Chiroblog http://www.theadjustment.com/blogchiroblog.html Pediatric chiropractic mixed with a blend of life philosophy and healthy living thoughts. en-us NYK RSS Feeder What do I do about my child with ADHD? http://www.theadjustment.com/blog/chiroblog/2025/03/05/what-do-i-do-about-my-child-with-adhd/ Wed, 05 Mar 2025 09:49:47 -0500 <p>Attention-Deficit/Hyperactivity Disorder (ADHD) is on the rise, with more children being diagnosed each year. According to recent studies, nearly one in ten children in the United States is diagnosed with ADHD, making it the most common mental health condition among children. This recent increase may be in part due to better awareness and diagnosis, but we cannot discount the potential of environmental and dietary concerns. Common treatments for ADHD often involve medication and behavioral therapy, but worries about side effects and long-term use have made many parents explore alternative options.</p> <p>One such option is pediatric chiropractic care, which offers a natural, non-invasive approach to improving nerve system function. A pilot study found that chiropractic care, when combined with usual care, showed improvements in ADHD symptoms in children. Pediatric chiropractic care provides a promising complementary approach for parents seeking holistic solutions for ADHD. We have seen many children who were having significant difficulties in school becoming straight A students because their ability to focus increased, reading grade levels jumped significantly, and overall behavior improved.Â</p> <p>References:</p> <p><a href="https://siepr.stanford.edu/news/whats-behind-increase-adhd">Whatâs behind the increase in ADHD?</a><br /> <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1323397/full">The effects of chiropractic adjustment on inattention, hyperactivity, and impulsivity in children with attention deficit hyperactivity disorder: a pilot RCT</a></p> How we use the Polyvagal Theory in our practice http://www.theadjustment.com/blog/chiroblog/2025/03/03/how-we-use-the-polyvagal-theory-in-our-practice/ Mon, 03 Mar 2025 11:18:49 -0500 <p>The Polyvagal Theory, developed by Dr. Stephen Porges, explains how our nervous system responds to stress and safety through three levels: social engagement, fight/flight, and freeze. The social engagement system, governed by a part of the cranial nerves called the Ventral Vagus, helps us connect with others and feel safe. When we feel threatened, our sympathetic nervous system activates the fight/flight response, preparing us to either confront or escape danger. If the threat is overwhelming, the dorsal portion of the vagus nerve triggers the freeze response, causing us to shut down and conserve energy<a data-saferedirecturl="https://www.google.com/url?q=https://www.polyvagalinstitute.org/whatispolyvagaltheory&amp;source=gmail&amp;ust=1741102164998000&amp;usg=AOvVaw03MgKjL2S0iVoeGq6cuyir" href="https://www.polyvagalinstitute.org/whatispolyvagaltheory" target="_blank">[1]</a><a data-saferedirecturl="https://www.google.com/url?q=https://en.wikipedia.org/wiki/Polyvagal_theory&amp;source=gmail&amp;ust=1741102164998000&amp;usg=AOvVaw248OsLfNieeWDStBG2_JNB" href="https://en.wikipedia.org/wiki/Polyvagal_theory" target="_blank">[2]</a>.</p> <p>When working with children with autism, having an understanding of these levels can be insightful. Many children on the spectrum may have a heightened sensitivity to their environment, causing their nervous system to frequently shift into fight, flight or freeze. This can manifest as anxiety, avoidance, or turn into them shutting down. When you recognize these responses as natural reactions to perceived threats, caregivers and educators can create more supportive environments, which helps to promote feelings of safety and social engagement. This approach can help children with autism feel more secure and connected, ultimately enhancing their ability to interact and learn<a data-saferedirecturl="https://www.google.com/url?q=https://neurolaunch.com/polyvagal-theory-autism/&amp;source=gmail&amp;ust=1741102164998000&amp;usg=AOvVaw1FtHBF-7vXun-6fWQ0Ipnc" href="https://neurolaunch.com/polyvagal-theory-autism/" target="_blank">[3]</a><a data-saferedirecturl="https://www.google.com/url?q=https://www.psychologytoday.com/us/blog/nurturing-self-esteem-in-autistic-children/202402/how-the-polyvagal-theory-inspired-my&amp;source=gmail&amp;ust=1741102164998000&amp;usg=AOvVaw1Tgty7sRaHlaQSV7xzaWZQ" href="https://www.psychologytoday.com/us/blog/nurturing-self-esteem-in-autistic-children/202402/how-the-polyvagal-theory-inspired-my" target="_blank">[4]</a>. ÂThat is why in designing our office we structurally took into account the Polyvagal perspective to prepare the environment that is more suitable to children with autism, and also changed the way we approach our examinations and adjustments based on making the best possible experience for someone who is neurodivergent.</p> <p><b>References</b></p> <p>[1]Â<a data-saferedirecturl="https://www.google.com/url?q=https://www.polyvagalinstitute.org/whatispolyvagaltheory&amp;source=gmail&amp;ust=1741102164998000&amp;usg=AOvVaw03MgKjL2S0iVoeGq6cuyir" href="https://www.polyvagalinstitute.org/whatispolyvagaltheory" target="_blank">What is Polyvagal Theory? - Polyvagal Institute</a></p> <p>[2]Â<a data-saferedirecturl="https://www.google.com/url?q=https://apsychoserver.psychofizz.psych.arizona.edu/JJBAReprints/PSYC501A/Readings/PorgesBioPsychology_2007.pdf&amp;source=gmail&amp;ust=1741102164998000&amp;usg=AOvVaw1PEJPMio1GASgjyKKD3sa6" href="https://apsychoserver.psychofizz.psych.arizona.edu/JJBAReprints/PSYC501A/Readings/PorgesBioPsychology_2007.pdf" target="_blank">The polyvagal perspective - University of Arizona</a></p> <p>[3]Â<a data-saferedirecturl="https://www.google.com/url?q=http://ccare.stanford.edu/wp-content/uploads/2013/09/Porges-et-al.-2012-IOP-autism.pdf&amp;source=gmail&amp;ust=1741102164998000&amp;usg=AOvVaw0FwVxFDx_KM7iVEhHPZnKc" href="http://ccare.stanford.edu/wp-content/uploads/2013/09/Porges-et-al.-2012-IOP-autism.pdf" target="_blank">International Journal of Psychophysiology</a></p> <p>[4]Â<a data-saferedirecturl="https://www.google.com/url?q=https://www.psychologytoday.com/us/blog/nurturing-self-esteem-in-autistic-children/202402/how-the-polyvagal-theory-inspired-my&amp;source=gmail&amp;ust=1741102164998000&amp;usg=AOvVaw1Tgty7sRaHlaQSV7xzaWZQ" href="https://www.psychologytoday.com/us/blog/nurturing-self-esteem-in-autistic-children/202402/how-the-polyvagal-theory-inspired-my" target="_blank">How the Polyvagal Theory Inspired My Parenting - Psychology Today</a></p> Why does my baby have colic? http://www.theadjustment.com/blog/chiroblog/2025/02/28/why-does-my-baby-have-colic/ Fri, 28 Feb 2025 08:58:34 -0500 <p>Infantile colic is a common condition in otherwise healthy babies that cry for long periods, often intensely. It affects up to 40% of infants and typically peaks around six weeks of age[2]. While this can be distressing for both babies and parents, some researchers believe it could be linked to an immature nervous system. The nervous system plays a key role in controlling a babyâs digestive system and how they react to different stimuli[1]. If the nervous system isnât fully developed, it can lead to digestive issues or discomfort, which may explain the excessive crying.</p> <p>One theory behind colic is that the babyâs nervous system is overwhelmed, which can also lead to gastrointestinal problems. Signs of this include babies arching their backs and clenching their fists, which suggest theyâre experiencing neurospinal tension[1]. This tension can be caused by misalignments or stress in the nervous system, such as from birth trauma or even the motherâs stress during pregnancy[1]. A recent study of 120 colicky babies indicated that there might some neurological dysregulation in these infants that leads to their not being able to easily digest food [3].</p> <p>Understanding colic as a neurological issue opens up new ways to manage it. For example, gentle chiropractic care can help relieve the neurospinal tension by addressing the underlying cause, not just the crying[1]. This approach focuses on easing the root problem, which may offer relief for some babies.