Chiropractic Care and Bedwetting

I was thrilled to find a review by Cochrane on Chiropractic Therapy for bedwetting.  I frequently see patients that have had 4-8 sessions without improvement and now they are ready to seek a western medical approach.

Chiropractors focus on irregularities of spinal structure and then they manipulate those structures to realign them.  Cochrane reviewed three trials.  The first and second trial had a significant difference in baseline wetting, this made their statistical comparison unreliable. The second trial did find improvement in wetting in the chiropractic group versus sham chiropractic care.  The third small trial showed that pinching massage was as good as Desmopressin but no information was given about the relapse after stopping massage.

My thoughts: The studies do not clearly identify Chiropractic Care as a reliable long term cure for bedwetting.  Families will often ask me if there is any harm to doing it anyway.  That’s a hard question to answer.  I would hate for a motivated child to lose momentum after failing a non-proven therapy.  This is also a large financial commitment. The therapy usually suggested is several adjustments for 1-3 months, which typically costs $50-$100 per session.  I would suggest they follow proven strategies that are known to work first.  If they have treatment failure with that, they can then proceed with nontraditional methods.

Huang, T., Shu, X., Huang, Y. S., & Cheuk, D. K. (2011). Complementary and miscellaneous interventions for nocturnal enuresis in children. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.cd005230.pub2