Core and Pelvic Floor Dysfunction in Kids with Megan Miller

In this episode, host Kelly Dean is joined by Megan Miller, a pelvic floor physical therapist with over 20 years of experience, to discuss core and pelvic floor dysfunction in children. They dive into common issues such as chronic constipation, encopresis (stool leakage), and bedwetting—highlighting how these problems are often interconnected and rooted in poor bowel and bladder function.

Megan shares insights into how children, from toddlers to teenagers, can develop these issues due to muscle dysfunction, posture, and behavioral habits. She explains the importance of proper toileting posture, core engagement, and even fun ways to engage kids in their own health, such as using a "poop detective" approach with the Bristol stool chart.

The discussion emphasizes that while many parents assume these challenges are normal phases of childhood, they are actually treatable conditions. Megan and Kelly offer practical strategies, including abdominal massage, proper hydration, and the use of tools like potty stools and biofeedback therapy. They also address the emotional toll these conditions can take on families and how early intervention can prevent long-term complications.

For parents seeking help, Megan and Kelly encourage seeking a pelvic floor physical therapist (even virtually) and provide resources for support. They conclude with a message of hope—these issues are common, but they are not permanent, and with the right approach, children can regain healthy bowel and bladder function.

Key Takeaways:

• Chronic constipation is a major underlying factor in childhood pelvic floor dysfunction.
• Proper toileting posture and relaxation techniques are essential for full emptying.
• Biofeedback and behavioral interventions can help children regain control.
• Open conversations about bowel and bladder health can empower both kids and parents.

For more resources or to connect with Megan or Kelly, check out the show notes.