Part 1: What is Pelvic PT and When is it needed?

August 3, 2026

By Hayden Migneault, DPT

Welcome to Part 1 of our series all about pediatric pelvic floor therapy! This three-part series will help parents better understand pediatric pelvic floor therapy and potty training support options for children. In Part 1, PT Mrs. Hayden will be tackling what pelvic floor therapy is and when it might be needed. Many people think that pelvic physical therapy is only for adults. However, children can have issues with pelvic floor muscles too. A pediatric PT can assess your child's needs and create a personalized treatment plan that will set them up for success.

What are the pelvic floor muscles?

They are a group of muscles located at the bottom of the pelvis. These muscles play a big role in helping children control when they go to the bathroom. They also support organs like the bladder and intestines. When these muscles are not working well together, kids may have trouble with things like holding urine, passing bowel movements, or even feeling pain.

When might your child need pelvic floor therapy?

Some children struggle with using their pelvic floor muscles the right way. This can lead to a variety of concerns, including:

Accidents during the day or night (bedwetting)
Constipation or difficulty passing stool
Frequent urges to use the bathroom
Pain when going to the bathroom
Avoidance of toileting altogether

These issues are more common than many people realize—and they are treatable.

How do I know my child is ready for an evaluation?

At or past potty training age (4+ years old)
Basic potty training strategies have already been tried
Symptoms have lasted more than a few weeks to months
He or she is able to follow simple instructions
He or she is able to communicate basic needs or sensations

What happens during the therapy?

Pediatric pelvic floor physical therapy is designed to be comfortable, supportive, and kid-friendly. Therapists focus on helping children understand their bodies in a simple and fun way.

Treatment may include:

Fun activities and games to teach muscle control
Breathing exercises to help with relaxation
Strengthening of pelvic floor and core muscles
Education on healthy bathroom habits
Creating routines or schedules for toileting

Is It Invasive?

This is a common concern for parents. The good news is that pediatric pelvic floor therapy is not invasive. Therapists use external techniques and focus on strength, movement, education, and lifestyle strategies. No internal examinations are performed.

How Hogg Therapy Can help

Pelvic floor challenges can feel overwhelming for both children and parents, but the good news is that support is available. With the right guidance and therapy approach, many children can improve their bathroom habits, build confidence, and feel more comfortable in their daily routines. If you think your child may benefit from pelvic floor therapy, contact Hogg Therapy by calling (859) 353-3666 to learn more about scheduling an evaluation with our team.

< Older Post

When picky eating is more than just being a picky eater

July 1, 2026

By Mallory Goettl, MS OTR/L

The Power of Coloring

June 1, 2026

Coloring is more than just a fun activity, it is a powerful tool therapists use to help children build important developmental skills while keeping therapy engaging and playful. Coloring can support communication, movement, coordination, focus, and creativity all at the same time. Best of all, children often do not even realize how much they are learning because they are having fun! We recently hosted a coloring contest in our clinics, and the kiddos had so much fun showing their creativity! At the end of this post, we've included two coloring page designs that you can download, print, and color at home or on the go!