PH101 Potty Issues with Kiddos

PottyFiona McMahon PT, DPT

Did you know kids can suffer from pelvic floor dysfunction too? Pelvic floor dysfunction in children can result in pain, bladder holding or constipation, embarrassing soiling accidents, frequent nighttime accidents, as well as trouble going potty. For most kids, there is an underlying physical component that needs to be addressed by an expert pediatric pelvic floor physical therapist.

It is very upsetting for a parent, guardian or caregiver to see a child suffer with pain or embarrassment, but there is so much that can be done to help out children with these issues. We use positive charts to develop short term and achievable goals to reinforce  behaviors and steps towards healthy toileting. Simple techniques like using the improving toilet posture, practicing deep breathing with bubbles, using a timer to assist in times voiding, educating the parent/guardian/caregiver on the colon massage, developing a core stability and stretching program, and more can go a long way towards improving bowel and bladder symptoms.

If your child is suffering from urinary or fecal accidents, bed wetting, skidmarks, or painful defecation, join me on May 11th, at 7pm , to discuss pelvic floor dysfunction in children, common conditions affecting pottying, and practical tips you can use to make potty time easier.

This is our last Pelvic Health 101 class of the spring series. We want to thank for an awesome season! Keep your eyes on the blog for the Fall’s PH101 classes!

RSVP: pelvichealth-101.eventbrite.com

Spring Pelvic Health 101 is Coming

Fiona McMahon, DPT, PT

Pelvic Health 101 is back with some old favorites like, “Something’s wrong with my what?” and “Why is pooping so difficult?” We have also added a new course on pediatric pelvic floor issues.

If you have questions, we have answers. Join us for lectures and question and answer opportunities with expert pelvic health physical therapists, childbirth educators, and nutritionists. Please reserve your spot early at pelvichealth-101.eventbrite.com. Remember spots fill up quickly. As always, light refreshments will be served.

pelvic-health-101-spring-2017

Postcard From: Herman and Wallace, A Course in Pediatric Pelvic Floor, Boston

By Fiona McMahon, PT  DPT

This past Friday, I hopped on a double decker bus and made my way up to Boston (Norwood) for a continuing education in pediatric pelvic floor disorders. Physical therapists are required to accumulate a certain amount of course hours a year to maintain their license to practice, but more importantly to continue to grow as a clinician. Pediatric pelvic floor physical therapy, like adult pelvic floor physical therapy is complex and rapidly evolving. Although, I had been trained in pediatric pelvic floor PT at Beyond Basics Physical Therapy, I knew I was in for a weekend of furthering my knowledge and expertise.

First of all, the ride up was beautiful. This time of year New England’s countryside is on fire with the red, yellows, and oranges of fall foliage. I spent until sundown looking out the window to soak up the scenery.

The course itself was fabulous. I think the most powerful part of the course was hearing specific children’s stories of their struggles with bedwetting, constipation, fecal soiling, and incomplete urination. Physical therapy changed their lives. I am not saying this lightly. By helping a child rid his or herself of these extremely embarrassing and isolating conditions, the child is able to return to the activities of play, learning, and adventure, that they were previously unable to experience secondary to embarrassment and fear of bullying.

It is just so important that there are clinicians out there who can treat these disorders and help kids return to their role as children. The need is there. If you are a pediatric healthcare provider and are not sure how to help these kids with bladder and bowel disorders, I implore you to refer to a pediatric pelvic floor physical therapist for an evaluation to see how they can help. You will be directly improving the lives of children. If you are a parent, I urge you to seek out help for you child’s bowel and bladder issues. There really is so much to be done to improve your child’s well-being from a medical and physical therapy aspect. We at Beyond Basics Physical Therapy treat a range of pediatric disorders. Please consider us if your child is suffering from pelvic floor dysfunction.

Featured imagePhoto:  Right: Me (Fiona McMahon), and Left: Dawn Sandalcidi PT, RCMT, BCB-PMD instructor of Herman and Wallace: Pediatric Incontinence and Pelvic Floor Dysfunction

Pediatric Pelvic Floor Therapy

By Riva Preil

Great news! Pelvic floor physical therapy benefits adults and children alike…and research is proving it!  The European Journal of Physical and Rehabilitation Medicine reports a recent study which supports pelvic floor physical therapy for children with dysfunctional voiding (DV).  DV is involuntary contractions of the pelvic floor muscles and/or the external urethral sphincter during urination in children with intact neurological systems.  DV is strongly correlated with urinary incontinence both during the day and at night (called nocturnal enuresis), urinary tract infections (UTIs), constipation, difficulties with urination, pelvic holding patterns, and vesicoureteral reflux.

The aforementioned controlled study was performed in an outpatient clinical facility and it included forty three children aged 5-13 with DV.  Treatment consisted of education about proper fluid intake, toileting posture, timed voiding schedule, hygiene issues, and constipation reduction education.  In addition, children were educated on the proper performance of diaphragmatic breathing exercises (for abdominal muscle relaxation) and pelvic floor muscle strengthening exercises (three second hold followed by thirty second release).  After one year of treatment, daytime urinary incontinence was cured in 83% of participants, nocturnal enuresis was cured in 63% of participants, and constipation was cured in 100% of participants.  In other words, PELVIC FLOOR PHYSICAL THERAPY IS APPROPRIATE AND INDICATED FOR CHILDREN in certain instances.  If your child or someone that you know may benefit from these services, Beyond Basics Physical Therapy has a wonderful pediatric program.  Please ask your child’s pediatrician for a prescription for pelvic floor physical therapy, and we look forward to helping!