Physical Therapy Can Stop Bedwetting!

Did you know that physical therapy can help your child’s bedwetting?

We are pediatric bladder and bowel physical therapists right here in Grand Rapids, Michigan and we help bedwetting!

At Purple Mountain Physical Therapy, here in Grand Rapids, Michigan, we specialize in pelvic health physical therapy and this includes pediatric bladder and bowel health.  We offer a variety of physical therapy methods to help your child gain control of their bladder when sleeping.  Everything we do for children is specific to pediatric developmental stages, age appropriate and includes the parent or guardian to help improve household support so you all can achieve the goals you set.  If you are interested in learning more about our physical therapy to help your child’s bedwetting, contact us here.

What does bladder and bowel physical therapy do for my child?

We help children learn about their bladder and bowel function, we use exercises and other interventions to enhance control.   We guide and support parents and educate both parents & kids on optimal function.

All children who experience bedwetting will receive an evaluation, with the parent included, that fully analyzes bladder and bowel function, both daytime and nightime.

Here is a link to information about our evaluationWe may ask you a variety of questions regarding your child’s bladder and bowel function.  These could include

  • Toilet habits and behaviors
  • Urinary habits, including frequency, urgency and stream.
  • Fluid intake habits, types of fluid & volume
  • Estimated daytime urinary output
  • Estimated bedwetting volume lost.
  • Urinary stream characteristics (does it stop and start, happen easily, split, etc)
  • Your child’s sensation of their urinary urge
  • Sleep quality, movements, habits, bedtime. Arousal during sleep.
  • General nutrition intake, timing of meals, habits of breakfast, lunch and dinner, fiber intake, food preferences.
  • Bowel habits including do you have daily bowel movements, does your child feel empty afterwards, is the volume of the stool reflecting the quantity of food ingested, timing, sensation of urge to defecate, straining, pain, bloating or other.
  • Abdominal distension, abdominal wall weakness, abdominal pain or cramping.
  • What you have tried that didn’t work to facilitate bladder and bowel control.
  • Urinary tract infection history.
  • Developmental milestones for motor and speech.
  • Your child’s reaction to the urge to urinate or defecate.
  • Toileting postures
  • Your child’s physical activities and sports
  • Any pertinent medical history.   This could include anything, including: learning disabilities, congenital anorectal malformation, diabetes, spina bifida, down syndrome, autism, any developmental delay, anxiety, ADHD or any other condition.

Our goal is to fully support you and your child and provide trauma informed and developmentally appropriate care.  Families tell us that the PT to stop their child’s bedwetting is therapeutic and uplifting.

The evaluation and all treatment occurs between the parent, child and doctor of physical therapy.  We include the child into any conversation so they understand the treatment and experience buy-in.  If your child is too young or disabled to fully understand, we provide extensive parental support and can use a variety of methods to help your child improve bedwetting.  To learn more about our physical therapy to help your child’s bedwetting, contact us here.

We use a variety of methods to improve your child’s bedwetting and overall bladder and bowel function. These include:

  • Biofeedback to help your child learn to release and tighten the bladder and bowel control muscles.
  • Core strengthening for any child who has low tone, weak core or lower strength
  • Breathing exercises
  • Sensory training to improve your child’s understanding of what an urge to urinate and defecate feels like.   Children often are completely unaware of the need to void.
  • Exercises practicing toileting including breathing, how to open their passageway, how to relax, posture on the toilet (Or standing for boys, if preferred).
  • Fiber and dietary suggestions to promote daily, healthy, soft bowel movements, without straining.
  • Partnering with your pediatrician and advising you on protocols to facilitate a bowel clean-out.  Often children who have bedwetting has constipation.
  • Gentle manual therapy methods to the abdomen or low back to facilitate intestinal motility, awareness of their body and relief of muscular guarding.

Your child’s bedwetting physical therapy will be comprehensive and fully work to address daytime and nightime bladder and bowel issues.

