Pediatric Pelvic Physical Therapy Supporting Children from Infancy through Adolescence

What is the Pelvic Floor?

The pelvic floor is a group of muscles, ligaments, and connective tissues that form a supportive “hammock” at the bottom of the pelvis. The pelvic floor muscles control bowel and bladder function, support pelvic organs, and play a role in core stability. When the pelvic floor muscles don’t work well together, kids can experience leaks, constipation, or discomfort.

Common Signs of Pelvic Floor Dysfunction

Bladder Symptoms

• Daytime urinary leakage
• Bedwetting (past age 5)
• Frequent urination
• Urgency (“I can’t hold it!”)

Bowel Symptoms

• Constipation
• Stool leakage
• Painful bowel movements
• Withholding behaviors

Other Symptoms

• Pelvic pain
• Abdominal pain
• Recurrent UTIs
• Difficulty with potty training

How We Can Help

Sessions are:

• Child-friendly
• Play-based
• Parent-involved

Treatments may include:

• Breathing exercises
• Core strengthening
• Posture training
• Coordination training
• Behavioral strategies
• Biofeedback
• Education on healthy bowel and bladder habits

Frequently Asked Questions

Is this common?

Yes – many kids struggle with bladder and bowel issues.

Is it embarrassing for kids?

No – we use kid-friendly language and make it fun and comfortable. Many kids often feel proud of their progress.

How long does it take to see an improvement?

This depends on the issue; often, a few weeks to a few months. Consistency at home matters.

What will we need to do at home?

Each child’s needs are unique, but typically focus on toileting habits, fluid intake, dietary changes, exercises, and tracking progress.

Do we need a doctor’s referral?

Yes – this can be obtained by any healthcare provider.