Tag Archives: Nutrition Ed at Function Smart

Pediatric Pelvic Floor Therapy


Potty training for any family is rarely described as an easy process. Yet when the child also struggles with functional constipation (no signs of abnormalities physically, seems to be of functional cause) and/or encopresis (involuntary defecation) it turns into a frustrating process that is difficult to get a handle on. Other factors and diagnosis that can prolong toilet training are Hirschsprung disease, Crohn’s, Imperforate anus, Celiac disease, slow transit systems, developmental delays, sensory processing disorders, Autism spectrum disorders, etc.

Pelvic Floor Therapy using Biofeedback (surface EMG)/Real Time Ultrasound (RTUS), therapeutic exercises, nutrition advice, and life style modifications can help navigate this difficult process and improve symptoms associated with chronic constipation, encopresis, and chronic laxative use.
Several studies have concluded positive outcomes with Pelvic Physical Therapy interventions.

A study completed by Zivkovic et al in 2012 looked at the use of diaphragmatic breathing exercises and retraining of the pelvic floor in children with dysfunctional voiding. They defined dysfunctional voiding as urinary incontinence, straining, weakened stream, feeling the bladder has not emptied, and increased EMG activity during the discharge of urine. Although this study focuses primarily on urinary issues, it also includes constipation in the treatment and outcomes. Forty-three patients between the ages of 5 and 13 with no neurological disorders were included in the study. The subjects underwent standard urotherapy with included education on normal voiding habits, appropriate fluid intake, keeping a voiding chart, and posture while voiding in addition to pelvic floor muscle retraining and diaphragmatic breathing exercises. Results showed 100% of patients were cured of their constipation, 83% were cured of urinary incontinence, and 66% were cured of nocturnal enuresis.

A recent study by Farahmand et al in 2015 researched the effect of pelvic floor muscle exercise for functional constipation in the pediatric population. Stool with holding and delayed colonic transit are most often the causes for children having difficulty with bowel movements. Behavioral modifications combined with laxatives still left 30% of children symptomatic. Forty children between the ages of 4 and 18 performed pelvic floor muscle exercise sessions at home, two times per day for 8 weeks. The children sat for 5 minutes in a semi-sitting (squatting) position while being supervised by parents. The patients increased the exercise duration 5 minutes per week for the first two weeks and stayed the same over the next six weeks. The results showed 90% of patients reported overall improvement of symptoms. Defecation frequency, fecal consistency and decrease in fecal diameter were all found to be significantly improved. The number of patients with stool withholding, fecal impaction, fecal incontinence, and painful defecation decreased as well.

Children and parents gain confidence and knowledge to take control of stooling and urination issues when they have the right information and tools to do so. Overall, it is important to know toileting problems are common in children and Pediatric Pelvic PT can help your family engage in a plan for success.

Call us with any questions and speak with your health care provider if a family member may be in need of this specialty.


Pelvic Pain and Nutrition

Pelvic Pain and the Gut; Nutrition Facts!

Maureen and Natalie have 2 conferences they attended recently and we are excited to help you on your healing journey with science:


There is an explosion of information regarding the “Gut”,and clinicians are helping their clients TURN OFF PAIN by adjusting their nutritional intake. Notice I did not say “DIET: which is restriction based. New approaches guide individuals to gradually add more positive elements to their nutrition profile, and gradually release habits that are pro inflammatory. There are common threads in Pelvic Rehab and as I observe MD, ND, DO, and NP, PT, D.C. and RD directed, “PELVIC HEALTHY” NUTRITION approaches, I see my clients transform. Sleep improves, bowel and bladder function improves, and pelvic pain often reduces or may be eliminated in some cases. It all comes down to science and optimal nutrients that are easily digested, absorbed and assimilated, and excreted. Our PELVIC ORGANS include the bowel, bladder, uterus, and ovaries, and or in males, the prostate and testes. It turns out the best nutrition will help us build and maintain a barrier and insulation of each organ system vs Leaky Gut, or Leaky Vagina or Leaky Bladder. A fun weird fact: The “Vagina Diet” is coming out in 2018 dealing with these issues, from an integrative OBGYN.The synergistic effect of a nutrition –based approach for Pelvic Pain can have a profound, life changing influence on other health factors as well, such as optimizing weight, blood sugar regulation, improved – tissue pliability and appearance, and resistance to illness. But it can take some detective work, and a food/beverage/symptom diary can be illuminating. Reactions can take a few days to occur after ingestion. You are unique and so are your sensitivities and food pleasures that that can help you heal.

Recognize:Power packed nutrition for health:

  1. Cooked vegetables
  2. “Good fats” Omega 3 as found in Salmon, Sardines, and more
  3. Berries and cherries
  4. Lean protein
  5. Nuts and seeds
  6. Yogurt ,* or other source of probiotics

Reduce/trial, and if reactive: gradually eliminate

  1. Refined carbs: they spike sugar and increase inflammation
  2. Gluten, Dairy, Soy: most common food allergens
  3. Alcohol: limit to a few oz., but not daily
  4. Processed meats
  5. Fried foods
  6. Cold beverages such as iced smoothies, milk shakes, icy raw veggies drinks

Also hormone influences can be associated with pelvic pain so if there is a concern check your labs with your health care provider. Studies are demonstrating that a combination of medication and probiotics helps reduce recurrent bacterial vaginosis. In those with Interstitial Cystitis/Painful Bladder Syndrome, attendees of the San Diego Support group have had some success following NIH guidelines :




And last but not least, the GUT BIOME is being identified as a perpetrator in chronic health conditions including pain and anxiety. Here is a link from a local Dietician Donna Wolf who halted her fibromyalgia with nutrition and self care:


Consider what new items to add for health and what you may need to taper or even eliminate. Consult Your Pelvic PT specialist for more information, such as the myofasical basis of pelvic pain, as well. Power On!

Enjoy this THANKSGIVING MONTH and sample a new healthy treat, let us know. This is from S.F. based Seed and Salt:

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