</p> <p>References:</p> <p>[1]Â<a data-auth="NotApplicable" data-linkindex="0" href="https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fpxdocs.com%2Fcolic%2Fwhat-is-a-colic-baby%2F&amp;data=05%7C02%7Cdrubin%40life.edu%7C1f79a2c6800a4c78040508dd56823b4c%7C08caf4e4ebff425fb02db709325bd52b%7C0%7C0%7C638761839524613775%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=jmamqmYliRJk14ExOmRfTPZsU4Lbyg3L7BVU4eWmT%2F0%3D&amp;reserved=0" target="_blank" title="Original URL: https://pxdocs.com/colic/what-is-a-colic-baby/. Click or tap if you trust this link.">What is a Colic Baby? Understanding the Signs and Root Causes of Colic</a></p> <p>[2]Â<a data-auth="NotApplicable" data-linkindex="1" href="https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.aafp.org%2Fpubs%2Fafp%2Fissues%2F2015%2F1001%2Fp577.html&amp;data=05%7C02%7Cdrubin%40life.edu%7C1f79a2c6800a4c78040508dd56823b4c%7C08caf4e4ebff425fb02db709325bd52b%7C0%7C0%7C638761839524650927%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=N9fzcBGD0goPn%2BySSzB%2FYboYPXEfCWgCsQ9HRWqrhNI%3D&amp;reserved=0" target="_blank" title="Original URL: https://www.aafp.org/pubs/afp/issues/2015/1001/p577.html. Click or tap if you trust this link.">Infantile Colic: Recognition and Treatment - AAFP</a></p> <p>[3] <a href="https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2021.668457/full">Clinical Evidence of Vestibular Dysregulation in Colicky Babies Before and After Chiropractic Treatment vs. Non-colicky Babies</a></p> Retained primitive reflexes http://www.theadjustment.com/blog/chiroblog/2025/02/26/retained-primitive-reflexes/ Wed, 26 Feb 2025 08:17:12 -0500 <p>Children with autism often have retained primitive reflexes, which are automatic movements that babies typically outgrow as they develop. These reflexes, such as the Moro reflex (startle response) and the palmar grasp reflex (grabbing with the hand), are essential for early development but should go away as the brain matures. However, in children with autism, these reflexes can stick around, potentially causing issues with their motor skills, coordination, and even cognitive functions<a href="https://casereports.bmj.com/content/16/12/e255285" target="_blank">[1]</a>. Studies have shown that retained primitive reflexes can cause trouble when it comes to a child&#39;s ability to perform everyday tasks and may lead to difficulties in social interactions and learning<a href="https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2022.922322/full" target="_blank">[2]</a>.</p> <p>Research suggests that addressing these retained reflexes through specific therapies can help improve the symptoms of autism. For example, modalities like sensory stimulation and physical exercises aimed at reducing these reflexes have shown good results, especially when coupled with gentle, brain-based chiropractic care <a href="http://bit.ly/2RyUGnf">[3].</a> Combining therapies (such as chiropractic) with neurological exercises can boost brain connectivity and improve cognitive and motor functions in children with autism<a href="https://casereports.bmj.com/content/16/12/e255285" target="_blank">[1]</a><a href="https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2022.922322/full" target="_blank">[2]</a>. By focusing on these underlying neurological issues, it is possible to give better overall development and quality of life for children with autism.</p> <p><strong>References</strong></p> <p>[1]Â<a href="https://casereports.bmj.com/content/16/12/e255285" target="_blank">Identification and reduction of retained primitive reflexes by sensory ...</a></p> <p>[2]Â<a href="https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2022.922322/full" target="_blank">Retained Primitive Reflexes and Potential for Intervention in Autistic ...</a></p> <p>[3] <a href="http://bit.ly/2RyUGnf">Combining Chiropractic Care with Extinguishing of Primitive Reflexes: A Case Series of 8 Children</a></p> <p>Â</p> <p>Â</p> How Interoception Awareness Can Help Kids with Autism http://www.theadjustment.com/blog/chiroblog/2025/02/18/how-interoception-awareness-can-help-kids-with-autism/ Tue, 18 Feb 2025 11:13:27 -0500 <p>Interoception, the sense of internal body signals such as hunger, thirst, and heartbeat, plays a crucial role in self-regulation and emotional awareness. For children with autism, improving interoception can significantly enhance their ability to understand and respond to their body&#39;s needs. One effective strategy is engaging in interoceptive awareness activities. For example, the "Feel Your Heartbeat" challenge involves children performing physical activities like jumping jacks and then pausing to notice their heartbeat. This helps them become more attuned to their internal signals<a data-saferedirecturl="https://www.google.com/url?q=https://neurodivergentinsights.com/blog/5-strategies-for-improving-your-childs-interoception/&amp;source=gmail&amp;ust=1739975998598000&amp;usg=AOvVaw3zDfz0MJDPhJtWGQ8M0_JF" href="https://neurodivergentinsights.com/blog/5-strategies-for-improving-your-childs-interoception/" target="_blank">[1]</a>. Additionally, mindfulness exercises such as deep breathingÂand body scans (such as fully describingÂa painful sensation) can help children recognize and interpret various bodily sensations, promoting better self-regulation and emotional control<a data-saferedirecturl="https://www.google.com/url?q=https://reframingautism.org.au/interoception-knowing-yourself-inside-and-out/&amp;source=gmail&amp;ust=1739975998598000&amp;usg=AOvVaw3ss6T2ndRQQMi0WwHIptYN" href="https://reframingautism.org.au/interoception-knowing-yourself-inside-and-out/" target="_blank">[2]</a>.</p> <p>Another approach is incorporating sensory activities that stimulate interoceptive awareness. Activities like playing with textured materials, engaging in yoga, or using weighted blankets can help children with autism become more aware of their internal states<a data-saferedirecturl="https://www.google.com/url?q=https://hopecentreforautism.com/strategies-to-improve-interoception-in-autistic-individuals/&amp;source=gmail&amp;ust=1739975998598000&amp;usg=AOvVaw04vzHXwmInIJIkLZWGysxb" href="https://hopecentreforautism.com/strategies-to-improve-interoception-in-autistic-individuals/" target="_blank">[3]</a>. By consistently practicing these strategies, children can develop a stronger connection between their internal signals and their emotional responses, leading to improved self-awareness and overall well-being<a data-saferedirecturl="https://www.google.com/url?q=https://www.autism.org.uk/advice-and-guidance/professional-practice/interoception-wellbeing&amp;source=gmail&amp;ust=1739975998598000&amp;usg=AOvVaw06__uujYhkOaZkAXNhUud7" href="https://www.autism.org.uk/advice-and-guidance/professional-practice/interoception-wellbeing" target="_blank">[4]</a>. Supporting children in this journey not only enhances their daily functioning but also empowers them to navigate their emotions and physical needs more effectively. For example, a mom of a child with autism recently told me after several chiropractic adjustments that their child is now more open to describing when they are hungry and is more open to trying new foods (since textures and smells are often significant detractors). Pediatric, brain-based chiropractic can be helpful for kids (and adults) with autism.ÂÂ</p> <p><strong>References</strong></p> <p>[1]Â<a data-saferedirecturl="https://www.google.com/url?q=https://neurodivergentinsights.com/blog/5-strategies-for-improving-your-childs-interoception/&amp;source=gmail&amp;ust=1739975998598000&amp;usg=AOvVaw3zDfz0MJDPhJtWGQ8M0_JF" href="https://neurodivergentinsights.com/blog/5-strategies-for-improving-your-childs-interoception/" target="_blank">How to Improve Interoception: 5 Proven Strategies for your Child</a></p> <p>[2]Â<a data-saferedirecturl="https://www.google.com/url?q=https://reframingautism.org.au/interoception-knowing-yourself-inside-and-out/&amp;source=gmail&amp;ust=1739975998598000&amp;usg=AOvVaw3ss6T2ndRQQMi0WwHIptYN" href="https://reframingautism.org.au/interoception-knowing-yourself-inside-and-out/" target="_blank">Interoception: Knowing Yourself Inside and Out - Reframing Autism</a></p> <p>[3]Â<a data-saferedirecturl="https://www.google.com/url?q=https://hopecentreforautism.com/strategies-to-improve-interoception-in-autistic-individuals/&amp;source=gmail&amp;ust=1739975998598000&amp;usg=AOvVaw04vzHXwmInIJIkLZWGysxb" href="https://hopecentreforautism.com/strategies-to-improve-interoception-in-autistic-individuals/" target="_blank">Strategies to improve interoception in autistic individuals</a></p> <p>[4]Â<a