Non-invasive care for children ages four and older

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The goal of pediatric pelvic floor physical therapy is to reduce bowel and bladder dysfunction in children aged four years and older. Bladder and bowel dysfunction can include bedwetting (enuresis), constipation, fecal incontinence (encopresis), increased daytime frequency and more.

 Dr. Emily Burgess, PT is the pediatric pelvic floor therapist providing services at IRG Cascade Children's Therapy, our multidisciplinary, developmental pediatric clinic. Her knowledge in gross motor development allows her to address gross motor factors that may be contributing to bladder and bowel dysfunction and refer to her colleagues when appropriate.

Is this right for my child?

Does your child:

  • Go to the bathroom frequently (more than eight times daily) or infrequently (fewer than three times daily)
  • Struggle with wetting the bed (at five years or older)
  • Can't wait to go to the bathroom when they have an urge
  • Have pain or straining when having a bowel movement
  • Struggle with constipation (fewer than five bowel movements per week)
  • Frequently have leaks (bowel or bladder)

If so, they may benefit from an evaluation.

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    What to expect

    Non-invasive evaluation: Internal exams are not completed in the pediatric population. Emily will visually examine the perineum to observe the skin, anal reflex, and pelvic floor muscle contraction. The patient’s family will be asked to complete a bladder and bowel diary following the evaluation to provide additional information on his or her current bowel and bladder habits.

    Education on bladder and bowel function and health: Age-appropriate education will be provided to the patient and his or her family regarding the function of the bowel and bladder, proper posture on the toilet, breathing techniques, hygiene and more.

    Treatment: A specific treatment plan will be developed for each patient based on evaluation and bladder and bowel diaries. This may include pelvic floor strengthening and coordination exercises, techniques to encourage complete voids, and daily habits that support healthy urinary and gastrointestinal systems. This will be supported with a home exercise program.

    Contact our clinic today
    to learn more or schedule an evaluation.

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