Pediatric & Adolescent Health Services
Providing pelvic floor physical therapy services for children.
At Beyond Basics, we take a holistic approach to your child’s pelvic floor treatment and pediatric & adolescent care. While pelvic floor issues are very common in children, the good news is that pelvic floor PT can help. We strive to restore their quality of life and eliminate their symptoms.
Pediatric & Adolescent Pelvic Floor Conditions We Treat
- Daytime urinary incontinence
- Bowel incontinence
- Withholding and/or painful bowel movements or urination
- Abdominal pain and bloating
- Pain surrounding menstruation
- Pain with tampon use
What is Pelvic Floor Physical Therapy for Kids?
How does Pelvic Floor Dysfunction Present in Children
Pelvic floor dysfunction in children can occur following physical or psychological stressors, delays in gross motor milestones, chronic holding of bowel or bladder, toilet training difficulty, painful bowel movements, poor core stability or hip dysfunction.
Pelvic floor dysfunction can occur when the pelvic floor muscles, tissues, or nerves are tightened, weakened, overactive, lack coordination or injured (either by trauma or chronic strain). It can also occur as a result of poor alignment, posture, pelvic anatomy, overuse, or dysfunctional movement. This can contribute to poop or pee accidents, constipation, tummy issues, bed-wetting, and pelvic pain. Issues with the pelvic floor may also be related to potty-training issues.
The pelvic floor muscles surround the urethra, rectum, vagina, and prostate, so dysfunction with the pelvic floor can contribute to urinary problems, bowel difficulties, and many other uncomfortable ailments in children. The Beyond Basics team utilizes a variety of treatment tools including external manual therapy to help mobilize your child’s muscles and provide them with symptom relief. We utilize a combination of the following for treatment:
- Myofascial release
- Trigger point release
- Connective tissue release
- Craniosacral therapy
- Biofeedback techniques
- Gentle mobilization of organs to improve function
- Cold laser/heat/cold therapy
- Electrical stimulation
- Therapeutic Exercise
- Movement and Posture Retraining
What To Expect
Initial Pelvic Physical Therapy Appointment
There’s no medication or surgery involved, and treatment is always done with a physical therapist trained in pediatric pelvic floor issues. An initial evaluation is performed in a private room with the child and parent or guardian present the entire time. The physical therapist will start by gathering information about your child’s current and past medical history and other factors that may be contributing to their pelvic floor issues. We will then perform a movement exam to assess the mobility, strength and coordination of the pelvic region and surrounding areas, such as the abdomen, back and hips. A pelvic floor exam may be performed if both you and your child are comfortable. The exam is completely external and may consist of observation or biofeedback of the pelvic floor muscles with the purpose being to trace your child’s issue to its source(s) in order to alleviate symptoms. We want both you and your child to be as comfortable as possible and you have the right to refuse any treatment at any time without an explanation. Your PT will also provide education and exercises that your child will need to practice at home. The home exercise program will take a few minutes each day. It’s very important for your child to practice their home program as prescribed by the PT in order for them to fully heal.
Additional Pelvic Floor Physical Therapy Appointments
Each session at Beyond Basics is one hour long one on one with the physical therapist. We’ve found this is the ideal amount of time for the clarity, consistency, and results we are looking to help your child obtain. During the session, the physical therapist may do a combination of treatments that may include manual therapy (hand-on), therapeutic exercises or activities, educational interventions, and updating or modifying your child’s home program.
Your child’s symptoms should start to improve within 4 to 8 weeks (or sooner). Just like any other muscle, pelvic floor muscles can become sore following a new exercise routine, so it’s normal if your child experiences some discomfort after the first few sessions. Your PT will always explain to you what to expect.
Orthopedic Physical Therapy Services
- Rotator cuff injuries
- Muscle strengthening and conditioning
- Range of motion exercises
Beyond Basics: We Can Help
Since 2003, Beyond Basics has been a place of hope and healing for our patients. We believe skilled and compassionate healing can restore your body’s harmony and balance. Founder, Amy Stein, and co-founder, Corey Hazama are renowned experts and leaders in pelvic floor PT.
The skilled physical therapists at Beyond Basics receive extensive training to qualify them to be the world’s leaders in pelvic floor rehabilitation. All of our therapists have been carefully selected to work at Beyond Basics because they possess the right expertise, kindness, and empathy to allow them to excel in our practice. Our therapists have completed hundreds of additional hours outside of their doctorates both internally and externally through institutes such as Herman and Wallace and the American Physical Therapy Association, to help hone their practice and provide exceptional treatment efficiently and compassionately. In addition to being the world’s first and foremost experts in pelvic floor dysfunction, our individual therapists have cultivated additional skills unique to their own personal interests. Read more about each one of our therapists here.
Get help now from a pediatric pelvic floor therapist.
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Pediatric Health Services
— Beyond Basics PT | Pelvic Floor Therapy NYC.
Frequently Asked Questions
Which insurance providers do you work with?
What if I need to cancel or reschedule my appointment?
How many treatment sessions will my child need?
What should my child wear to each session?
What will your treatments help my child with?
Our goal at Beyond Basics is to provide your child with complete symptom relief and improve their quality of life.
What makes someone a pelvic floor physical therapist versus a regular physical therapist?
All pelvic physical therapists get additional training in pelvic floor treatment through continuing education and at our clinic. We pride ourselves on the level of training we provide, not just at the beginning but throughout the time our therapists spend at Beyond Basics. We know that learning is a life-long process. We also provide additional training in the physiology of the GI system and urinary system as well as sexual health and function and nutritional training. Most PT programs and schools do not provide the depth and breadth of knowledge that we provide all our PTs at Beyond Basics.
Who should my child see to get a proper diagnosis?
Can we still make an appointment if we live out of town?
When you return home, we encourage your child to continue treatment with either a local PT specializing in pelvic floor therapy or that you and your child visit us every few months for in-person visits.
Additionally, we can provide telehealth sessions to your family. These are one-on-one video sessions completed over an online platform during which a PT guides you through treatments and exercises, and provides support.