engages (or relaxes) the pelvic floor muscles. The specialist will also assess the child’s overall core strength, functional mobility, diet and family dynamic. Both you and your child will also be educated about the anatomy and function of the bladder and bowel.

Your child will never be treated like a number at Activcore. This is a private environment with your own dedicated pediatric pelvic health specialist (no aides or assistants) by your side throughout every session.

 

Neuromuscular Activation is like flipping on a light switch to muscles that have gone dim due to injury, pain and inactivity. Utilizing the Redcord suspension system, the physical therapist will take your child through exercises that demand total body awareness and precise muscle control. There are slings and bungee cords to assist with each movement. Similar to floating in water, this creates a weightless and painless environment where the child can safely develop strength, stability and optimal neuromuscular control, regardless of age or physical condition.

 

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Neuromuscular Activation

Pelvic Floor Muscle Retraining consists of specialized exercises, breathing techniques, and verbal and/or tactile cues to help your child regain control of how his/her pelvic floor muscles contract and relax. Like other muscles, the pelvic floor muscles become 'smarter' and more balanced through regular practice and repetition.

Pelvic Floor Muscle Retraining

Manual Therapy is skilled hands-on movements and manipulations of your joints and soft tissues intended to release myofascial trigger points, modulate pain, induce relaxation, and improve range of motion. Oftentimes, manual therapy can help prepare the body for more active interventions like exercise and strength training. Some examples of manual therapy include:

  •  Myofascial release

  •  Stretch therapy

  •  Craniosacral therapy

Manual Therapy

Biofeedback is a safe, painless technique to treat pelvic floor dysfunction for children of any gender and age. It involves regulating feedback signals from the muscles, where the child is actively involved in the learning process to know how to consciously feel and control the pelvic floor muscles. The physical therapist guides them through gentle exercises so that they can learn which muscles to use, when to use them, and how hard to contract them.

Biofeedback

Neuromuscular Activation

Neuromuscular Activation is like flipping on a light switch to muscles that have gone dim due to injury, pain and inactivity. Utilizing the Redcord suspension system, the physical therapist will take your child through exercises that demand total body awareness and precise muscle control. There are slings and bungee cords to assist with each movement. Similar to floating in water, this creates a weightless and painless environment where the child can safely develop strength, stability and optimal neuromuscular control, regardless of age or physical condition.

 

SWIPE TO SEE MORE METHODS >>

 

 

Pelvic Floor Muscle Retraining

Pelvic Floor Muscle Retraining consists of specialized exercises, breathing techniques, and verbal and/or tactile cues to help your child regain control of how his/her pelvic floor muscles contract and relax. Like other muscles, the pelvic floor muscles become 'smarter' and more balanced through regular practice and repetition.

Manual Therapy

Manual Therapy is skilled hands-on movements and manipulations of your joints and soft tissues intended to release myofascial trigger points, modulate pain, induce relaxation, and improve range of motion. Oftentimes, manual therapy can help prepare the body for more active interventions like exercise and strength training. Some examples of manual therapy include:

  •  Myofascial release

  •  Stretch therapy

  •  Craniosacral therapy

Biofeedback

Biofeedback is a safe, painless technique to treat pelvic floor dysfunction for children of any gender and age. It involves regulating feedback signals from the muscles, where the child is actively involved in the learning process to know how to consciously feel and control the pelvic floor muscles. The physical therapist guides them through gentle exercises so that they can learn which muscles to use, when to use them, and how hard to contract them.

COMMON CONDITIONS

• Abdominal pain
• Bedwetting (Enuresis)
• Bladder and bowel issues
• Constipation
• Daytime Urinary Incontinence
• Gastrointestinal (GI) issues
• Low back pain / tailbone pain
• Pelvic floor dysfunction
• Pelvic pain
• Surgery (abdominal/pelvic)
• Urinary frequency
• Urinary incontinence
• Urinary urgency
• Vesicoureteral Reflux
• Voiding Dysfunction
• Weak core muscles

5 stars

Wonderful spot if you want a 360 degree approach to your health.

Deborah

 

 

5 stars

Activcore is a gem of a company. From the front staff, to the equipment, to the value of what you are paying for. I could not recommend them more!

Laura



 
5 stars

Activcore is unlike anything I have ever experienced. One patient, one provider, one hour – one at a time, every time. If you’re serious about your physical therapy and recovery, this is the only place to go!

Michael



 
5 stars

Excellent, highly observational, pragmatic & compassionate physical therapists.

Tim

 

Activcore is Pelvic Health