Quite often families come to us and are not aware of any daytime bladder issues and report their child has daily bowel movements.  However, upon further inquiry we often find that children do, indeed, have non-optimal bladder and bowel daytime function.  If we want to alleviate bedwetting, we must optimize daytime bladder and bowel function.  We understand that you may be skeptical that physical therapy can help stop your child’s bedwetting, but our experience is guided in helping families just like yours.  Give us a call at 616-516-4334 if you would like to learn more, or reach out here.

Pediatric bedwetting physical therapy must always address constipation & daytime bladder habits!

A common contributor to bedwetting is constipation.  You can imagine that in a small body, that a full rectum can squish the bladder and limit bladder capacity.  When this happens, the bladder may empty involuntarily either at night with bedwetting or during the day.  Our bedwetting physical therapy program will help identify if this is happening for your child and our therapy improves this.

PT for Bedwetting includes multiple methods that work together to enhance your child’s control.

You can expect exercises, biofeedback, coaching and external manual therapy methods to improve bladder and bowel awareness.  Our treatment includes behavior modifications, dietary recommendations, pelvic floor retraining through exercises and gentle guidance, manual therapy (external only), and exercise to strengthen the core and hip musculature.  We will give you at-home methods to improve constipation and daytime toileting habits.  We provide gentle, hands-on manual therapy to help promote intestinal mobility.  Additionally, we practice with your child effective toileting strategies, which includes not holding in your poop and listening to your body and knowing when to go to the toilet.  To learn more about our physical therapy to help your child’s bedwetting, contact us here.

In nearly all cases, when constipation and daytime voiding habits are optimized, we can stop bedwetting.

We will advise you and develop a bedwetting treatment plan that includes a variety of interventions that have been shown in clinical studies to be important physical therapy treatment components to stop bedwetting.

Is bedwetting hereditary?

If a parent experienced bedwetting, we do know that you are more likely to have a child who experiencing noctural enuresis, also.  However, we also have research that supports that constipation has been present in both parent and child.  Parents, it is possible that your own bedwetting may have been triggered by constipation you were not even aware was present.  Top clinical experts in the field of pediatric bedwetting consistently assert that constipation must be treated and is likely what has  been “inherited” and that the bladder is sensitive to the stretched/full rectum.  We can help your child eliminate their bedwetting by addressing constipation and all of the items noted above.   To learn more about our physical therapy to help your child’s bedwetting, contact us here.

If you, as a parent, wet the bed until 6, 8, 12 years or older, it does not mean that your child will have to do the same! Treating the underlying constipation can cure bedwetting.  As pediatric bladder & bowel physical therapists we know that many parents think that their child is not constipated.  However, when we partner with you to discover and monitor your child’s bowel movement habits, kids and parents find it enlightening to realize that the bowels are not actually functioning as well as they thought.

Physical therapy to help stop bedwetting is provided in a safe, private treatment space in an uplifting environment that is developmentally appropriate.

We work closely with parents and children to create a safe and trusting partnership, so that you experience results, are supported and well cared for. Our approach with children who have bedwetting or any bladder & bowel control problem, is positive, encouraging and rewarding.    To learn more about our pediatric physical therapy for bedwetting, reach out to us at 616-516-4334 or contact us here.

Pelvic floor muscle training helps your child learn to control these muscles and helps stop bedwetting.

The pelvic floor is responsible for holding pee and poop in and letting it out. Sometimes when children have developed bedwetting, constipation or urinary problems (such as incontinence, frequency, urgency or holding their pee too long), the pelvic floor muscles get confused and need to be retrained.  The pelvic floor needs to relax in order to empty the bladder or the bowel, but for some kids this isn’t happening.  Then, they go to bed and fully relax and the flood gates open with bedwetting!  If the muscles are not functioning well during the day, it will impair the ability to control your bladder when sleeping.   To learn more about our physical therapy to help your child’s bedwetting, contact us here.

Manual therapy to the abdomen or low back can be effective to help stop bedwetting and pediatric bladder & bowel problems!

 Sometimes our treatment includes gentle, hands-on treatments that are directed to your child’s spine, abdomen, pelvis or legs. For example, when stool gets backed up in the rectum it is very common that peristalsis (the coordinated contractions of smooth muscle in your large intestine) gets disrupted. Manual therapy to the abdomen, lower back, and hips can help restore optimal digestion and improve posture to reduce constipation and also calm down an overactive bladder.  We also use exercise that are fun and developmentally appropriate to promote posture, breathing mechanics, and mobility of abdominal tissue and the hips/pelvis.

