Bed-wetting (Enuresis)
Case management of nocturnal enuresis Hough
DW, Today’s Chiropractic July/August 2001 p. 59/66.
The
author reports that usually two to three visits are required
to solve bedwetting problems. He presents two case studies
that are the extremes in number of adjustments.
1. Esta, a 4-year-old
female, wet nearly every night. Subluxations were found at
her sacrum, ileum, T3, T5 and cervical area. The next day her
mother reported she was dry. She had no more problems with
bedwetting from then on.
2. Aaron, a 5 year old male had pain
in his feet in addition to nightly bedwetting. Subluxations
were found in his sacrum, ileum, thoracic and cervical spine.
In addition restrictions were found in the calcaneus vulgus
of both feet.
Adjustments were performed. He no longer complained of foot
pain and his mother reported that he was dry about half the
nights since his previous visits. “Aaron required 10
more adjustments before his bedwetting totally resolved.”
Asthma
and Enuresis. Zell, P. International Chiropractic Pediatric
Assn. Newsletter May/June 1998
Case report #1374.
This is the case of a 7-year-old girl suffering from asthma
and enuresis (bedwetting) brought to the chiropractor by
her mother.
Since she was three years old she suffered from asthma along
with many attacks of colds and flu. The asthma was so severe
that she was hospitalized for 3 days at one time and had
gone to the emergency room another time. The mother reports
that her daughter would cough up a ball of phlegm following
each attack.
Chiropractic examination revealed vertebral subluxation at
C2, T5, T12 ileum and sacrum. She improved following her
first adjustment. After the 5th adjustment the asthma and
bedwetting ceased and did not return.
ADD, Enuresis, Toe Walking.
International Chiropractic Pediatric Association Newsletter
May/June 1997. From the records of Rejeana Crystal, D.C.,
Hendersonville, TN.
This is the case of a six-year-old boy suffering
from nightly nocturnal enuresis (bedwetting), attention deficit
disorder and toe walking. He walked with his heels 4 inches
above the ground. The medical specialist recommended both Achilles’ tendons
cut and both ankles broken to achieve normal posture and
gait.
Chiropractic findings included subluxation of atlas, occiput,
sacrum and pelvis…after 4 weeks of care both heels
dropped 2 inches and the bedwetting frequency decreased to
2-3 times per week. His medical doctor was shocked at his
recovery under chiropractic care.
Chiropractic management of
primary nocturnal enuresis. Reed WR, Beavers S, Reddy SK,
Kern G.J Manipulative Physiol Ther Vol. 17, No. 9 Nov/Dec
1994.
This was a controlled clinical trial of 46 enuretic (bedwetting)
children that were placed under chiropractic care. The children
were under care for a 10 week period preceded by and followed
by a 2 week no treatment period.
The 46 children were divided
into two groups: 31 received chiropractic care and 15 were
in the control group.
At the end of the study, 25% of the treatment-group
children had 50% or more reduction in the wet night frequency
from baseline to post-treatment while none among the control
group had such reduction.
Bed-wetting; two case studies. Marko,
RB Chiropractic Pediatrics Vol 1 No 1 April 1994.
Case #0991.
This is the case of a five-year-old female who had
been wetting her bed for six months and was prescribed antibiotics
for what MDs diagnosed as a bladder infection.
After the second
chiropractic adjustment, she stopped wetting her bed for three
weeks. She had a bad fall and began to wet her bed again. Following
her next adjustment, she has remained dry.
Case #0419.
This is the case of a nine-year-old male who wet
his bed almost every day of his life. During his first six
months of chiropractic care he would remain dry for one or
two days after his adjustments. A change in adjustments to
the sacrum resulted in greater improvement. He is now dry for
one-half to two-thirds of the nights between the adjustments.
Functional
nocturnal enuresis. Blomerth PR. Journal of Manipulative and
Physiological Therapeutics 1994:17:335-338.
This is the case
of an eight-year-old male bed-wetter. He was adjusted once
in the lumbar spine. At a one month follow-up there was complete
resolution of enuresis.
The child had two wet nights following
a sports accident but was adjusted and the bed-wetting ceased.
He had minor accidents one year and two years later, with enuresis
starting again. In both instances the bedwetting ceased after
adjustments.
The author remarks: “This happened in a manner that
could not be attributed to time or placebo effect,” since
the patient didn’t know that adjustments could affect
that condition.”
Nocturnal enuresis: treatment implication
for the chiropractor. Kreitz, BG, Aker PD. J Manipulative Physiol
Ther 1994:17(7): 465-473.
A review of the literature of nocturnal
enuresis is presented. The author states: “Spinal manipulative
therapy has been shown to possess an efficacy comparable to
the natural history.”
Epileptic seizures, nocturnal enuresis,
ADD. Langley C. Chiropractic Pediatrics Vol 1 No. 1, April,
1994.
This is the case of an eight-year-old female with a history
of epilepsy, heart murmur, hypoglycemia, nocturnal enuresis
and attention deficit disorder.
The doctors told her mother
that her daughter would never ride a bike or do things like
normal children. She was wetting the bed every night, experiencing
10-12 seizures/day, with frequent mood swings, stomach pains
and diarrhea. She was in special education classes for the
learning disabled.