data-saferedirecturl="https://www.google.com/url?q=https://www.autism.org.uk/advice-and-guidance/professional-practice/interoception-wellbeing&amp;source=gmail&amp;ust=1739975998598000&amp;usg=AOvVaw06__uujYhkOaZkAXNhUud7" href="https://www.autism.org.uk/advice-and-guidance/professional-practice/interoception-wellbeing" target="_blank">Interoception and mental wellbeing in autistic people</a></p> <p>[5]ÂA Systematic Review of Associations Between Interoception, Vagal Tone, and Emotional Regulation: Potential Applications for Mental Health, Wellbeing, Psychological Flexibility, and Chronic Conditions, PinnaÂT & Edwards D, <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2020.01792/full">https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2020.01792/full</a></p> Trigeminal Nerve & its Autonomic Considerations http://www.theadjustment.com/blog/chiroblog/2024/10/29/trigeminal-nerve--its-autonomic-considerations/ Tue, 29 Oct 2024 11:45:42 -0400 <p>A study in 2015 discussed the link of trigeminal neuralgia (TN) with dysfunction of the autonomic nervous system. <sup>1</sup><br /> Method: 12 patients with classical TN and 12 healthy control patients. Patients are asked to submerge right arm for 5 into 10*C water to trigger pain. Patients rated their pain every 30 seconds on a 0-100 scale. Electrocardiograms were taken before and during experimental pain test. Heart rate was also analyzed in frequency domain, differentiating low frequency components ( HR fluctuations in the LF range reflect baroreflex-mediated sympathetic activity associated with Mayer waves of blood pressure) and high frequency components (HRV in the HF range is generated by respiratory sinus arrhythmia and<br /> constitutes a sensitive measure of cardiac vagal parasympathetic activity).</p> <p>Result: No difference in pain perception or heart rate between TN group and control group. No one in TN group experienced facial pain. All patients experienced an increase in low frequency oscillations (increased sympathetic activity) and decrease in high frequency (decrease in parasympathetic activity), but the changes were more pronounced in the TN group.</p> <p>Conclusions: âResults indicate that TN patients and healthy controls have comparable<br /> autonomic cardiac responses at rest, but that in response to a tonic experimental pain challenge, TN patients show greater sympathetic arousal and parasympathetic withdrawal than healthy controls.â âThe exact reason for the negative association between sympathetic reactivity and the number of pain paroxysms experienced by TN patients remains unclear and surely merits future attention.â</p> <p>The VagusÂnerve has clear parasympathetic connections, but the jury is still out on the trigeminalÂnerve. However, one thing noticed frequentlyÂin chiropractic practices is how the temporomandibular joint (TMJ), when not functioning, will usually be associated with increased tension in that person, whether they are a child or an adult <sup>2</sup>. Reducing the alignment issues in the TMJ often reduces that personâs stress as well.</p> <p>ReferencesÂ</p> <p>1. L&eacute;onard, G., Chalaye, P., Goffaux, P., Mathieu, D., Gaumond, I., &amp; Marchand, S. (2015). Altered<br /> Autonomic Nervous System Reactivity to Pain in Trigeminal Neuralgia. Canadian Journal of<br /> Neurological Sciences / Journal Canadien Des Sciences Neurologiques, 42(2), 125-131.<br /> doi:10.1017/cjn.2015.10</p> <p>2. Santos, E. et al. (2022). Association between temporomandibular disorders and anxiety: A systematic review. Frontiers in Psychiatry.ÂÂ<a href="https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.990430/full">https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.990430/full</a>Â</p> Alternative Treatments for Tongue-Ties in Infants http://www.theadjustment.com/blog/chiroblog/2024/10/08/alternative-treatments-for-tongueties-in-infants/ Tue, 08 Oct 2024 13:24:37 -0400 <p>Diagnosis and referral for surgical treatment of ankyloglossia, commonly referred to as a tongue-tie, has been on the rise over the past 25 years.<sup>1-5</sup> Breastfeeding difficulties such as poor latch, painful latch, poor infant weight gain, and long duration of feeding are most often attributed to tongue-ties. Interestingly, the highest rate of surgical intervention referrals occurs in male infants with private insurance from affluent regions of the United States.<sup>1</sup> However, there is a paucity of data to support that surgical interventions provide meaningful changes in breastfeeding outcomes. There is moderate data to support that mothers report decreased nipple pain but limited overall data to support immediate or long-term breastfeeding success after surgery.<sup>1-5</sup> Unfortunately, this has resulted in a lack of substantiated universal diagnostic and treatment criteria for tongue-ties.<sup>1-5</sup></p> <p>The apparent lack of clinical consensus leads to confusion among parents regarding the correct course of treatment for their infant. The good news is that healthcare practitioners are starting to investigate surgical alternatives. There is some positive data to support osteopathic, myofunctional, speech language pathology and/or chiropractic therapy for improving sub-optimal infant feeding with or without a tongue-tie.<sup>7-11</sup> In general, the results appear to be amplified when any of the aforementioned therapies are combined with breastfeeding training with Certified Lactation Consultants.<sup>8-10</sup> In short, approximately 60% of patients who take a multi-modal conservative approach to a suspected tongue-tie can avoid surgical intervention.<sup>4</sup> Results from these interventions can be seen in as little as two weeks.<sup>10</sup> Some severe tongue ties may still require surgery if the degree of restriction could eventually interfere with speaking and/or swallowing solid foods.<sup>5</sup> It is always recommended to speak to your pediatrician about your infantâs feeding difficulties and determine a care plan, but equally important to realize that not all tongue ties require surgical intervention and might be amenable to alternative care.Â</p> <p>Â</p> <p>References</p> <ol> <li>Walsh J, Links A, Boss E, Tunkel D. Ankyloglossia and lingual frenotomy: National trends in inpatient diagnosis and management in the United States, 1997‐2012. <em>OtolaryngologyâHead and Neck Surgery</em>. 2017;156(4):735-740. doi:10.1177/0194599817690135</li> <li>Rosi-Schumacher M, Ma AC, Reese A, et al. Feeding issues in infants referred for frenotomy. <em>Cureus</em>. Published online May 2, 2024. doi:10.7759/cureus.59539</li> <li>OâShea JE, Foster JP, OâDonnell CP, et al. Frenotomy for tongue-tie in newborn infants. <em>Cochrane Database of Systematic Reviews</em>. 2017;2021(6). doi:10.1002/14651858.cd011065.pub2</li> <li>Caloway C, Hersh CJ, Baars R, Sally S, Diercks G, Hartnick CJ. Association of feeding evaluation with frenotomy rates in infants with breastfeeding difficulties. <em>JAMA OtolaryngologyâHead &amp; Neck Surgery</em>. 2019;145(9):817. doi:10.1001/jamaoto.2019.1696</li> <li>Frezza A, Ezeddine F, Zuccon A, Gracco A, Bruno G, De Stefani A. Treatment of ankyloglossia: A Review. <em>Children</em>. 2023;10(11):1808. doi:10.3390/children10111808</li> <li>Tomara E, Dagla M, Antoniou E, Iatrakis G. Ankyloglossia as a barrier to breastfeeding: A literature review. <em>Children</em>. 2023;10(12):1902. doi:10.3390/children10121902</li> <li>Chowdhury R, Khoury S, Leroux J, Alsayegh R, Lawlor CM, Graham ME. Alternative therapies for ankyloglossia-associated breastfeeding challenges: A systematic review. <em>Breastfeeding Medicine</em>. 2024;19(7):497-504. doi:10.1089/bfm.2024.0072</li> <li>Herzhaft-Le Roy J, Xhignesse M, Gaboury I. Efficacy of an osteopathic treatment coupled with lactation consultations for infantsâ biomechanical sucking difficulties. <em>Journal of Human Lactation</em>. 2016;33(1):165-172. doi:10.1177/0890334416679620</li> <li>Miller JE, Miller L, Sulesund A-K, Yevtushenko A. Contribution of chiropractic therapy to resolving suboptimal breastfeeding: A case series of 114 infants. <em>Journal of Manipulative and Physiological Therapeutics</em>. 2009;32(8):670-674. doi:10.1016/j.jmpt.2009.08.023</li> <li>Vallone, Sharon. Evaluation and treatment of breastfeeding difficulties associated with cervicocranial dysfunction: a chiropractic perspective. <em>Journal of Chiropractic Pediatrics. </em>2006; 15.