Children with constipation, bedwetting or daytime wetting commonly have weakness in their hips and core musculature.

At Purple Mountain Physical therapy we develop individualized exercise programs that address your child’s specific deficits in a  fun and engaging way so that their bedwetting can stop and their bladder and bowel control during the daytime can be optimized, as well!  To learn more about our physical therapy to help your child’s bedwetting, contact us here.

Behavior modifications that can help stop bedwetting!

We will work with the parents and child to identify any habits that need to be improved.  It is common that toileting behaviors are not ideal, leading to diurnal enuresis (wetting their pants during the day) or bedwetting (noctural enuresis).   Often we find that children don’t like to use the toilet.  We also identify that some kids sit on the toilet too long, hold their breath and strain.  We are experts at identifying and coaching your child to gain control of their bowel and bladder so bedwetting can stop and urinary frequency, urgency and incontinence can also resolve.  Here is a link to a booklet about pediatric bedwetting that may be helpful for families to use at home.

If you are serious about getting support for your child so they can stop bedwetting, we are here to help you!

Bedwetting is common, but not normal and has known psychological stress on your child and your household.   Bedwetting is often driven by constipation and improper daytime habits for the bladder.  As pediatric pelvic physical therapists, we know how to effectively and positively help your child to learn how to use their bladder and bowel optimally.  We also know how to teach a parent to support your child.  This isn’t easy to overcome, but our expert care brings clarity to a puzzling situation.  If you are interested in learning more about our pediatric physical therapy to help stop bedwetting, contact us today and we can begin with an evaluation.

Purple Mountain Physical Therapy is a specialty bladder and bowel control clinic located in Grand Rapids, MI.  We offer expert care to help children overcome toileting challenging and bedwetting.  WE also work with women and men who have pelvic floor dysfunction and bladder, bowel or pain related problems.  We have advanced training and experience helping kids improve their bladder & bowel control using a combination of exercises, external treatments, biofeedback and play based therapy.  We partner with parents to help you know how to best help your child.  Our doctors of physical therapy promise to give you our best! To learn more about our physical therapy to help your child’s bedwetting, call 616-516-4334 or contact us here.


Dr. Maureen O’Keefe, DPT and the Purple Mountain Physical Therapy Team

Pelvic Floor PT in Grand Rapids!

You Have Found The Best Pelvic Floor PTs in Grand Rapids!

Here at Purple Mountain Physical Therapy we offer advanced and expert pelvic floor PT in Grand Rapids for women, men and children.  We understand that when you have a pelvic problem you don’t know where to go to receive your care and you want to make certain that you are getting the best results.  Our doctors of physical therapy are uniquely qualified and offer you many years experience and advanced post-doctoral education specific to the challenging needs of pelvic health.

Pelvic Floor PT Explained!

Some patients tell us “I was skeptical this could help my urinary urgency and frequency, but now I’m a believer because it is so much better.”

We know that pelvic floor PT can be a bit of a mystery.  Most of our patients tell us that they had no idea what pelvic PT would do for them.   Pelvic floor PT is a specialty field within physical therapy that focuses upon treating bladder, bowel, pain and intimacy related problems for women, men and children.  Our pelvic floor PT clinic in Grand Rapids is a place for you to be evaluated and treated with expertise and compassion in a trauma-informed setting that truly elevates the standard of care you should expect to receive from all of your providers.  Our Doctors of Physical Therapy have passed their physical therapy boards and have also gone on to complete extensive post-doctoral training specific to the field of pelvic health physical therapy.

What to Expect at Your First Appointment

It all  begins with the first phone call!

First, you will know from your first phone call that you are receiving care from people who truly care about you and who strive to provide you with excellence.  Our care is always welcoming, holistic, compassionate and trauma-informed.

