special pop enuresis

define enuresis

inability of a child to establish proper bladder control resulting in involuntary urination

what is primary enuresis

child over 5 years old who has never been able to establish urine control

what is secondary enuresis

child who has established proper bladder control but has lapsed back to bed wetting

what controls the emptying of the bladder

dedtrusor and trigone muscles

where is teh nerve supply to teh detrusor and trigone muscles

s2-s4

what is appropriate bladder function controlled by (not msucles)

urogenital diaphragem

where does the urogenital diaphragm get its innervation from

L2

what is the etiology of primary enuresis

familial

medications

link to emotional disturbances

anxiety states

mechanical cause in spine

what is the etiology of secondary enuresis

stress

trauma

psychological stress

what is the mechanical etiology behind enuresis

developing sacrum is highly mobile, being subjected to repeated trauma can cause bed wetting that is relieved with adjustment

what is the trreatment for enuresis

medication

CMT

counseling