Pelvic Health Rehabilitation at Spaulding Braintree

Bowel Dysfunction

People can experience a variety of different complications involving their bowels. Some of these diagnoses can include fecal incontinence (FI), bowel urgency/frequency, and constipation. Our treatments can include education on toilet postures, education on diet modification, exercise, biofeedback, electrical stimulation, breathing strategies or manual techniques.

Urinary Incontinence

Incontinence is the involuntary loss of urine significant enough to cause a problem in daily activities. Our noninvasive therapeutic treatments include exercise, biofeedback and lifestyle strategies to help you manage urinary incontinence.

Many women experience pain as a result of pregnancy, labor and delivery. Our clinicians can help reduce pain and improve function both during pregnancy and in the post-partum period through exercise, manual therapy, body mechanics training, bracing and education.

Pain in the pelvic region can limit many activities associated with normal daily function, including sexual intercourse. A physical therapist with specialized training will first assess the cause of pain, and, based on your symptoms and long-term goals, will recommend a treatment approach. This treatment may include techniques to decrease discomfort, strengthen pelvic muscles, provide flexibility training to pelvic floor and hip muscles and address concerns related to issues of intimacy. Therapeutic techniques may include manual therapy, stretching, strengthening, biofeedback and education about lifestyle changes.

Prolapse occurs when organs slip or fall out of place. This can occur vaginally or rectally. Cystocele and rectocele are examples of this diagnosis. Treatments can include pelvic floor muscle strengthening exercises, education on behavioral modifications, posture education, breathing strategies, biofeedback, or manual techniques.

At Spaulding Outpatient Cape Ann, we understand that pelvic floor issues aren’t just for adults — children can experience them too.   Our Pediatric Pelvic Floor Physical Therapy services are designed specifically for kids and teens, offering gentle, age-appropriate care in a comfortable, supportive environment.   

Our specialized therapists work with children and families to address a wide range of pelvic health concerns that can affect daily life, emotional well-being, and confidence.  We offer a non-invasive approach for children and families who may be experiencing the following conditions: 

• Bedwetting (Nocturnal Enuresis)
• Daytime urinary leakage or urgency 
• Chronic Constipation or encopresis (fecal soiling)
• Frequent urinary tract infections (UTI’s)
• Abdominal or pelvic pain 
• Delayed toilet training 
• Pain with urination or bowel movements. 

These conditions can be frustrating and isolating for children—and stressful for families. We’re here to help with compassion, evidence-based care, and a child-friendly approach.

We know that children are not just “small adults” and this is why our pediatric pelvic floor therapists use developmentally appropriate strategies to help your child feel at ease and involved in their care. Our individualized treatment plans may include: 

• Gentle Biofeedback training
• Bladder and bowel retraining
• Postural training and breathing exercises
• Pelvic floor muscle coordination techniques (no internal exams)
• Home and school routines and strategies for toileting success

If your child is struggling with bladder, bowel or pelvic floor issues, you don’t have to navigate it alone. Contact us today to schedule an evaluation.