Heart and Sole

Pediatric Pelvic
Floor Therapy

A strong and properly functioning pelvic floor is vital for children to develop appropriate bowel and bladder control. Pediatric pelvic floor dysfunction affects at least 20% of school aged children worldwide. Millions of children are suffering from pelvic floor dysfunction and their families are left frustrated not knowing how to help. These children are often left feeling shame or embarrassment. Pelvic floor therapy is a successful non-invasive treatment for many conditions.

Common conditions include:

Nocturnal enuresis (Bedwetting) Fecal and urinary incontinence Constipation

Pelvic Pain
Encopresis (Poop Withholding)

pediatric pelvic health therapy

Our number one goal is to make your child feel safe and to have fun! Pediatric pelvic floor physical therapy is a specialized form of physical therapy that focuses on the pelvic floor muscles in children. These muscles play a crucial role in bladder and bowel control. This type of therapy involves exercises, manual techniques, and education to help children improve their pelvic floor function and alleviate any related symptoms.

Pelvic floor health is important for children as it can affect their overall physical and emotional well-being. A strong and properly functioning pelvic floor can help with bladder and bowel control, and prevent urinary and fecal incontinence. It can also help with posture, balance, and core stability. On the other hand, pelvic floor dysfunction in children can lead to a range of issues such as bedwetting, constipation, and pelvic pain.

Early Identification and Intervention

Early treatment in children with pelvic floor dysfunction can create better bowel and bladder habits enabling children to develop a healthy pelvic floor as they continue to grow. Early detection of dysfunction can help prevent worsening symptoms such as wetting, fecal incontinence, pelvic pain and fear with toileting. Addressing bowel and bladder issues in children can have an immediate impact on a child’s confidence and self-esteem.

don’t wait for them to “grow out of it.”

Caregivers sometimes ignore bowel and bladder problems because they think they will just grow out of it and accidents are a normal part of developing. Unfortunately, many children do not grow out of it and have bowel and bladder problems that persist into their teenage and adulthood years. Heart and Sole Pelvic Health is dedicated to helping children and their parents identify underlying issues and provide solutions unique to their child’s circumstances.

PEDIATRIC ASSESSMENT

what does an assessment
for a child look like?

Our number one goal is to make your child feel safe and to have fun!

Interview the child and the caregiver to gain a better understanding about the child’s current condition, past medical history, and previous treatments.

Physical Evaluation. This includes a comprehensive whole body assessment that looks at your child’s posture, strength, mobility, and a complete pelvic floor muscle assessment. All assessments are completed externally. Surface EMG biofeedback may be performed.

Interventions. Pelvic floor muscle exercises, education for the child and caregiver, behavioral modifications, manual therapy techniques, biofeedback training, and home exercise program. The therapist will work closely with your child’s healthcare providers and will refer to other specialists if additional support is warranted.

other treatments

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we’re here to answer
your questions

If these do not answer your question to your satisfactory or if you have any more questions please do not hesitate to call 406.702.2779

At Heart & Sole Therapy we accept all major insurances including but not limited to:

Medicaid
Medicare
Blue Cross Blue Shield
Cigna

Pacific Source
Allegiance
United Healthcare/Optum
Tricare

Please do not hesitate to call, we would be happy to answer any concerns you may have.

No! Montana is a direct access state meaning you are able to be seen without a physician referral. However, if you are wanting to utilize your insurance, most insurances
require a physician’s referral.

We accept all major insurances but if we are not in network with your insurance, we offer discounted self pay packages.

For quotes or package questions please reach out to our team to assist you.

How you/your child spends time in therapy varies by visit, but here is a general structure most appointments follow.

If you answer yes to any of the following questions, we should talk. While these issues can be common it does not mean you have to live with them.

Do you leak urine or stool when coughing, sneezing, or during exercise?

Does your bladder have the “gotta go” feeling resulting in leakage or going to the bathroom several times a day?

Do you experience pain with intercourse?

Do you feel pressure in your vagina that worsens after prolonged standing or during exercise?

Do you have ongoing vaginal pain, pelvic pain, abdominal pain or hip pain?

Are you currently pregnant and having low back pain or pubic pain?

Are you frustrated and feel like no one really hears you when you discuss your symptoms?

Does your child struggle with constipation, difficulty peeing, and have reoccurring accidents?

dr. courtney james pt, dpt

Dr. Courtney James is the founder and owner of Heart & Sole Therapy. Many people with various challenges have gone from doctor to doctor without a resolution to their symptoms; Courtney is dedicated to helping you get to the root of your issue and dedicated to get to your best self. She seeks to challenge the current healthcare system and change the narrative so that women and children can receive the best care possible.

Exciting news! We are expanding our services and our team but are staying true to our mission of providing comprehensive, compassionate and individualized plans for the best outcomes. In the new year we will be providing more care for our pediatric services with Physical, Occupational, and Speech Therapy.

our pediatric services

Courtney’s guidance not only restored me to engaging in life like I hadn’t since having kids, but also helped me find a piece of myself that had been missing. - L.R. Courtney has helped me immensely with pelvic floor workouts, building better health habits, understanding my body and it’s functions, and overall is incredible what she does. She takes the time to listen to you and genuinely cares about curing the problem, not just throwing a bandaid on top of it. She is trustworthy, reliable, communicative and I would recommend her to all in search in search of her services. -A.N. After experiencing Pelvic Floor Dysfunction for over six years, working with Courtney made it possible for me to engage in activities that I had avoided. Even though I live far from Billings, she worked with me to find ways to make noticeable and prolific progress. Courtney’s guidance not only restored me to engaging in life like I hadn’t since having kids, but also helped me find a piece of myself that had been missing. I will forever be grateful for the time working with such a professional, knowledgeable, and compassionate Physical Therapist. -L.R. My husband and I took our-6-year-old with constipation and soiling issues to see Courtney for pelvic floor therapy and a new treatment she had not yet tried out on a patient before so we were VERY excited to be her first patient to try this new program! Courtney was incredibly compassionate and understanding. The program was a year long and between her dedication, hard work and our work at home, we saw such substantial progress in just a few short weeks. Not only did our son see her for pelvic floor therapy, but I saw her as well after our daughter was born. After having 4 kids in a little bit of time, my body didn't have much time to heal and boy did she kick my ass in a good way. She pushed me just enough so my body knew how it was supposed to work it the right way. She made me feel SO much better. She cares for the well being of ALL of her patients and truly wants everyone to get better. I would highly recommend Courtney for any type of physical therapy needs if you are looking for one. -T.Y. I am so glad I found Courtney to treat my son’s core and pelvic floor issues. She keeps each session fun and engaging for him and the home exercises manageable for me. We’ve seen amazing results already and are excited to continue working with her. I’d recommend her to any parent looking for a pediatric PT especially for pelvic floor! -J.H. My first birth was extremely difficult and traumatizing, resulting in pelvic floor dysfunction. Because of this, I felt like birthing a second child would be out of the question. However, after working with Courtney, I felt empowered and encouraged to have another child. My second birth was a much better experience because of the knowledge and experience Courtney offered that allowed me to heal. -R.P. We have been seeing Courtney for my daughter’s bowel and bladder issues! She has worked wonders for us and gave us new hope -T.N.B.

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