Norfolk Women's Health Physio

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  • Services
    • Physiotherapy for Pregnancy & the Postnatal Period
    • Abdominal pain and muscle separation – Diastasis
    • Physiotherapy for Incontinence and Prolapse
    • Chronic Pelvic Pain
    • Acupuncture in Pregnancy
    • Acupuncture for Fertility and IVF
    • Physiotherapy for Children’s Continence
  • Testimonials
  • Contact

Physiotherapy for Children’s Continence

My daughter was diagnosed with overactive bladder syndrome (OAB) at the age of seven and was having daytime and nighttime wetting daily. I found there was very little support available for parents and children other than medication.

I therefore undertook training to be able to provide physiotherapy for Children’s Continence in order to be able to help her. I have developed this service since as I believe it is really important and there is a massive lack of provision in this area of healthcare.

My daughter is now dry both day and night and I work in Children’s Continence both in private and NHS settings.

Incontinence is defined by the International Children’s Continence Society as involuntary wetting at an inappropriate time and place in a child 5 years old or more.

It is divided further into daytime incontinence and nighttime incontinence (enuresis).

Daytime incontinence can be further categorized:

  • Overactive bladder – children with urgency (increased voiding frequency and/or incontinence often present)
  • Urge incontinence
  • Stress incontinence
  • Giggle incontinence
  • Voiding postponement – children who are observed to habitually postpone voiding using holding maneuvers

 

The prevalence of daytime incontinence ranges between 30% at age 4 to 1.8% of 15-17 year olds.

The prevalence of enuresis (nighttime incontinence) diminishes from 40% of 5 year olds to 3% of 15-17 year olds.

Urotherapy

Urotherapy is non-surgical, non-pharmacological (medication) treatment for incontinence.

It involves:

  • Education
  • Intervention
  • Life-style advice
  • Support and encouragement

The aims are to:

  • Normalise bladder emptying
  • Normalise bladder filling
  • Facilitate age-appropriate storage
  • Facilitate optimal bowel function
  • Normalize defaecation dynamics

The end goal being to have no more symptoms, wetness or urgency.

  • Services
    • Physiotherapy for Pregnancy & Postnatal Period
    • Abdominal pain and muscle separation – Diastasis
    • Physio for Incontinence and Prolapse
    • Chronic Pelvic Pain
    • Acupuncture in Pregnancy
    • Acupuncture for Fertility and IVF
    • Physio for Children’s Continence
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