</li> <li>Gonz&aacute;lez Garrido M del, Garcia-Munoz C, Rodr&iacute;guez-Huguet M, Martin-Vega FJ, Gonzalez-Medina G, Vinolo-Gil MJ. Effectiveness of myofunctional therapy in ANKYLOGLOSSIA: A systematic review. <em>International Journal of Environmental Research and Public Health</em>. 2022;19(19):12347. doi:10.3390/ijerph191912347</li> </ol> Pediatric concussion, Part 2 http://www.theadjustment.com/blog/chiroblog/2024/09/25/pediatric-concussion-part-2/ Wed, 25 Sep 2024 09:47:28 -0400 <p>There are many healthcare providers that can diagnose a concussion; however chiropractors are the only healthcare providers trained to address the cervicogenic changes that may be driving a number of your childâs symptoms.<sup>4</sup> Research is still limited on pediatric concussions in general, but in case studies and case series chiropractic care has demonstrated to assist in a full resolution of the symptoms in 2-8 visits over 2-5 weeks after initial injury.<sup>5-6</sup> It is also important to note that a resolution of symptoms at rest does not mean that your child has completely recovered and full stepwise return-to-play protocol over a minimum of five days is considered the gold standard for safe reintroduction of activity.<sup>2-3</sup> There is always a risk of development of delayed symptoms, particularly in females.<sup>7</sup> Cognitive rest in the initial period after injury should always be encouraged. You should always work with an experienced healthcare provider in order to determine a safe care plan for your child and sport-certified pediatric chiropractors have the education and experience to help you.<sup>8</sup></p> <p>Pediatric and sports chiropractors have been trained to examine children and adults with concussion and often are able to help those people with post-concussion syndrome that we not helped by traditional health care providers.ÂÂ</p> <p>References</p> <p>4. Shannon N, Patricios J. Sports-related concussion: assessing the comprehension, collaboration, and contribution of chiropractors. <em>Chiropractic & Manual Therapies</em>. 2022;30(1):NAâNA. doi:https://doi.org/10.1186/s12998-022-00471-z</p> <p>5. Journal of Clinical Chiropractic Pediatrics : Editorial. jccponline.com. Accessed March 26, 2023. https://jccponline.com/Concussion-Vol17-01.html</p> <p>6. Chiropractic management of three young athletes with concussion. Chiropractic Journal of Australia (Online), 46(1), 29â47. https://search.informit.org/doi/10.3316/informit.903767969878389</p> <p>7. Onicas AI, Deighton S, Keith Owen Yeates, et al. Longitudinal Functional Connectome in Pediatric Concussion: An Advancing Concussion Assessment in Pediatrics Study. <em>Journal of Neurotrauma</em>. Published online August 23, 2023. doi:https://doi.org/10.1089/neu.2023.0183</p> <p>8. Moreau WJ, Nabhan DC, Walden T. Sport Concussion Knowledge and Clinical Practices: A Survey of Doctors of Chiropractic With Sports Certification. <em>Journal of Chiropractic Medicine</em>. 2015;14(3):169-175. doi:https://doi.org/10.1016/j.jcm.2015.08.003</p> Pediatric concussion, Part 1 http://www.theadjustment.com/blog/chiroblog/2024/09/23/pediatric-concussion-part-1/ Mon, 23 Sep 2024 11:19:03 -0400 <p>Participating in sports has a significant number of physical, mental, educational, and eventual career benefits.<sup>1 </sup>ÂHowever, there is always a risk of injury with participation. Head injuries leading to concussions is a growing area of concern due to the potential long-term effects. Young children may not have the vocabulary to describe their symptoms to you and therefore, diagnosis relies on a combination of child interview by an experienced practitioner, parent interview, and child evaluation. Current diagnostic criteria for children under the age of 12 has been identified for healthcare providers in the Child Sport Concussion Assessment Tool 5 (Child SCAT-5).<sup>2</sup> Parents can also access the free Concussion Recognition Tool 5 for a quick reference guide to not only identifying a concussion but identifying an emergency.<sup>3</sup></p> <p>There are a few symptoms that you might want to notice or ask about after a head injury: complaints of headaches, dizziness, feeling like the room is spinning, altered or double vision, and/or nausea. You may also notice other changes like a change in your childâs mood such as unexplained sadness or irritability, trouble falling asleep or staying asleep, excessive tiredness or rapid fatigue, as well as trouble concentrating, following instructions, or completing tasks. While this is not an exhaustive list of symptoms, these are some of the most common. It is important to understand that âjust do not feel rightâ is considered a symptom and is enough to warrant investigation into your childâs condition.<sup>2-3</sup></p> <p>Dr Rubin is both pediatric and sports certified, so has a unique skill set to help kids with post-concussion syndrome. Let us know how we can help you and your child get back to school and sports the right way.Â</p> <p>References</p> <p>1. PCSFN Science Board. <em>Benefits of Youth Sports</em>.; 2020. https://health.gov/sites/default/files/2020-09/YSS_Report_OnePager_2020-08-31_web.pdf</p> <p>2. Davis GA, Purcell L, Schneider KJ, et al. The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5). <em>British Journal of Sports Medicine</em>. Published online April 26, 2017:bjsports-2017-097492. doi:https://doi.org/10.1136/bjsports-2017-097492</p> <p>3. Concussion recognition tool 5Â. <em>British Journal of Sports Medicine</em>. Published online April 26, 2017:bjsports-2017-097508CRT5. doi:https://doi.org/10.1136/bjsports-2017-097508crt5</p> Benefits of Chiropractic Care for Children with Down Syndrome http://www.theadjustment.com/blog/chiroblog/2024/09/18/benefits-of-chiropractic-care-for-children-with-down-syndrome/ Wed, 18 Sep 2024 15:12:37 -0400 <p>Down syndrome is a genetic condition resulting from an extra copy of chromosome 21. The disorder often includes developmental delays, cognitive challenges, and various health concerns, including those affecting the musculoskeletal system<sup>1</sup>. While conventional treatments like physical therapy and medical management are well-established, recent studies suggest that chiropractic care might offer additional benefits for children with Down syndrome. Multiple case studies conclude that chiropractic care is a safe and effective treatment option, reporting no adverse side effects but many positive effects<sup>2</sup>. A case report of a 4-year-old patient with Down syndrome concluded that the correction of the first cervical vertebra (atlas) using gentle chiropractic adjustments was responsible for the correction of convergent strabismus<sup>3</sup>. Another study reported improved breastfeeding patterns, resolution of a chronically blocked nose, and improved sleep and concentration following regular chiropractic care in a 9-year-old Down syndrome patient<sup>2</sup>.</p> <p>Children with Down syndrome also show distinct physical issues such as hypotonia (decreased muscle tone) and joint laxity. Spinal misalignments such as scoliosis and hip instability are frequently observed due to their unique musculoskeletal structure<sup>5</sup>. Chiropractic care aims to remove subluxations and enhance the bodyâs physical function by addressing postural imbalances and reducing discomfort associated with spinal misalignments<sup>7</sup>. This could enhance quality of life in patients with Down syndrome, who commonly experience musculoskeletal pain from joint instability and misalignments<sup>2</sup>.</p> <p>Chiropractic care might also indirectly boost immune function. A review published in the journal <em>Medicina</em> concluded that spinal adjustments may support a healthy immune response by affecting immune mediators in the body<sup>4</sup>. Given that children with Down syndrome are more susceptible to infections<sup>2</sup>, maintaining a well-functioning immune system could be beneficial.Â</p> <p>Chiropractic care should complement a comprehensive treatment plan tailored to the childâs specific needs. Some Down syndrome patients also fail to develop the transverse ligament, which stabilizes the two first vertebrae of the spine by binding the dens of C2 (Axis) to the anterior arch of C1 (Atlas). This causes atlanto-axial instability in the upper cervical spine<sup>2</sup>. Choosing a chiropractor experienced in working with children and individuals with developmental disorders is essential. Use of the Activator instrument offers a very gentle adjustment that is both safe and effective for a wide variety of conditions<sup>8</sup>, including Down syndrome<sup>6</sup>.