The child had been to five pediatricians,
three neurologists and six psychiatrists. She had ten hospitalizations
and had been on Depakote ™, Depakene, ™ Tofranil ™ and
Tegretol ™.
Her birth was difficult (cesarean section
under general anesthesia). Her mother was told the baby was
allergic to breast milk and formulas and was on prescription
feeding.
Chiropractic adjustments were to C1 and C2 three times/week.
After two weeks of care, the bed-wetting began to resolve
and was completely resolved after six months. During that
period, her attention deficit disorder resolved and she left
special education classes to enter regular fifth grade classes.
Her
seizures diminished to 8-10 per week after one year of care.
She was released from psychiatric care as “self
managing.”
Her resistance to disease increased and she
can now ride a bike, roller skate and ice skate like a normal
child. She is expected to be off all medication within a month
of this writing
Dear Abby. San Francisco Chronicle March 5th,
1992.
Although not a research study, this exchange of columnist “Dear
Abby” addresses bed-wetting from a person-on-the-street
perspective:
Dear Abby:
I took my 15-year-old twin sons (both daily bed-wetters)
to a chiropractor, and within a month, both boys were completely
cured. Regular medical doctors could not help them.” True
Believer.
Dear True believer:
I believe you. I have several hundred letters
bearing the same message concerning chiropractors
Chiropractic
care of children with nocturnal enuresis: A prospective outcome
study. LeBoeuf, C.; Brown, P; Herman, A; Leembruggen K; Walton
D; Crisp TC. Journal of Manipulative and Physiological Therapeutics,
1991, 14 (2), pp. 110-115.
This is the study of 171 children
with a history of persistent bed-wetting at night who received
eight chiropractic adjustments each.
The average number of wet
nights fell from 7 per week to 4 per week. At the end of the
study, 25% of the children were classified as successes
Additionally
1% of patients were considered “dry” at
the beginning of the study, while 15.5% were considered “dry” at
the end of the study.
Management of pediatric asthma and enuresis
with probable traumatic etiology. Bachman TR, Lantz CA Proceedings
of the National Conference on Chiropractic and Pediatrics
(ICA), 1991: 14-22.
This is the case of a 34-month-old boy with
asthma and enuresis who had not responded to medical care.
He
was brought to the hospital emergency room more than 20 times
for his asthma attacks during a 12-month history.
The boy received
three chiropractic adjustments over an 11 day period and the
asthma symptoms and enuresis ceased for more than 8 weeks.
The
asthma and enuresis recurred following a minor fall from a
step ladder but disappeared after adjustments. After a two-year
follow-up, the mother reports no recurrence of the asthma or
the enuresis.
Enuresis, spasmodic dysmenorrhea and gastric discomfort:
a vertebral subluxation complex entity. Regan KJ Dig Chiro
Econ Mar/Apr 1990;32(5):110
This is a study of eight patients
suffering from bed-wetting, menstrual cramps and ulcer pains/indigestion.
The
patients had all been previously examined by MDs, had received
pap tests, pelvic exams and upper GI studies and were negative
for active pathology. One subject however did have a true peptic
ulcer but wished to remain in the study.
The author writes: “A total of eight subjects in each
category were selected and two in each category were not
treated (to be used as control studies)….No one had
any low back, dorsal or cervical spine pain prior to being
a patient in this program.
Among those with menstrual problems,
all cases of pelvic pain and severe cramping of the uterus
had stopped. All women experienced three menstrual cycles
through the duration of the study.
All the patients in the gastric
category except one responded to chiropractic care; no one
was taken off medication or put on special diet.”
Chiropractic management of enuresis:
time series descriptive design. Gemmell HA, Jacobson, BH
Journal of Manipulative and Physiological Therapeutics 1989;
12:386-389.
This is the
case of a 14-year-old male with a long history of continuous
bed-wetting. He never had a dry night in his life. The bell
and pad method was tried but did not help.
Improvement
began after the first adjustment. Over the next 21 days,
he had 15 nights of dry bed and 6 damp nights, but not wet
nights.
He continued to have dry, damp and wet nights.
His condition was alleviated (not completely cured) by chiropractic
adjustments.
Characteristics
of 217 children attending a chiropractic college teaching
clinic. Nyiendo J. Olsen E. Journal of Manipulative and Physiological
Therapeutics, 1988; 11(2):78084.
The authors
found that pediatric patients at Western States Chiropractic
College public clinic commonly had complaints of ear-infection,
sinus problems, allergy, bedwetting, respiratory problems,
and gastro-intestinal problems.
Complete or substantial
improvement of their chief complaint had been noted in 61.6%
of pediatric patients, while 60.6% received “maximum” level of improvement. Only
56.7% of adult patients received “maximum” level
of improvement.
Neurogenic Bladder and spinal bifida occulta:
a case report. Borregard PE.J Manipulative Physiol Ther 1987;
10(3):122-3.
Examination
found fixation in L3 and both SI joints, following the restoration
of SI function the patient’s mother
reported the patient was now aware of bladder distention
approximately 30 minutes before it was necessary to void.
A slight decrease of bladder sensitivity occurred 4 months
after the release from treatment and responded immediately
to manipulation.
Copyright 2004 Koren Publications, Inc. & Tedd
Koren, D.C.
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