Children's Pelvic Health

Bedwetting and accidents aren't behavioural. They're treatable.

Pediatric Pelvic Floor Physiotherapy in Burlington, Ontario

Most families arrive after years of waking to changed sheets, hidden underwear, and being told to wait it out. Bladder and bowel problems in children usually come down to habits, bladder capacity, constipation and muscle coordination — all of which respond to assessment and retraining. There is never an internal examination.

Ages 5 and upNo internal examination, everA parent stays in the roomNo referral needed

Book an Assessment What we treat

What we treat

What we treat.

Bladder and bowel symptoms in children are closely linked — constipation is behind a surprising share of wetting. Assessment looks at both, because treating only the bladder often misses the cause.

Nighttime Bedwetting (Nocturnal Enuresis)

Wetting the bed past the age most children are dry is rarely about laziness or deep sleep alone. It often involves bladder capacity, daytime drinking and voiding patterns, constipation, and pelvic floor coordination — all of which respond to assessment and retraining.

Daytime Wetting and Urgency

Sudden dashes to the washroom, damp underwear, or holding until the last possible second. These usually reflect an overactive bladder or a pelvic floor that has learned to grip rather than relax, and both are treatable.

Constipation and Stool Withholding

A very common and very treatable driver of bladder symptoms. A full rectum presses on the bladder, so children who withhold stool often start wetting too. Treating the bowel frequently resolves the bladder problem.

Bowel Accidents (Encopresis)

Soiling is almost never behavioural. It is usually overflow around retained stool. Treatment addresses the retention and rebuilds the coordination needed to empty properly.

Incomplete Emptying and Frequent UTIs

Children who do not fully empty their bladder are more prone to recurrent urinary tract infections. Retraining how they sit, relax and empty reduces the residual volume infections thrive on.

Giggle Incontinence and Activity-Related Leaking

Leaking with laughter, jumping or sport is common in school-age children and is not something they reliably grow out of. Coordination training addresses the timing between activity and pelvic floor response.

Our approach

What the appointment looks like for your child.

Children are usually embarrassed before they arrive and relieved by the end. The session is age-appropriate, entirely external, and a parent stays in the room the whole time.

We talk to your child, not just about them

Bladder and bowel history, school washroom habits, drinking patterns, and what bothers them most. Framed so it is clearly nobody's fault — which for many children is the first time they have heard that.

External assessment only

Posture, breathing, abdominal wall and how they sit and use their muscles. There is no internal examination in pediatric pelvic health, ever. A parent stays in the room throughout.

A plan the whole family can run

Toileting position and routine, drinking schedules, constipation management, and coordination exercises that work as a game rather than a chore. Written down so school and home stay consistent.

Track it, adjust it

Dry nights, accidents per week, bowel frequency. We review the chart together and change what is not working. Progress is usually gradual, then noticeable.

Your team

Who your child sees.

Pediatric pelvic health requires certification beyond general pelvic floor training. Your child sees the same physiotherapist every visit.

Juhi Israni

Registered Physiotherapist

Mondays & Fridays: 11am – 6pm

MPT — Master of Physical Therapy
Pelvic Health Solutions – Level 1, 2 & 3
Pediatric Pelvic Floor Physiotherapy

I take time to know you as a person, not just your symptoms. Every session is one-on-one, unhurried, and built around what actually fits your life.

My approach starts with a thorough assessment to find the driver of your pain — not just where it hurts — followed by hands-on treatment and a progressive exercise plan that evolves as you improve.

Alongside general physiotherapy, I hold advanced certifications in pelvic health, which deepens my assessment of core, hip, and low-back problems.

Frequently asked questions

What parents ask before booking.

Is there any internal examination?+

No. Never, for any child, under any circumstance. Pediatric pelvic floor assessment is entirely external — posture, breathing, the abdomen, and how your child sits and uses their muscles. A parent stays in the room for the whole appointment.

How old does my child need to be?+

Around five and up. Below that, occasional accidents are usually within the normal range of development. If your child is younger and you are worried — particularly about constipation — it is still worth a conversation, since bowel management helps at any age.

Our doctor said he'll grow out of it. Should we just wait?+

Many children do grow out of it, which is why waiting is such common advice. But a meaningful number do not, and the years of waiting carry a real cost in sleep, confidence, sleepovers and school. If constipation or a coordination problem is driving it, that will not resolve on its own — and it is straightforward to identify.

My child is embarrassed and doesn't want to come.+

That is completely normal and we plan for it. The first session is a conversation, nothing is exposed, and a great deal of the value is simply your child hearing from someone outside the family that this is a common muscle-and-habit problem and not their fault. Most leave much lighter than they arrived.

How long does it take to see change?+

It varies with what is driving it. Where constipation is the main factor, families often notice a difference within a few weeks of getting the bowel moving properly. Night-time dryness usually takes longer and progresses in steps rather than all at once. You will get a realistic timeline at the first visit.

Is it covered by insurance?+

It is billed as physiotherapy and covered by most extended health plans, including most family plans that cover children. We direct bill to most insurers where your plan allows.

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