</p> <p>References:</p> <ol> <li>âDown Syndrome: Symptoms & Causes.â <em>Cleveland Clinic</em>, 1 May 2024, my.clevelandclinic.org/health/diseases/17818-down-syndrome.Â</li> <li>ÂDaruwalla, Delsey. âDown Syndrome and Chronic Ear, Nose and Throat Infections: A Case Report.â <em>Journal of CliniCal ChiropraCtiC pediatriCs</em>, vol. 14, no. 1, June 2013, pp. 1088â1092, https://doi.org/https://jccponline.com/jccp_v14_n1.pdf#page=35.Â</li> <li>âChiropractic Care of a Downâs Syndrome Patient with Vertebral Subluxation and Strabismus.â <em>Vertebral Subluxation Research</em>, vertebralsubluxationresearch.com/2017/09/10/chiropractic-care-of-a-downs-syndrome-patient-with-vertebral-subluxation-and-strabismus/. Accessed 18 Sept. 2024.Â</li> <li>4) Haavik, Heidi, et al. âThe Potential Mechanisms of High-Velocity, Low-Amplitude, Controlled Vertebral Thrusts on Neuroimmune Function: A Narrative Review.â <em>MDPI</em>, Multidisciplinary Digital Publishing Institute, 27 May 2021, www.mdpi.com/1648-9144/57/6/536.Â</li> <li>5) Foley, Charlene, and Orla G Killeen. âMusculoskeletal Anomalies in Children with Down Syndrome: An Observational Study.â <em>Archives of Disease in Childhood</em>, U.S. National Library of Medicine, May 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6557226/.Â</li> <li>6) Dyck, V. Gary. â Upper cervical instability in Downâs syndrome: A Case Report.â <em>Journal of the Canadian Chiropractic Association</em>, vol. 25, no. 2, June 1981.Â</li> <li>7) professional, Cleveland Clinic medical. âChiropractic Adjustment Care, Treatment & Benefits.â <em>Cleveland Clinic</em>, 27 June 2024, my.clevelandclinic.org/health/treatments/21033-chiropractic-adjustment.Â</li> <li>Taylor, Shane H, et al. âA Review of the Literature Pertaining to the Efficacy, Safety, Educational Requirements, Uses and Usage of Mechanical Adjusting Devices: Part 2 of 2.â <em>The Journal of the Canadian Chiropractic Association</em>, U.S. National Library of Medicine, June 2004, www.ncbi.nlm.nih.gov/pmc/articles/PMC1840040/#:~:text=Of%20the%2016%20studies%20that,than%20do%20manual%20HVLA%20procedures.</li> </ol> Adult ADHD & Chiropractic, part 2 http://www.theadjustment.com/blog/chiroblog/2024/09/16/adult-adhd--chiropractic-part-2/ Mon, 16 Sep 2024 10:41:11 -0400 <p>Adult ADHDÂ& ChiropracticÂcare, continued:</p> <p>Once diagnosed, those seeking an alternative or holistic healthcare approach do have options. There is a paucity of research on non-pharmacological and/or holistic healthcare interventions for ADHD in any age-group, but small studies have demonstrated positive results from Cognitive Behavioral Therapy, transitioning to a diet higher in vegetable protein and lower in fat, supplementation of magnesium, zinc, and iron, <em>Lactobacillus rhamnosus</em> probiotic supplementation, yoga, mindfulness activities, and finally, chiropractic care.<sup>5-8</sup> In fact, chiropractic care demonstrated statistically significant effects on hyperactivity and inattentiveness as compared to standard care options.<sup>9-10 </sup>ÂÂWhen coping with ADHD symptoms, it is important to take a multimodal approach with a care team supportive of your individual needs and goals for treatment.</p> <p>Â</p> <p>5. Â<a href="https://doi.org/10.1017/s0033291720000069">https://doi.org/10.1017/s0033291720000069</a></p> <p>6. Â<a href="https://doi.org/10.1007/s13668-023-00487-8">https://doi.org/10.1007/s13668-023-00487-8</a></p> <p>7. Â<a href="https://doi.org/10.7759/cureus.63576">https://doi.org/10.7759/cureus.63576</a></p> <p>8.ÂÂ<a href="https://doi.org/10.3389/fpsyg.2024.1323397">https://doi.org/10.3389/fpsyg.2024.1323397</a></p> <p>9. <a href="https://jccponline.com/ADHD.html">https://jccponline.com/ADHD.html</a></p> <p>10. <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1323397/full">https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1323397/full</a></p> Adult ADHD & Chiropractic, part 1 http://www.theadjustment.com/blog/chiroblog/2024/09/13/adult-adhd--chiropractic-part-1/ Fri, 13 Sep 2024 10:17:40 -0400 <p>Adult diagnoses of Attention Deficit Hyperactivity Disorder (ADHD) are on the rise and represent a growing challenge for both patients and their care team. Up to 65% of children diagnosed with ADHD have on-going symptoms as adults, about 3% of all adults have new symptoms. Additionally, up to 80% of adults with ADHD also report at least one psychiatric comorbidity.<sup>1 </sup>While most of the same symptoms are present in both childhood ADHD and the adult presentation, adults also report additional symptoms and challenges related to their condition. For example, executive dysfunction is extremely common in adult presentations of ADHD and results in an inability to organize tasks, inability complete complex or difficult tasks, inability to identify mistakes, frequent procrastination, forgetfulness, and inability to establish proper boundaries. Additionally, adult ADHD patients report emotional dysregulation resulting in decreased satisfaction in romantic partnerships, difficulty maintaining friendship, and parenting concerns. These disease traits and associated behaviors can lead to feelings of isolation and loneliness, struggles in career and education, negative emotional responses in parenting, higher divorce rates, increased risk of injuries and accidents, and decreased overall mortality as compared to the rest of the population.<sup>1-4</sup></p> <p>Chiropractic care has the potential to help both children and adults with ADHD, by allowing the nerve system and brain to work in a more relaxed and focused manner through gentle adjustments, neurological exercises, and dietary modification. <sup>10-11</sup></p> <p>References:</p> <p>1. Â<a href="https://doi.org/10.1371/journal.pone.0277175">https://doi.org/10.1371/journal.pone.0277175</a> Â</p> <p>2. <a href="https://doi.org/10.4088/pcc.16r02000">https://doi.org/10.4088/pcc.16r02000</a></p> <p>3.ÂÂ<a href="https://doi.org/10.1002/mpr.1555">https://doi.org/10.1002/mpr.1555</a></p> <p>4. Â<a href="https://doi.org/10.1177/10870547231158572">https://doi.org/10.1177/10870547231158572</a></p> <p>10. <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1323397/full">https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1323397/full</a></p> <p>11. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706103/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706103/</a></p> Chiropractic and Infantile colic http://www.theadjustment.com/blog/chiroblog/2024/09/11/chiropractic-and-infantile-colic/ Wed, 11 Sep 2024 09:30:50 -0400 <p>For new parents, the first few weeks after birth can bring on a lot of challenges. Adjusting to the changes can be even more difficult if the newborn is suffering from infantile colic. This common condition is characterized by abdominal discomfort, resulting in the infant crying excessively which the parents are unable to console. Research suggests that almost 20% of newborns and infants may be affected by colic, with symptoms starting around week 2 or 3 and typically resolving before the child reaches 6 months of age. However, the cause of infantile colic is not fully understood. Factors that are proposed to contribute to this condition are sensitivity to certain foods (especially dairy), feeding techniques, overfeeding, underfeeding, insufficient burping and even maternal diet, with the momâs consumption of dairy being a supposed culprit (1).</p> <p>The result is an uncomfortable baby and parents that are stressed and unable to get the rest they need. Several studies have examined the safety and efficacy of chiropractic care in the treatment of colic. One of them, a single-blinded, randomized controlled trial conducted in Denmark, recruited infants age 2-14 weeks presenting with symptoms of infantile colic. These children were divided into a treatment and a control group. The infants in the treatment group were adjusted twice a week for 2 weeks using very light, fingertip pressure and gentle massage of any potential tight muscles. Their parents were asked to keep a diary of how many hours their children were crying, and how many hours they were awake and happy. Once the study was completed, the treatment group demonstrated a reduction of excessive crying by half an hour, without adverse side effects. Over 90% of the parents were content that they joined the study (2). Chiropractic therefore can be of possible benefit to colicky infants and should be considered a safe and effective alternative to other more traditional treatments.