Children experience pelvic floor dysfunction more often than most parents realize. Bedwetting after age five, daytime wetting, chronic constipation, and pelvic pain are not things kids simply "grow out of" — they are signs that the pelvic floor muscles aren't coordinating the way they should. Pediatric pelvic floor therapy addresses these issues with gentle, play-based, non-invasive techniques that help your child build healthy bladder and bowel habits.
The pelvic floor muscles control both urinary and bowel function. When a child holds too long, strains during bowel movements, or has poor coordination between the pelvic floor and the bladder, problems follow. Chronic constipation is one of the most common causes of bedwetting — a hard stool in the rectum presses against the bladder, reducing its capacity and triggering leakage. Many children are caught in a cycle of constipation, holding, and leaking that medication alone doesn't fully resolve.
We see children from Upper Montclair and across North Jersey. Every session is external and non-invasive — no internal exam, ever. Parents are always in the room, and the techniques are designed to be fun, age-appropriate, and easy to practice at home.
If your child experiences any of these, pediatric pelvic floor therapy can help:
Treatment is entirely external and non-invasive — no internal exam, ever. I use real-time ultrasound imaging (RUSI) on the outside of the body so your child can see their pelvic floor muscles on a screen, which makes the exercises feel like a game rather than a chore. Breathing coordination, bladder retraining, and bowel management strategies are taught through play and age-appropriate activities.
See real ultrasound biofeedback in action on Instagram @pelvicptplusParents are in the room for every session and learn the techniques alongside their child, so you can coach at home. We also coordinate with your child's pediatrician on dietary and medication considerations — because resolving chronic constipation often requires both the medical and the behavioral piece. Most children see meaningful improvement within a few months.
Children and adolescents can experience pelvic floor dysfunction too. Our gentle, age-appropriate approach helps young patients overcome bladder and bowel challenges in a supportive, non-invasive environment.
We work closely with parents and caregivers to create treatment plans that are comfortable and effective for children of all ages. Our trauma-informed approach ensures every child feels safe and supported.
See LUTS section below for detailed bladder symptoms.
Parents are actively involved in treatment planning and home exercise programs.
Age-appropriate games and activities make therapy engaging and effective.
External techniques and biofeedback—no internal exams for pediatric patients.
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