Lack of bladder control can cause shame, guilt and impaired social skills. Your child cannot go to camp, stay overnight at his friend's house, or go on trips without the constant fear of waking to a wet bed in the morning. Up until the age of 5 it can be normal to have poor bladder control at night.
There are two causes for Bedwetting:The Phrenic Reflex
The bladder could be described as a muscular pouch that holds urine as it is discharged from the kidneys. The tubes from the kidneys are called ureters and the muscle that forms the valve that holds back the urine is called the sphincter muscle. A bed-wetting child is typically a very active child, often playing to exhaustion and, when at sleep, sleeping in a very deep slumber with slow respiration. The child's sluggish, or immature, phrenic reflex allows too much carbon dioxide to build up in the system. The bladder valve (sphincter) relaxes, and the bladder leaks throughout the night.
The phrenic nerves come out from between the 3rd, 4th and 5th cervical (neck) vertebra. Subluxation of these vertebrae can cause interference to these nerves, which can disturb the proper function of the phrenic reflex and cause bed wetting.
Lumbar and Sacral Subluxation
Emptying of the urinary bladder is controlled by the detrusor and trigone muscles. The nerve supply to these muscles is via the sacral parasympathetic nerves from S2 to S4. Appropriate bladder function is also controlled by the urogenital diaphragm, which derives its nerve supply from the L2 spinal nerve. Because the sacrum consists of separate segments during the early years of life, it is possible that misalignment of these segments can cause nerve irritation or facilitation. This nerve facilitation, especially to the area of the bladder, may be the cause of the inappropriate bladder function associated with bed-wetting.
The Journal of Manipulative and Physiological Therapeutics has documented many studies showing the positive benefits of chiropractic care on bed-wetting:
In a study of 46 children who received chiropractic care for a 10-week period, a quarter of those had 50% or more reduction in the wet night frequency, while none among the control group saw a reduction. (JMPT 1994 (Nov-Dec);17 (9): 596-600 )
Children with a history of persistent bed-wetting received eight chiropractic adjustments. The number of wet nights fell from seven per week to four. (JMPT 1991 (Feb);14 (2): 110-115)
The lumbar spine of an eight-year-old male bed-wetter was adjusted once and again at a one-month follow-up. There was a complete resolution of enuresis. "This happened in a manner that could not be attributed to time or placebo effect." (JMPT 1994 (Jun);17 (5): 335-338)
At Vita, we will perform a non-invasive nervous system scan to evaluate if your childs bed-wetting is caused by a subluxation or an immature phrenic nerve reflex.