Kids playing outside after pediatric pelvic floor treatment at Pelvic Health PT in Madison, NJ.

Pediatric Pelvic Floor Therapy

Does Your Child Suffer from Incontinence or Urinary/Fecal Leakage?

Bowel and bladder problems occur in children most commonly due to dysfunction related to their pelvic floor muscles. These muscles stop working together with the bladder and bowel, which disrupts the normal reflexes of the body.

Common symptoms of pediatric pelvic floor dysfunction include....

  • Difficulty urinating or controlling bladder function
  • Not urinating enough
  • Constipation
  • Frequent bladder infections
  • Urine leakage including bedwetting

Treating your child's incontinence is important.

Along with restoring their physical wellbeing, pediatric pelvic floor treatment enables your child to regain their confidence and restore their quality of life. Your child no longer needs to worry about having an accident during the day - they can pursue normal childhood activities like school, sports and playdates without worrying about incontinence.

Incontinence Treatment Methods

  • Rehabilitative Ultrasound
  • Pelvic Floor muscle visual evaluation and treatment (no internal assessment)
  • Neuromuscular Re-education
  • Modalities such as therapeutic ultrasound and cold laser

What will my child do in physical therapy sessions?

Each patient receives a custom treatment plan that is tailored to their condition, age, gender and other factors. Our primary goal is to create a welcoming environment in which your child feels comfortable and encouraged to pursue treatment. We commonly use a mix of exercises and tools such as rehabilitative ultrasound, neuromuscular re-education and pelvic floor muscular strengthening.

What pediatric conditions can we treat?

  • Incontinence
  • Constipation
  • Chronic Pain
  • Sports-related injuries
  • Orthopedic disorders

Will you do a vaginal or rectal exam on my child?

No. Vaginal or rectal exams are NOT done by physical therapists on pediatric patients. We conduct a visual inspection of the perineum to observe skin irritation and pelvic floor muscle contraction. Our primary goal is to create a welcoming environment in which your child feels comfortable.

Zarina Vitebsky, DPT, PRPC, has developed a specialized pediatric treatment protocol over her 20+ years of experience that rehabilitates pelvic floor muscles without internal assessment.

For more information, contact The Pelvic Health Center of NJ at 908-443-9880 or email us at