Â</p> <p>1) https://www.ncbi.nlm.nih.gov/books/NBK518962/</p> <p>2) https://chiromt.biomedcentral.com/articles/10.1186/s12998-021-00371-8</p> Adults with Autism Get Benefits from Chiropractic Care http://www.theadjustment.com/blog/chiroblog/2024/09/06/adults-with-autism-get-benefits-from-chiropractic-care/ Fri, 06 Sep 2024 12:09:13 -0400 <p>Chiropractic care can offer valuable support for adults with autism by utilizing a gentle approach that helps to balance and optimize the nervous system. For many individuals on the autism spectrum, sensory processing challenges and heightened sensitivity can be significant concerns. Chiropractic adjustments aim to improve spinal alignment and nervous system function, which can, in turn, influence the bodyâs ability to manage sensory input more effectively. By focusing on gentle, targeted adjustments, chiropractors work to reduce stress on the nervous system, which may help individuals experience a greater sense of calm and improved overall well-being.</p> <p>Chiropractic care often includes techniques that are tailored to be non-invasive and sensitive to individual needs. Dr. Rubinâs method stands out in this regard. He employs gentle pressure adjustments and a specialized tool known as the âActivatorâ to deliver precise and comfortable adjustments. This customized approach helps reduce discomfort while enhancing the nervous systemâs capacity for self-regulation. For adults with autism, this can lead to better stress management, improved sleep, and more stable emotional regulation, ultimately enhancing overall quality of life.</p> <p>Numerous articles have demonstrated the effectiveness of chiropractic care for adults with autism. One notable case study involved two patients: a 20-year-old and a 17-year-old. Both individuals exhibited aggressive behavior towards others and engaged in self-harm. After undergoing weekly chiropractic adjustments for five months, both patients showed significant improvements. The chiropractic care led to reductions in aggressive behavior and self-abuse, as well as enhanced social interaction.</p> <p><a href="https://vertebralsubluxationresearch.com/2017/09/10/improvement-in-autistic-behaviors-following-chiropractic-care-a-case-series/">https://vertebralsubluxationresearch.com/2017/09/10/improvement-in-autistic-behaviors-following-chiropractic-care-a-case-series/</a></p> Pediatric constipation & chiropractic care http://www.theadjustment.com/blog/chiroblog/2024/09/05/pediatric-constipation--chiropractic-care/ Thu, 05 Sep 2024 21:22:00 -0400 <p>Chiropractic care can offer significant benefits for babies and young children suffering from constipation by helping to relieve pressure on the nervous system to improve gastrointestinal function. Misalignments in the spine, particularly in the lower back, can interfere with the nerves that control the muscles of the digestive tract, potentially leading to sluggish bowel movements and constipation. Gentle chiropractic adjustments tailored for infants and toddlers can help realign the spine, reduce nerve interference, and restore normal bowel function. This natural approach can reduce the need for medications, which may have unwanted side effects in youngsters. Additionally, chiropractic care can promote overall well-being by enhancing the childâs comfort, improving sleep, and boosting the immune system.</p> <p>Â</p> <p>The Logan Basic Technique is a gentle chiropractic method often used for treating babies with constipation. Developed by Dr. Hugh B. Logan in 1931, this technique involves applying light, sustained pressure to the sacrum, (a triangular bone at the base of the spine), and specific ligaments connected to it. By balancing the muscles around the sacrum and pelvis, the Logan Basic Technique helps to release tension and promote proper nerve function, which can positively impact the babyâs digestive system. The method is particularly suitable for infants because of its soft, non-invasive nature, making it a safe and effective option for relieving constipation and improving overall health in babies.</p> <p>https://dynamicchiropractic.com/article/56272-treating-the-pediatric-patient-part-1-logan-basic-techniqueÂ</p> Exercise During Pregnancy, part 2 http://www.theadjustment.com/blog/chiroblog/2024/08/16/exercise-during-pregnancy-part-2/ Fri, 16 Aug 2024 15:07:00 -0400 <p>With the rise of elite athletes competing in high-intensity and sometimes contact sports, it raises the question of what is truly safe for pregnant women? The American College of Obstetrics and Gynecology currently recommend a <em>minimum </em>of 150 minutes of moderate intensity exercise per week during pregnancy. This should include both aerobic and resistance training. Exercise during pregnancy has been shown to demonstrate significant positive effects for the mother including but not limited to reducing weight gain and its subsequent effects, alleviating and preventing musculoskeletal pain, shortening labor and delivery, and reducing the risk of an emergency c-section. While exercise does not seem to have a direct effect on the fetus, it has been shown to potentially reduce fetal distress during labor. More importantly, exercise has not been shown to have any negative effects on a fetus during a low-risk pregnancy.<sup>1-2</sup> It is also important to note that the upper limits of how much exercise intensity a pregnant mother and fetus can tolerate safely is currently undetermined. However, special concern should be given to competing in high fall-risk or impact activities, high heat and humidity, and exercise at elevation >6000ft.<sup>3</sup> In short, if your obstetrician has given you the clearance to exercise during your pregnancy, most exercise and athletic activities will be well-tolerated by both mother and baby, especially in well-trained adults going into pregnancy. Remember, chiropractic is your best bet to achieve healthy maximum performance! But, if you are concerned about a specific activity or any symptoms you are experiencing while exercising, always consult your healthcare team immediately.<sup>1-3</sup></p> <p><span style="font-size:10px;">References:</span></p> <p><span style="font-size:10px;">1. Perales M, Santos-Lozano A, Ruiz JR, Lucia A, Barakat R. Benefits of aerobic or resistance training during pregnancy on maternal health and perinatal outcomes: A systematic review.Â<em>Early Human Development</em>. 2016;94:43-48. doi:https://doi.org/10.1016/j.earlhumdev.2016.01.004</span></p> <p><span style="font-size:10px;">2. Albright E. Exercise During Pregnancy.Â<em>Current Sports Medicine Reports</em>. 2016;15(4):226-227. doi:https://doi.org/10.1249/JSR.0000000000000277</span></p> <p><span style="font-size:10px;">3. Cooper DB, Yang L. Pregnancy And Exercise. PubMed. Published April 17, 2023. https://www.ncbi.nlm.nih.gov/books/NBK430821/</span></p> Exercise During Pregnancy, part 1 http://www.theadjustment.com/blog/chiroblog/2024/08/14/exercise-during-pregnancy-part-1/ Wed, 14 Aug 2024 11:28:39 -0400 <p>With the entire world watching the 2024 Olympic Games play out in real time, one major talking point has become women competing in the Games during their pregnancies. In fact, Egyptian fencer Nada Hafez and Azerbaijani archer Yaylagul Ramazanova both competed while seven and six-and-a-half months pregnant, respectively. In addition, marathon runner Maegen Krifchin competed at the 2024 US Olympic Trials at 7 months pregnant and heptathlete Lindsay Flach competed in the 2021 US Olympic trials at 18 weeks pregnant. While novel in the second and third trimester, women have been competing in the first trimester for many years. For example, US volleyball player Kerri Walsh Jennings competed in the 2012 Olympic Games while 5 weeks pregnant and tennis superstar Serena Williams won the 2017 Australian Open while 8 weeks pregnant with her first daughter.</p> <p>So, how can chiropractic care help? Chiropractic care during pregnancy has been shown to demonstrate decreased low back and pelvic girdle pain (in an average of 4.5 days), reducing neck and shoulder pain associated with postural changes from pregnancy, and decreasing overall musculoskeletal pain.