Pediatric Pelvic Health

Pediatric Pelvic Health

Did you know that 15-22% of children struggle with wetting problems past the age of 5? Kitsap Physical Therapy has therapists certified in pelvic health who are trained to help with many common problems, including:

    young boy using a squatty potty - potty pet

  • Wetting
  • Constipation
  • Urinary retention
  • Urinary urgency/freqency
  • Bowel incontinence and/or inability to empty bowels
  • Vesicoureteral reflux

Why is my child still wetting the bed?

Often bed wetting is attributed to genetics, difficulties waking up, hormonal factors, and anatomical abnormalities. Some of these things are difficult to treat. Constipation is also a common cause of bed wetting, and is often missed. Children can poop daily and still be constipated. A pelvic health therapist can help identify the cause of bed wetting. They can work with your child and your doctor to develop a plan involving nutrition, behavioral therapy, stretching and pelvic floor exercises to keep your child dry through the day and night.

Why does my child get frequent UTIs?

UTIs are caused when bacteria from the skin or poop get into the urinary tract. A pelvic health physical therapist can teach your child toileting postures and wiping techniques that can minimize risk for UTIs. They will also screen for signs of constipation, which is a common cause of frequent UTIs.

What will therapy look like?

The initial visit will be a 30-40 minute one-on-one appointment with a certified pelvic health specialist. After the initial evaluation, subsequent treatments are between 30-40 minutes. The frequency of appointments is based on your child’s needs and what works best for your schedule, usually 2-8 visits/month. It often takes 3-6 months of treatment to change bowel and bladder habits.

What will my child be asked to do?

Our goal is to make you child feel safe and have fun while at physical therapy. Evaluation and treatments are non-invasive and include:

  • Pelvic floor exercises and stretches
  • Proper toileting hygiene
  • Posture for complete bowel and bladder emptying
  • Behavior shaping
  • Abdominal massage
  • Diet and activity recommendations that promote normal bowel and bladder function
  • Biofeedback (visual, animated feedback of pelvic floor activity)

At Kitsap Physical Therapy, we have 6 therapists who are trained in evidence-based protocols and treatment of pediatric pelvic health.

Hayley Siegenthaler PT, DPT, CLT, GC (Bainbridge)

Amanda Watson PT, DPT (Bainbridge)

Dana Jackson PT, MSPT, OCS (Bremerton)

Megan Morris PT, DPT, PHC, TPS (Port Orchard)

Kara Stadshaug PT, DPT, CLT, PHC (Poulsbo Village)

Emily Everett PT, DPT, PHC (Silverdale)

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945 Hildebrand Ln NE #220
Bainbridge Island, WA 98110
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2500 Cherry Ave #203
Bremerton, WA 98310
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26001 Barber Cut Off Rd NE #C-1
Kingston, WA 98346
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1880 Pottery Ave #100
Port Orchard, WA 98366
(360) 895-9090
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20730 Bond Rd NE #150
Poulsbo, WA 98370
(360) 779-3764
(360) 779-9740
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19319 7th Ave NE #108
Poulsbo, WA 98370
(360) 779-3777
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2400 NW Myhre Rd #102
Silverdale, WA 98383
(360) 613-1834
(360) 613-2716
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