
Pediatric Pelvic Floor Physical Therapy in Washington D.C.
Watching your child deal with bedwetting, sudden leaks, or painful constipation is heartbreaking. It is even harder when you see them pass up sleepovers or worry about wetting their pants in front of their friends at school. People say they’ll eventually outgrow it, but deep down, you know your child deserves better answers, and so do you.
At District Performance & Physio, we take the time to truly listen and understand your family’s unique situation. We look beyond the surface to uncover the root cause of your child’s pelvic floor challenges, and we’ll guide you every step of the way toward lasting relief

New at Our Washington D.C. Clinic
Pediatric pelvic floor physical therapy is now available at District Performance & Physio for children and teens who need support with bladder, bowel, and pelvic floor coordination.
A Clear Plan Rooted in Science, Not Guesswork
Many families come to our Washington D.C. clinic after seeing multiple specialists, trying different diets, or being told that their child will simply “grow out of it.” We take a collaborative approach to care.
At District Performance & Physio, we look at how the body functions as a whole, working alongside families and, where appropriate, coordinating with pediatricians, therapists, and other healthcare providers to support the best possible outcomes.
Bladder and bowel challenges are often not purely behavioural. In many cases, they are linked to muscle coordination. When the pelvic floor muscles aren’t relaxing or contracting in the right way, it can lead to both physical discomfort and emotional stress.
Our approach removes the fear and tension from the process. We replace any embarrassment your child feels with simple guidance and movement-based care. By teaching them how their muscles work, we help them rebuild trust in their body and gain true independence.


How the Pelvic Floor Affects Your Child's Daily Life
The pelvic floor helps with bladder control, bowel movements, core stability, and body coordination. When these muscles do not relax, tighten, or work together well, your child may deal with accidents, constipation, urgency, discomfort, or frustration during school, sports, sleepovers, and daily routines.
Common Pediatric Pelvic Floor Issues We Treat
Pediatric pelvic floor therapy can help children and teens who are having trouble with bladder control, bowel habits, pelvic comfort, or muscle coordination.
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Daytime urinary leakage
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Bedwetting
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Urinary urgency or frequency
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Constipation
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Stool accidents
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Pain with bowel movements
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Pelvic pain
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Difficulty relaxing or coordinating pelvic floor muscles
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Core weakness or poor body awareness


A Gentle, Non-Invasive Approach for Your Child
Your child’s comfort, privacy, and dignity come first. Sessions are gentle, non-invasive, and shaped around their age, needs, and pace. We use simple education, movement, play-based activities, and parent involvement to help your child feel safe, supported, and never embarrassed during care.
What to Expect During Pediatric Pelvic Floor Sessions
Every session is designed to help your child feel safe, respected, and comfortable while your family stays involved in the process.
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Movement and play-based activities
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Simple breathing and coordination exercises
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Parent involvement throughout the session
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Practical home strategies that feel realistic
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A supportive pace guided by your child’s comfort
Our 3-Phase Framework for Lasting Confidence
We do not believe in temporary fixes or generalized protocols. The DPP Framework is designed to take your child from frustration to total independence using a clear, predictable process.
Phase 1: Reset (The Evaluation)
We look at the big picture, including breathing patterns, core stability, and posture, to pinpoint exactly why the pelvic floor muscles are uncoordinated, tight, or weak. We cut through the confusion to give you a definitive diagnosis and immediate peace of mind.
Phase 2: Build (The Personalized Plan)
Through age-appropriate, movement-based activities and targeted exercises, we teach your child how to properly relax, contract, and coordinate their muscles. There are no internal exams and no clinical pressure. We focus entirely on expert guidance delivered through play and movement.
Phase 3: Sustain (Independence at Home)
We equip your family with practical, stress-free strategies to integrate into your daily routine. This ensures your child maintains their progress, builds long-term habits, and steps into school, sports, and sleepovers with total self-assurance.
Help Your Child Feel More Comfortable Again
Bathroom struggles can affect your child’s confidence, routines, and daily comfort. District Performance & Physio offers supportive pediatric pelvic floor care designed around your child’s needs. Learn more about our pelvic health services or contact our team to schedule a visit.
1525 Half St SW, Washington, DC 20024
Downtown Washington D.C Location
1020 19th St NW Suite LL20, Washington, DC 20036
(202) 922-7331

Navy Yard Location
1525 Half St SW, Washington, DC 20024
(202) 922-7331

We’re Behind You. Every Step of the Way

Jesse Lewis, DPT, OCS, CSCS
Physical Therapist

Ashlee Kim, PT, DPT
Physical Therapist, Clinic Manager of Navy Yard Location

Nicki Ferramosca, MSPT, CSCS
Physical Therapist

Ariella Pohl Bickell, PT, DPT
Physical Therapist