<sup>4-6 </sup>Chiropractors are uniquely capable of helping pregnant patients move better overall and with less pain. Discomfort during pregnancy is one of the main reasons women cite for not completing an exercise regimen,<sup>7-8</sup>so in summary, chiropractic care keeps you movingÂthroughout your pregnancy!</p> <p><span style="font-size:8px;">References:</span></p> <p><span style="font-size:8px;">4. Stuber KJ, Smith DL. Chiropractic Treatment of Pregnancy-Related Low Back Pain: A Systematic Review of the Evidence.Â<em>Journal of Manipulative and Physiological Therapeutics</em>. 2008;31(6):447-454. doi:https://doi.org/10.1016/j.jmpt.2008.06.009</span></p> <p><span style="font-size:8px;">5. CONNER SN, TRUDELL AS, CONNER CA. Chiropractic Care for the Pregnant Body.Â<em>Clinical Obstetrics & Gynecology</em>. 2021;64(3). doi:https://doi.org/10.1097/grf.0000000000000621</span></p> <p><span style="font-size:8px;">6. Weis CA, Pohlman K, Draper C, daSilva-Oolup S, Stuber K, Hawk C. Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review.Â<em>Journal of Manipulative and Physiological Therapeutics</em>. 2020;43(7). doi:https://doi.org/10.1016/j.jmpt.2020.05.005</span></p> <p><span style="font-size:8px;">7. Skjold I, Benvenuti MB, Haakstad LA. Why do so many pregnant women give up exercise? An Italian cross-sectional study.Â<em>Womenâs Health</em>. 2022;18:174550572211179. doi:https://doi.org/10.1177/17455057221117967</span></p> <p><span style="font-size:8px;">8. Coll CVN, Domingues MR, Gon&ccedil;alves H, Bertoldi AD. Perceived barriers to leisure-time physical activity during pregnancy: A literature review of quantitative and qualitative evidence.Â<em>Journal of Science and Medicine in Sport</em>. 2017;20(1):17-25. doi:https://doi.org/10.1016/j.jsams.2016.06.007</span></p> Chiropractic Care & Primitive Reflexes http://www.theadjustment.com/blog/chiroblog/2024/08/07/chiropractic-care--primitive-reflexes/ Wed, 07 Aug 2024 11:39:01 -0400 <p>Chiropractic care has shown promising positive benefits for children with autism, providing a complementary approach to traditional treatments. One of the key advantages is the improvement in the neurologic function. Chiropractic adjustments focus on correcting spinal misalignments. These misalignments or subluxations can decrease the nervous systemâs ability to communicate effectively. For children with autism, brain-based chiropractic care can result in better sensory processing and improved motor skills. Studies have demonstrated that chiropractic care, combined with exercises to extinguish primitive reflexes, can lead to significant gains in coordination, communication, and overall behavior. These improvements can profoundly impact a childâs ability to engage with their environment and participate in social interactions, contributing to a higher quality of life.Â</p> <p>Â</p> <p>One article that discusses the positive effects of chiropractic care plus extinguishing primitive reflex exercises is Dr. Rubinâs article, âCombining Chiropractic Care with Extinguishing of Primitive Reflexes: A Case Series of 8 Children.â This study detailed eight children with various neurodevelopmental issues who received a combination of chiropractic care and exercises aimed at extinguishing primitive reflexes. Four of these cases were handled in a chiropractic university clinic, while the other four were treated in private practices. Each child had previously been diagnosed with neurodevelopmental conditions, and gentle, brain-based chiropractic care was given to âreconnect the disconnectionsâ, while exercises were recommended to reduce retained primitive reflexes. The results were overwhelmingly positive, with seven of the eight children showing significant improvements. These improvements included enhanced coordination, better social interactions, increased independence, and improved academic performance. The study concludes that integrating chiropractic care with primitive reflex exercises could be highly beneficial for children with neurodevelopmental issues. You can find this article here, <a href="http://bit.ly/2RyUGnf">http://bit.ly/2RyUGnf</a> or visit <a href="https://www.theadjustment.com/page/dr-rubins-published-articles.html">https://www.theadjustment.com/page/dr-rubins-published-articles.html</a> for more information.Â</p> Pediatric Plantar Fasciitis and Chiropractic care http://www.theadjustment.com/blog/chiroblog/2024/06/04/pediatric-plantar-fasciitis-and-chiropractic-care/ Tue, 04 Jun 2024 10:37:57 -0400 <p>In this blog post, we present a case study of a 10-year-old football player with bilateral plantar fasciitis who experienced significant improvement following a multimodal conservative approach involving chiropractic treatment. Plantar fasciitis is a common condition characterized by pain and inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot. It typically presents as heel pain, particularly with the first steps in the morning or after periods of rest. While plantar fasciitis can affect individuals of all ages and activity levels, it is particularly prevalent among athletes, including young athletes engaged in high-impact sports like football. The case highlights the potential benefits of chiropractic care in managing plantar fasciitis, particularly in young athletes, and underscores the importance of a comprehensive approach to achieve optimal outcomes.</p> <p>A 10-year-old football player presented with bilateral plantar fasciitis characterized by three weeks of heel pain. Over a six-week period spanning six visits, a multimodal conservative approach involving chiropractic care and home rehabilitation exercises was implemented. Specific attention was given to the origin of the plantar fascia and the triceps surae bilaterally, with high-velocity, low-amplitude extremity adjustments targeting the restricted ankle joint. Following the six sessions, the patient reported bilateral foot pain resolution and enhanced daily functioning. Subsequent follow-up three months later indicated sustained improvement and the absence of pain. This case underscores the efficacy of a comprehensive chiropractic intervention coupled with exercise may effectively manage bilateral plantar fasciitis in young athletes.</p> <p>Dr. Rubin is a board-certified pediatric chiropractor as well as a certified sports chiropractor, so we see athletes of all ages. Success is seen across the board, ranging from pre-teens, teens involved in high level competitive sports (some of whom have gone on to play at the Division 1 college level), college students who play on Division level or are just playing intramural sports, and many adults who just want to improve their tennis and golf games or rank higher in their Cross-Fit gyms!</p> <p>Reference: Daniels CJ, Morrell AP. Chiropractic management of pediatric plantar fasciitis: a case report. J Chiropr Med. 2012 Mar;11(1):58-63. doi: 10.1016/j.jcm.2011.06.009. PMID: 22942843; PMCID: PMC3315855.</p> Infant with tight/hypertonic muscles & chiropractic care http://www.theadjustment.com/blog/chiroblog/2024/05/28/infant-with-tighthypertonic-muscles--chiropractic-care/ Tue, 28 May 2024 13:23:50 -0400 <p>The challenges posed by abnormal muscle tone in children are multifaceted and can significantly impact motor development and overall well-being. Whether hypertonic or hypotonic, these conditions can range from mild to severe. Hypertonicity is characterized by increased muscle tension and limited flexibility. It can stem from various factors, including intrauterine injuries or neurologic conditions affecting the motor pathways such as cerebral palsy. In a chiropractic case study, a four-month-old infant presented with hypertonicity in the arms and legs.</p> <p>The infant&#39;s case history revealed a complex birth involving interventions such as forceps and suction which potentially contributed to the muscular tension. Through a chiropractic care plan involving spinal and cranial adjustments, along with home care exercises, significant improvements were noted over a six-month period. The infant showed gradual resolution of hypertonicity symptoms, with improved milestones, limb flexibility and primitive reflexes. This case underscores the potential of chiropractic care in addressing muscle hypertonicity in pediatric patients and highlights the need for further research in this area to better understand its efficacy and applicability.</p> <p>Beyond addressing physical symptoms, chiropractic care may play a crucial role in supporting motor development associated developmental delays or disabilities. As such, continued exploration and documentation of chiropractic approaches for pediatric musculoskeletal disorders are essential for optimizing care and promoting the well-being of young patients facing these challenges.