Your Pelvic Floor Evaluation Appointment is Holistic

Your first appointment will be an evaluation, where we will go into depth with talking about your pelvic concerns.  Some people come to us with focused and specific concerns, such as chronic lower abdominal pain that worsens with a full bladder.  Other people come with more general pelvic concerns; for example, they had a child ten years ago and since then they have had some mild, annoying urinary incontinence and intimacy has not been quite the same.   Men often present with severe pain that has been frustrating and ongoing.  It is common that men have chronic prostatitis pain and/or nerve related problems of the pelvic floor.  We are experts in nerve pain, including pain that radiates into the genitalia, perineum, anus and sit bones, as well as sciatic pain and other nerves.  Rest assured, we will evaluate and treat every patient for the specifics related to numerous nerve conditions.

We begin treatment on the first appointment.

During this evaluation we begin treatment right away.   This includes advising you on how to optimize bladder, bowel and intimacy function.  If your child is our patient, we include the child and parent into all evaluation and treatment methods and all care is age-appropriate and focused upon optimizing the child’s bladder and bowel function.  Our examination may include an in-depth assessment of your posture, hip mobility, low back function, thoracic spine and diaphragm.  We examine and treat your abdominal wall strength and diastasis recti abdominus. Every adult patient receives a comprehensive myofascial assessment of all tissues from your shoulders to your knees (we check your neck and feet, if warranted, also).  It is common that we find trigger points and areas of decreased blood flow in the tissues we evaluate and treat.   As we discover items that are contributing to your symptoms, we educate you about our findings, commence treatment and help you understand what you can do to help yourself at home.

What is Pelvic Floor Dysfunction?

Broadly speaking, pelvic floor dysfunction refers to the muscles at the base of your pelvis not working quite right.  In many cases these muscles have stiffness, tightness and trigger points.  In some cases, the muscles are weak.  Other times the muscles have adequate strength, but their timing and coordination with other muscles is impaired, leading to urinary or gas leakage or pelvic organ prolapse symptoms.  When these muscles are not working properly, because they work in concert with your abdominal wall and low back, they often contribute to pain in the abdomen, hips or back.  Some people with pelvic floor dysfunction have considerable pelvic pain; for another article related to pelvic pain and physical therapy, you may be interested in this brief read from the American Physical Therapy Association.  These muscles also provide you control of your bladder and bowel, so if they are dysfunctional you may experience urinary leakage or frequency and urgency.   The pelvic floor muscles have both superficial and deep layers; for some of the women and men we treat their primary problem is in the superficial layers.  We check all of the layers of your pelvic floor muscles so that you can receive the right treatment to effectively recover your problem.

What does Pelvic Floor PT Involve?

Our treatment is holisitic.  This means that we evaluate and treat the numerous things that contribute to your pain, so that you experience excellent results.  Our treatment is not cookie-cutter.  You get specific care related to your body’s needs.  Our care is often hands-on manual therapy that includes myofascial release, trigger point release, and nerve release.  We also focus quite a bit on improving blood flow to your tissues because blood flow is the source of life & nutrition for your body, especially your nerves.  We also offer treatment that is exercise based and focused upon recovering the coordination and firing of your pelvic floor muscles with your abdominals, low back, hips and knees/feet.  For some people’s needs, we include balance training,  jumping exercises and dynamic exercises that challenge the pelvic floor muscles so that they begin to fire more appropriately.   We will assess and treat your abdominal wall so if you have a diastasis recti abdominus, we will provide very targeted exercises and myofascial work to facilitate recovery of your abdominal wall.

Why Should I Choose to Come To Purple Mountain Physical Therapy?

Our goal is to provide you excellence in care so that you experience meaningful results.  Each appointment is with the same physical therapist, is private and lasts upto 55 minutes.  We never bounce you around to a lesser trained person or someone you don’t know.  Because we have extensive post-doctoral training and experience treating very challenging pelvic conditions, you can expect an expertise that is difficult to find.  You will find that our physical therapists provide trauma informed care in a compassionate setting that is focused upon clinical excellence.  We are here to provide you world class pelvic health PT care in Grand Rapids.

