Chiropractic and Bedwetting

Bedwetting can be embarrassing, as well as frustrating for your child.

It is very common among children, affecting approximately 13% of 6 year olds and 5% of 10 year olds, as well as an issue for many adults, affecting up to 1% of the adult population.

It is a normal part of growth and development – everyone is born unable to control their bladder function and this ability is gained as we grow older. But if your child has poor bladder control after the age of 4 or 5, it may be a sign of an underlying problem.

POSSIBLE CAUSES OF BEDWETTING

• Urinary Tract Infection: infections cause bladder pain and dysfunction, which could also be the sign of another underlying problem

• Bedtime Habits: drinking too much water immediately before bed or not using the bathroom before going to bed can be obvious reasons for bedwetting

• Emotional Stress: stress at home or at school, as well as major life changes

• Nervous System Imbalance: nerves control organ function, therefore any irritation along the nerve pathway between the brain and the urinary organs can lead to dysfunction

BLADDER PHYSIOLOGY

The phrenic nerve is formed from nerve roots that exit the cervical spine (neck) and is involved in the development of the phrenic reflex, a mechanism which stimulates smooth muscle, such as the bladder, to increase activity at certain times during sleep. If a subluxation is present in the neck, inhibition of the phrenic reflex is possible, leading to a more relaxed bladder during sleep and subsequent leakage.

There are also two key muscles control the emptying of the bladder: the detrusor and trigone muscles.

Nerves that exit the spinal column in the lower back and sacrum control these muscles.

During the early years of life, the sacrum has five separate bony segments. Later in life, they fuse together creating the triangular-shaped bone at the base of the spine. If these segments are misaligned due to falling, learning to walk, riding a bike, etc., they may compromise the nerves that are responsible for bladder control.

These misalignments can be reduced with a chiropractic adjustment and proper bladder function will be restored.

PUBLISHED STUDIES

The Journal of Manipulative and Physiological Therapeutics documents many positive studies on chiropractic helping bedwetting:

• A study of 46 children received chiropractic care for a 10-week period. 25% of those receiving chiropractic care had 50% or more reduction in their bedwetting frequency, while none among the control group saw a reduction. (JMPT 1994 (Nov-Dec);17 (9): 596-600)

• In 2009, a case series reported that chiropractic care was responsible for a 67% resolution rate for children and teens who suffered from bedwetting. (JMPT 2009 (Oct);32 (8): 675-681)

• Children with a history of persistent bedwetting received eight chiropractic adjustments and the number of wet nights they had went from 7/week to 4/week. (JMPT 1991 (Feb);14 (2): 110-115)

• The lumbar spine of an eight-year-old male bedwetter was adjusted once and at a one-month follow-up, the bedwetting had completely stopped. This could not be attributed to time or placebo. (JMPT 1994 (Jun);17 (5): 335-338)

• Another study published in the Chiropractic Journal of Australia found that chiropractic care (specifically spinal and cranial adjustments) helped eliminate asthma, bedwetting, and allergy symptoms in a 4-year-old boy. (CJA 2010 (March);40 (1): 34-36)

Chiropractic doesn't cure anything - it merely removes the interference in your nervous system allowing your body to heal itself!

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