CHILDREN’S CONTINENCE
At The Pelvic Studio our Children’s Continence service is a specialised addition to our pelvic health repertoire, provided by physiotherapist, Hannah Richardson. This service aims to treat a range of bladder and bowel conditions for children aged 3-16.
Children’s continence issues can be extremely common, especially in young children, and can be very distressing for not only the child, but the family too. To avoid impacting a child’s quality of life, particularly their self-esteem, behaviour, or performance at school, it is important to seek help sooner rather than later.
At The Pelvic Studio, we understand that these issues may be uncomfortable to talk about, therefore our approach to our appointments aims to ensure a positive and fun experience for the child.
Hannah will listen to you and your child, ask lots of questions, complete a thorough assessment, provide you with education and understanding of the issue and come up with a treatment plan.
Common paediatric pelvic health areas that Hannah treats:
• Constipation
• Bed-wetting
• Daytime accidents (wees or poos)
• Difficulties toilet training
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When should you seek help from a Children 's Continence Physiotherapist?
If your child is bothered by their continence, it’s affecting their quality of life, or they are suddenly wetting the bed when previously they weren’t, it’s a sign that physiotherapy intervention may be necessary.
By the age of 5 years most children (90%) can control their bladder and bowels throughout the daytime. Night-time continence may take longer to achieve.
It’s also important to seek early intervention if your child is regularly constipated
What is involved in a Children 's Continence Assessment?
We initially get to know your child and understand their story. We might ask about current symptoms, toileting history, developmental milestones, family and social life, hobbies or interests. During these discussions we encourage your child’s involvement depending on their comfort level.
A physical assessment might be performed, with the use of real time ultrasound, palpation around the abdomen/glutes area, core strengthening tests may be performed. No internal assessments are performed for children.
After a thorough assessment, a treatment plan will be developed by your physio in conjunction with you and your child. Depending on your child’s needs treatment options may include:
Education for child and parents/caregiver
Toileting plan + advice
Pelvic floor muscle training or relaxation
Improving defecation muscle dynamics
Bio feedback
General muscle strengthening
Liasing with teachers or carers
Referral to other health professionals if required