Meet Dr. Katharine Cline, DPT Pelvic Floor Physical Therapist

Dr. Katharine Cline, DPT practiced and managed a very busy clinic on the east side of the state, treating individuals across the lifespan, many of whom had very challenging conditions including complex chronic pelvic pain and pediatric related severe bladder and bowel problems.  Her leadership and clinical excellence allowed her to serve and manage a staff of other physical therapists.  We are fortunate that Dr. Cline has chosen to relocate back to her hometown. She is a Forest Hills graduate and has been eager to come back to Grand Rapids, but only if the right opportunity emerged that offered her a place to provide the high level of care she wants to give her patients.  Dr. Cline knew that Purple Mountain PT, with its strong focus on providing 1 on 1 treatment, appointments upto 55 minutes long and holistic methods would be an excellent fit for her clinical skills.  Dr. Katharine Cline, DPT, is both an adult and pediatric pelvic health specialist PT.  Dr. Cline has years of experience and post-doctoral education specifically related to the unique needs of pediatric pelvic health.  Additionally, she has always had an interest in neurologic conditions and has additional training specific to vestibular rehabilitation and also is LSVT-Big certified, a Parkinson disease treatment program that focuses upon movement deficiencies and enhancing function in individuals with Parkinson’s.  Her knowledge of how to optimize movement and the brain/bladder/pelvic floor function informs the care she is able to offer every patient she helps at our clinic.    She enjoys working with individuals across the lifespan, beginning with children who have complex constipation or bladder control problems and working with women and men who suffer from complex pelvic pain and bladder disorders.  She is so enthused about helping kids learn to control their bladder and bowel, she is a published author of a children’s potty training coloring book.  Her treatment for children optimizes bladder and bowel function to address overactive bladder, incontinence, constipation and pelvic floor dysfunction.  Dr. Katharine has pursued extensive post-doctoral training related to pelvic health, including offering her patients advanced hands-on and myofascial treatments that effectively address a person’s pain and bladder dysfunction.  In particular, her post-doctoral manual therapy training is unique and extensive; her patients can expect excellence in her evaluation and treatment methods.  Her patients commonly express their gratitude to Dr. Katharine, recognizing her exceptional insight into how to best treat their pelvic floor dysfunction and to do it in an uplifting and positive manner.

Meet Dr. Maureen O’Keefe, DPT Pelvic Health and TM Joint Disorder Physical Therapist

Dr. Maureen O’Keefe is a pelvic health & TM joint physical therapist specialist, serving the West Michigan region. Dr. Maureen O’Keefe, DPT practiced for 20 years in Chicago working with some of the top surgeons and physicians in the country at Northwestern Medicine Chicago, Loyola University Health Centers and Rush University Medical Center.  She had patients travel to her from all over the country and world, seeking relief from their pelvic pain and bladder conditions.  As the founder of Purple Mountain PT, Dr. Maureen opened this clinic to provide expert, one-on-one treatment to her patients by giving them the time needed (upto 55 minutes each appointment) to properly and holistically treat everything needed to get results for her patients.  She provides experienced, results-focused treatments to women, men & children who have pelvic floor dysfunction or TM joint disorders.   Dr. Maureen O’Keefe, DPT  is proud to be a member of numerous professional societies that are leading organizations in the field of pelvic health and pelvic research.  These include the  International Society for the Study of Women’s Sexual Health and the Intl Society for Sexual Medicine, The North American Menopause Society and the American Physical Therapy Association.  Dr. Maureen O’Keefe, DPT has even taught physicians, surgeons and other pelvic health physical therapists techniques for evaluating and treating complex pelvic health conditions.  Dr. O’Keefe offers 20+ years experience that is a culmination of broad post-graduate pelvic health, sexual health and menopause related advanced education including osteoporosis rehabilitation and blood sugar dysregulation.  Her expertise in treating individuals with chronic TM joint disorders also provides relief from their headaches, neck and jaw pain and difficulty with chewing and yawning.  She enjoys working with individuals with challenging TM joint disorders or complex pelvic problems, including painful intercourse, pelvic floor dysfunction and chronic pelvic pain.  She has a special heart for women in the pregnant or postpartum recovery stages, as she loves those special times and understands the difficulty it can cause to a women’s body.  She herself had a traumatic birth injury and had to recover her body through extensive rehabilitation.  She creates a healing environment, in partnership with the patient, to optimize results and address all contributing factors in the pelvic condition. Dr. O’Keefe is committed to providing top level care to her patients and is actively engaged in ongoing advanced education to keep up with the latest research and methods.

