title: A conservative approach for a patient with traumatically induced urinary incontinence.
abstract: OBJECTIVE
  To consider a conservative management plan for a patient suffering from diurnal enuresis.
  
  
  METHODS
  A 12-yr-old girl complained of left flank pain and involuntary urine loss that apparently began a short time after she fell backwards and landed on her coccyx. She had to wear a sanitary pad prophylactically throughout each day for more than a year because of unpredictable urinary incontinence.
  
  
  METHODS
  Manual adjusting procedures and soft tissue therapy were applied initially. Procedures were modified later to include an intrarectal technique. The quantity of urine loss decreased slowly with the initial treatment approach but never resolved completely. The flank pain also decreased somewhat but never ceased altogether. After the introduction of the intrarectal technique, additional progress was reported and both the flank pain and urinary incontinence resolved completely. A 4-yr follow-up confirmed complete resolution.
  
  
  CONCLUSIONS
  Conservative care helped an adolescent girl suffering from traumatically induced urinary incontinence.
authors.affiliation: Northwestern College of Chiropractic, Bloomington, MN, USA.
authors.forename: D E
authors.initials: DE
authors.lastname: Stude
authors.forename: T F
authors.initials: TF
authors.lastname: Bergmann
authors.forename: B A
authors.initials: BA
authors.lastname: Finer
mesh_terms: D000058:Accidental Falls; D002648:Child; D002684:Chiropractic / Q000379:methods; D003050:Coccyx / Q000293:injuries*; D005260:Female; D006801:Humans; D013124:Spinal Injuries / Q000150:complications*; D001743:Urinary Bladder / Q000293:injuries*; D014549:Urinary Incontinence / Q000209:etiology* / Q000628:therapy*