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Chiropractic management of a 5-year-old boy with urinary and bowel incontinence
1Chiropractor, Private Practice, Hutchinson, MN 55350.
Insights
Chiropractic care effectively managed urinary and bowel incontinence in a 5-year-old boy. Treatment involved spinal adjustments and diathermy, restoring continence for extended periods.
Area of Science:
- Pediatric Chiropractic Care
- Neuro-musculoskeletal Health
- Pediatric Urology
Background:
- A 5-year-old boy experienced complete bowel and bladder incontinence.
- The patient had a history of surgical correction for lumbar meningocele, spinal lipoma, and tethered spinal cord.
- Clinical examination indicated spinal and pelvic dysfunction.
Purpose of the Study:
- To detail the chiropractic management approach for a pediatric patient with urinary and bowel incontinence.
- To evaluate the efficacy of chiropractic interventions in restoring continence.
Main Methods:
- Chiropractic treatment included the Activator adjusting instrument and shortwave diathermy applied to the lumbar spine and sacrum.
- An initial course consisted of 5 treatments over 4 weeks.
- A subsequent course of 4 treatments over 4 weeks was administered due to symptom recurrence.
Main Results:
- Following the initial treatment, the patient achieved satisfactory bladder and bowel control for approximately 6 months.
- A recurrence of incontinence prompted a second treatment course.
- The second course of chiropractic care successfully reestablished bladder and bowel continence.
Conclusions:
- Chiropractic management proved successful in achieving and maintaining satisfactory bladder and bowel control for this pediatric patient.
- This case highlights the potential role of chiropractic interventions in addressing neuro-musculoskeletal-related incontinence in children.
Objective:
The purpose of this article is to describe chiropractic management of a 5-year-old boy with urinary and bowel incontinence.
Clinical Features:
A 5-year-old boy presented with the primary symptoms of a complete lack of bowel and bladder control with prior surgical correction for lumbar meningocele, spinal lipoma, and tethered spinal cord. Examination revealed spinal and pelvic dysfunction.
Intervention And Outcome:
Chiropractic treatment methods included using the Activator adjusting instrument and shortwave diathermy to the lumbar spine and sacrum. A total of 5 treatments were initially provided over a period of 4 weeks. After the initial treatment period, he was able to maintain satisfactory control of his bladder and bowel, day and night, for a period of approximately 6 months. A second course of treatments was initiated approximately 6 months later because of a recurrence of bladder and bowel incontinence. Four additional treatments were provided over a period of 4 weeks. This second course of treatment reestablished satisfactory control of bladder and bowel function.
Conclusion:
For this patient, chiropractic care was successful in establishing satisfactory bladder and bowel control.
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