How Do I Get Started with Pelvic Floor PT?  I Have Some More Questions.

The first step is to call our office to schedule an evaluation.  We like to understand what your needs are, so we can know that we can meet your needs.  Feel free to check out our FAQs page to learn more.  You can find it here.  We love this work and consider it a privilege and honor to help people in such a meaningful way! We look forward to meeting you and helping you to feel like yourself again.


Dr. Mauree O’Keefe, DPT and the Purple Mountain PT Team.

Pediatric Bladder Physical Therapist Near Grand Rapids, Michigan

You Have Found The Top Pediatric Bladder Physical Therapist in Grand Rapids, Michigan!

Pediatric bladder physical therapy is a specialty within the field of PT that helps kiddos learn how to control their bladder & bowels.

Many parents ask us what is pediatric bladder physical therapy?  Well, most moms have some awareness of pelvic floor dysfunction that can occur following pregnancy.  All people have these same pelvic floor muscles and some kids have trouble developing the proper mechanics of bladder and bowel control.  Pediatric bladder physical therapy is an effective treatment that helps kids learn how to control their bladder.   In contrast to adult-based treatment that often involves internal work to the pelvic floor, with children all treatment is external.  We commonly use biofeedback, exercises, body awareness training, practicing of toileting postures and techniques and play based education for your child and you to help recover control.  We also may have you and your child keep a bladder and bowel log so we and you can better track progress and habits.  The goal of bladder training is for your child to become aware of their bladder, to learn how to control their pelvic floor muscles and to be congnizant of their body’s urges to urinate.  When these things are accomplished, your child will demonstrate improved mastery of their bladder.  We use age-appropriate games, exercises, hands-on methods and education to teach your child how the bladder and bowel function and malfunction. We also encourage regular timed voiding and predictable habits so your child’s body and brain can learn to control their bladder.   Our pediatric bladder physical therapist here in Grand Rapids can help you and your child gain confidence and capacity to resolve incontinence.   The International Children’s Continence Society has developed a toilet training booklet that you may find a useful tool to help your child learn some of these skills.  Here is a link

My Child Has Occasional Bladder Leakage.  How Do I Know if It is a Problem?

Our founder, Dr. Maureen O’Keefe, DPT, has helped counsel many families and friends with regard to this very question.   We find it is helpful to point you in the direction of the diagnostic criteria for pediatric incontinence. After all, it takes kids some time to learn bladder and bowel control, so it may be normal upto a point.  In general, the cutoff age for being dry with your bladder, as defined by The International Children’s Continence Society (ICCS) is 5 years old.  The ICCS classifies childhood incontinence as either Intermittent (the more common form) or Continuous (often their is an anatomic or neurologic contributing factors with continuous loss of urine).   A 5 year old child who is still experiencing urinary incontinence from time to time would fall under the diagnostic category of Intermittent incontinence. as defined by the International Children’s Continence Society.  There are further classifiction of a child having either night time (enuresis) incontinence or daytime wetting.   Finally, kids are assessed for having Primary incontinence (meaning they have never been able to control urine at all times) or Secondary incontinence (meaning incontinence occurs after at least a 6 month period of dryness).

Purple Mountain Physical Therapy  offers full-spectrum pelvic health physical therapy services for adults and children.  Our pediatric bladder physical therapist, Dr. Katharine Cline, DPT, treats patients at our clinic in Grand Rapids and has advanced training and years of experience helping kids improve their bladder and bowel control.

Our pediatric bladder physical therapist, right here in Grand Rapids, will meet you and your child and immediately create a welcoming and uplifting environment for you to begin your treatment.

What Does A Typical Pediatric Bladder Physical Therapy in Grand Rapids Include?

