I see kids for Pediatric Pelvic Health Physiotherapy starting at the age of 4-5 years old. Pediatric Pelvic health Physiotherapy includes treatment for daytime incontinence, bed wetting, constipation, bowel leakage, imperforate anus and Hirschsprung’s Disease. Treatment for constipation can begin from the age of four all the way into adulthood and for urinary disorders, such as bed wetting, can start at the age of five all the way into adulthood. Unlike adult pelvic health physiotherapy there are no internal exams involved. The only time an internal assessment would be done is if the following three are present: previous surgical bowel correction, it is deemed necessary for treatment, and child and parent are both comfortable.
Even though treatment does not involve an internal assessment children are still taught how to engage their pelvic floor through specific cueing and assessment is done on top of clothing. All assessment and treatment is thoroughly explained to the guardian and child and tailored to what is comfortable. Treatment as stated includes pelvic floor training, education, breathing exercises, daily schedule and habit retraining and core strengthening. Treatment is very specific to what each child is experiencing because even what causes something like bed wetting is not universal.
I love working with kids because they are intuitive to what is going on around them and what is causing their problem. They achieve success quickly as their bodies change and modify much faster than adults. Kids are also fun and motivated. When working with pediatrics there is often a psycho-social aspect to their diagnosis which makes them motivated to see change quickly.
Building connection with children and families and helping them attain goals and milestones through play and fun makes working with children a constantly changing, exciting and the most rewarding job to have.