When your child experiences bowel or bladder challenges, it’s hard not to feel a little helpless. You’re left with questions like, “Will my child outgrow this?” or “Is this something to be worried about?” The good news is that many pelvic floor issues in children are treatable with the help of pediatric pelvic floor physical therapy (PPFPT).
This specialized therapy addresses dysfunctions related to the pelvic floor muscles, helping children (and their parents) gain relief from challenges like bedwetting, constipation, and urinary incontinence. But what does this process involve, and how can it benefit your child? Let’s explore everything you need to know.
What is Pediatric Pelvic Floor Physical Therapy?
Pediatric pelvic floor physical therapy focuses on evaluating and treating problems with the pelvic floor muscles—those responsible for bladder and bowel control. These muscles can sometimes be weak or discoordinated, leading to issues such as difficulty urinating, constipation, or day time and night time urination.
For children with neurodivergent conditions like autism or ADHD, addressing pelvic floor challenges often involves an additional layer of care tailored to their sensory or behavioral needs.
A skilled pelvic floor therapist specializes in not just improving muscle strength and coordination but also creating personalized care plans for each child and family.
Common Pelvic Floor Issues in Children
Approximately 1 in 7 school-aged children struggles with pelvic floor dysfunction, and if left untreated, these conditions can persist into adulthood. Recognizing the signs early is crucial. Here’s a breakdown of common pelvic floor issues in children:
1. Bladder-related Issues
- Urinary incontinence or “leaking”
- Bedwetting (nocturnal enuresis)
- Urgency or frequent urination
- Urinary retention
2. Bowel-related Issues
- Constipation
- Fecal incontinence
- Painful bowel movements
Children with neurodivergent conditions such as autism or ADHD often present with unique signs of bladder and bowel dysfunction, including sensory disconnection (e.g., not feeling the urge to use the restroom) or anxiety about toileting. They can greatly benefit from the specialized care that a Pelvic Floor Physical Therapist can provide!
Why Consider Pediatric Pelvic Floor Physical Therapy?
The benefits of PPFPT extend far beyond symptom management. With professional and targeted care, children gain both physical and emotional relief, giving them the confidence to enjoy everyday activities with fewer accidents or disruptions.
Here’s why PPFPT is worth considering for your child’s pelvic health needs:
- Habit Formation
Therapists help children develop healthy habits through bladder and bowel training techniques.
- Improved Strength
Exercises focus on strengthening the pelvic floor and core muscles to properly support bladder and bowel functions.
- Reduced Embarrassment
Children are empowered to regain control, significantly reducing self-consciousness and worry in social situations.
- Tailored Care for Neurodivergent Kids
For children with autism, ADHD, or other neurodivergent conditions, therapists adjust their approach to honor sensory preferences and ensure the child feels comfortable.
What to Expect in a Pediatric Pelvic Floor Physical Therapy Session
Feeling nervous about your first session? That’s normal! Here’s what typically happens during a visit with a PPFPT therapist, so you know what to expect and how to prepare your child.
Initial Evaluation
The process begins with an in-depth discussion about your child’s bladder and bowel habits. Questions might include:
- How often does your child urinate or have bowel movements?
- Are there any signs of leakage or avoidance behaviors?
- Does your child experience discomfort during these activities?
- Explore sensory processing signs.
- Does your child withhold either bowel or bladder?
- Does your child have Diastasis Recti?
Physical Assessment
The therapist will gently evaluate key muscle groups, including the muscles around the pelvic floor, core, and posture. This involves playful movements to keep your child engaged.
Treatment Approach
Your child’s care plan might include one or more of the following techniques:
- Bladder or bowel retraining to improve toileting patterns
- Exercises to strengthen or relax the pelvic floor muscles
- Core-building activities that improve posture and abdominal control
- Parent and child education on dietary and behavioral strategies
Patience is essential, especially when engaging with neurodivergent children who might take longer to adapt to new routines. Biofeedback may be used to teach pelvic floor muscle coordination
Supporting Neurodivergent Children in Therapy
For parents of neurodivergent children, it’s no secret that everyday tasks—even using the restroom—can require extra consideration. These children often experience impaired interoception, which is the ability to sense internal needs, such as a full bladder or bowel.
This disconnection can lead to frustration or behavioral flare-ups when they don’t understand what their body is signaling. Therapy offers a safe space to improve interoception while fostering trust and cooperation through strategies like:
- Tailoring communication to match the child’s cognitive level
- Incorporating sensory preferences (e.g., favorite textures, toys, or visuals)
- Using social stories or visual schedules to preview steps like sitting on the toilet
Finding a Qualified Pediatric Pelvic Floor Therapist
When it comes to your child’s care, finding the right provider is essential. Look for a licensed physical therapist with additional training in pediatric pelvic health.
Here are some tips for choosing the right therapist:
- Check Credentials
Ensure the therapist is licensed and has specific experience in treating pediatric pelvic floor dysfunction.
- Ask Questions
Don’t be afraid to ask about their approach to treatment, particularly if your child is neurodivergent.
- Seek Recommendations
Talk to your pediatrician or local parent networks for referrals.
Resources for Parents
Supporting your child means equipping yourself with the right knowledge and tools. Here are a few resources to get started:
- Schedule a consultation with your pediatrician or pelvic floor therapist.
- Join online support groups or parent forums for families navigating similar challenges.
Takeaways for Your Child’s Journey
Addressing your child’s pelvic floor challenges can feel overwhelming initially, but the benefits of taking action far outweigh the struggles. With proper tools and guidance, children can regain control and confidence in their daily lives.
If you’re ready to explore tailored care for your child, reach out to Relax Therapy for a pediatric pelvic floor evaluation today. Together, we can take the first steps toward greater health and happiness for you and your child.