• Shtulman I
• Cunningham MA

• Child
• Constipation
• Female
• Nocturnal Enuresis
• Thompson Terminal Point Technique

Objective: The purpose of this case study is to present findings in which a 10-year-old girl received relief from acute constipation and primary nocturnal enuresis as result of chiropractic care.

Clinical Features: This is a case study of a 10-year-old girl who presented to a chiropractic clinic for evaluation with a history of four-day constipation and symptoms of nocturnal enuresis. Previous attempts of fecal disimpaction with the use of probiotics, castor oil and flax seeds were unsuccessful.

Intervention and Outcomes: A pediatric patient received subluxation based chiropractic care using Thompson technique protocol that resolved the symptoms of acute constipation and primary nocturnal enuresis. Thompson leg checks were used to determine the area of aberrant biomechanics. Improvement was seen within an hour of reducing cervical and ilium subluxations. On the third visit the mother of the patient revealed that a life time of nocturnal bedwetting three to four times a week had been resolved following her initial chiropractic evaluation and adjustment.

Conclusion: This case study provides support that chiropractic care may be beneficial in the management of constipation and nocturnal enuresis.

Author Keywords: Bedwetting, Constipation, Chiropractic, Enuresis, Subluxation, Thompson technique, Adjustment, Spinal manipulation

This abstract is reproduced with the permission of the publisher; full text is available by subscription.