We start with an evaluation of your child and your child’s development.  Parents and your child will be asked about their food preferences, exercise and activity levels, and bladder and bowel habits.  We will also learn about your child’s development and any challenges your child may be experiencing in a school or preschool setting, such as speech, motor or social challenges.  Dr. Cline works to gain your child’s trust and buy-in.  Her approach is firm, age-appropriate and also compassionate and fun.  Parents tell her that their child’s confidence improves and social anxiety eases when the bladder and bowel functions have been mastered.  We know that childhood incontinence is common.  In fact, a study in the UK found that 15.5% of kids who are 7 1/2 years old have nighttime bedwetting (enuresis).  As kids got older, these rates decreased but you may be surprised to learn that in adults the rates remained 0.5%-1%.  Daytime bladder leakage was found to be 15% of 4 1/2 year olds and 5% in 9 1/2 year old kids.

Does Your Child also have Behavioral or Emotional Problems?  Our Pediatric Bladder Physical Therapist Understands that Your Family Needs Support

While some kiddos may outgrow this problem on their own, not everyone does, so you shouldn’t delay getting expert care.   Children who have bladder control disorders also have been found to have emotional or behavioral disorders at a higher rate than those kids who do not have bladder control problems.  20-30% of kids with noctural enuresis (bedwetting) and 20-40% with daytime urinary leakage  have emotional or behavioral disorders.  The rates of emotional and behavioral disorders go higher if your child has fecal incontinence, with 30-50% of kids with fecal incontinence meeting the criteria for psychiatric disorders.  Parents we know you love your kids and you want them to be able to have fun, without anxiety, without emotional outbursts, without struggling with their bladder and bowel control.  We also know that you parents need support.  Our expert pediatric bladder physical therapist is here for you, too.  We support you and your child so that the worry and stress of bladder and bowel control is not solely on your shoulders.   If your child experiences bladder leakage and social anxiety, fear of going to a friend’s home and difficulty with going to school, we have found and parents have noted that these social anxiety symptoms improve as bladder and bowel mastery is achieved.  Our pediatric bladder physical therapist understands the psychological stresses that often accompany bladder control problems and you can rest assured that you and your child will receive compassionate, positive and uplifting care that renders  your child feeling empowered and more confident.

Constipation Must Be Addressed and Treated First and Throughout Incontinence Therapy

We find that many of our pediatric patients come to us with a longtime history of chronic constipation.  Quite often the kids just haven’t “tuned into” their body’s signals that tell them they should defecate or they may have dyssynergic defecation, a problem with coordinating their pelvic floor muscles properly to allow for defecation.  Even if your child’s primary problem is bladder related, you can expect we will first be addressing their bowel regularity.  Our experience and research has shown us that we must get the bowels regular if we want to optimize kids’ bladder control.

Dr. Katharine Cline, DPT, our pediatric bladder physical therapist, uses a combination of play based exercises and gentle, external hands-on treatments to help your child improve their bladder and bowel control.  We use biofeedback so that your child can learn how to better coordinate and listen to their body’s muscles.  Parents are included in all treatments so that you learn how to best support your child.

We are so fortunate to be able to provide pediatric bladder physical therapy right here in Grand Rapids.  Parents have told us that they have searched for a highly qualified pelvic physical therapist for their child, but couldn’t find anyone for whom this is their specialty.  With Purple Mountain PT, rest assured, you have found a pediatric bladder physical therapist who is laser focused on pelvic health care. Our doctors of physical therapy have advanced training in bladder developmental stages, optimal bowel function, dyssynergic defecation, chronic constipation, pelvic floor dysfunction, bedwetting and urinary urgency and frequency.  We know how to help your child learn to control their bladder and their bowels.  We begin pediatric bladder physical therapy in Grand Rapids at our Purple Mountain PT clinic, located in Cascade near the I-96 and Cascade Rd exit.  Our private and bright, sunny treatment rooms provide a welcoming and easy to find place for your child to receive care.  The first step is to schedule an evaluation with our pediatric bladder physical therapist, Dr. Katharine Cline.  You can call us here to get started.


Dr. Maureen O’Keefe, DPT & The Purple Mountain Team