</p> <p>Reference: Kylie Read, BChiro. Resolution of Hypertonicity in a Pediatric Patient Undergoing Chiropractic Care: A Case Report. Volume 12, No. 1, June 2011 Journal of Clinical Chiropractic Pediatrics.</p> Chiropractic May Help Visual Disturbances in Kids http://www.theadjustment.com/blog/chiroblog/2024/05/22/chiropractic-may-help-visual-disturbances-in-kids/ Wed, 22 May 2024 12:11:08 -0400 <p>Visual disturbances, ranging from double vision to narrowed visual fields, have been reported to improve following chiropractic manipulation. This intriguing case outlines the resolution of intermittent double vision and over-convergence in a 13-year-old boy after chiropractic care. The patient&#39;s symptoms, which had persisted for a year and worsened with schoolwork, were attributed to accommodative/convergence insufficiency, a condition affecting eye alignment and focus.</p> <p>Upon referral from an optometrist, chiropractic evaluation revealed vertebral dysfunction in the cervical and lumbopelvic spine. Treatment involved spinal adjustments and manipulation to correct the identified dysfunctions. Remarkably, the patient reported full symptom resolution after just one visit, with sustained improvement noted over subsequent appointments.</p> <p>The case underscores the potential role of chiropractic care in addressing visual disturbances associated with mechanical neck and back issues. While the exact mechanisms behind these improvements remain under investigation, theories suggest that chiropractic adjustments may enhance neural integrity and cerebral blood flow, aiding in the restoration of visual function. Further research is needed to quantify the efficacy of chiropractic interventions in cases of sensory system impairments, highlighting the importance of interdisciplinary collaboration in optimizing patient outcomes.</p> <p>This is why Dr. Rubin makes sure to check eye functioning of all children, because the eyes are the &#39;windows into the brain!&#39;</p> <p>Reference: Gabrielle Tymms, BAppSc(ClinSc)/BChiroSc. Visual Recovery from Diplopia in a 13âYear-Old Following Chiropractic Intervention. Journal of Clinical Chiropractic Pediatrics Volume 12, No. 1, June 2011.</p> Birth Related Injuries and Chiropractic http://www.theadjustment.com/blog/chiroblog/2024/05/20/birth-related-injuries-and-chiropractic/ Mon, 20 May 2024 09:33:27 -0400 <p>Birth-related injuries can present complex challenges, particularly in pediatric patients. One example is in a case report from 2011 that sheds light on a rare occurrence: a neonate with combined brachial plexus and facial nerve palsy seeking care at a chiropractic clinic. The patient, delivered via forceps-assisted vaginal birth after Caesarean, exhibited facial asymmetry and upper limb postural issues from birth, stemming from shoulder dystocia during delivery.</p> <p>Upon examination, the patient displayed signs of both brachial plexus and facial nerve involvement, indicating a unique obstetric trauma. Chiropractic management, focusing on craniosacral techniques and soft tissue therapy, yielded impressive results. Gradual improvement in facial symmetry and upper limb posture was observed over several months, with no reported adverse effects.</p> <p>This case underscores the importance of considering conservative therapies, such as chiropractic care, as one alternative to managing birth-related injuries. While severe cases may necessitate surgical or other intervention, mild to moderate presentations can often be effectively addressed through specialized pediatric chiropractic care and neurological exercises. Close monitoring and individualized care are paramount in optimizing outcomes for pediatric patients with birth-related injuries.</p> <p>Reference: Sharon Gordon, BAppSc(Chiro). Chiropractic Management of a Combined Neonatal Brachial Plexus and Facial Nerve Palsy: A Case Report. Volume 12, No. 1, June 2011 Journal of Clinical Chiropractic Pediatrics</p> Pediatric Low Back Injuries http://www.theadjustment.com/blog/chiroblog/2024/05/01/pediatric-low-back-injuries/ Wed, 01 May 2024 14:47:34 -0400 <p>Recent epidemiologic studies have estimated that the lifetime prevalence of low back pain in children is approximately 50%, with almost 15% of children experiencing frequent or continual pain. A pediatric chiropractor can help alleviate low back pain in children through gentle spinal adjustments and exercises to strengthen supporting muscles and prevent future episodes. By employing safe and effective chiropractic care, pediatric chiropractors aim to reduce pain, improve function, and enhance the overall well-being of young patients experiencing low back discomfort.</p> <p>A low back pain research study involving 54 pediatric patients with an average age of 13 years old highlights the potential of chiropractic care in alleviating low back pain in children. Most of the patients were diagnosed with lumbar dysfunction or subluxation. Treatment outcome was measured with a subjective rating scale and a self-report pediatric visual analogue scale. Patients responded well to adjustments, with 87% of patients experiencing "important" improvement within a 6-week treatment course. There were no reported complications and significant improvements were observed, however, the need for further investigations is needed.</p> <p>Reference: Hayden JA, Mior SA, Verhoef MJ. Evaluation of chiropractic management of pediatric patients with low back pain: a prospective cohort study. J Manipulative Physiol Ther. 2003 Jan;26(1):1-8. doi: 10.1067/mmt.2003.11. PMID: 12532132.</p> Pediatric ankle injuries and chiropractic http://www.theadjustment.com/blog/chiroblog/2024/04/24/pediatric-ankle-injuries-and-chiropractic/ Wed, 24 Apr 2024 11:29:12 -0400 <p>Pediatric athletes that are involved in high velocity sports, frequently encounter ankle problems and sprains. This blog post will examine two case studies to illustrate the potential effectiveness of chiropractic treatment in addressing these issues. Traditional care methods, including rest, ice, compression, elevation, and rehabilitation exercises, often fall short in resolving persistent symptoms such as pain, weakness, and instability. Chiropractic management utilizes manual techniques to realign the ankle joint, reduce inflammation, and restore proper ranges of motion. The articles highlight chiropractic interventions in addressing persistent post-sprain concerns and facilitating young athletes&#39; return to sports activities.</p> <p>One of the studies presented A 15-year-old male patient that presented with persistent ankle pain and limited ranges of motion due to an inversion sprain while playing soccer. The incident happened approximately 8.5 months prior. The athlete sought chiropractic care and the management included adjustments and education on home exercises and stretching to improve ankle dorsiflexion. After 4 visits, the athlete showed significant symptom relief and returned to full athletic participation. There was a follow-up evaluation at 5 months which revealed no pain or functional complaints.</p> <p>The second article discusses the case of a 16-year-old female soccer player experiencing ankle pain for 3 weeks which was exacerbated by running. From a young age she had gait difficulties and foot flare which were still present upon examination. Detailed history-taking and examination revealed multiple contributing factors, including biomechanical abnormalities, and muscular imbalances. Treatment involved chiropractic adjustments of both the spine and extremities, and some functional rehabilitation. Over seven weeks, the patient showed significant improvement in pain levels, had a 10 degree decrease in foot flare and was able to return to play without discomfort.</p> <p>Chiropractic works for athletes young and old, weekend warriors or Super Bowl level professionals! Make sure you find a chiropractor that is sports certified!</p> <p>References:</p> <p>Hewitt RL, Brocker JL. Chiropractic Management of Chronic Ankle Pain and Limited Mobility in a Pediatric Athlete: A Case Report. J Chiropr Med. 2023 Mar;22(1):85-88. doi: 10.1016/j.jcm.2022.10.001. Epub 2022 Dec 13. PMID: 36844988; PMCID: PMC9947970.</p> <p>Anderson, M., & Barber, M. (2011). Kinetic Chain Dysfunction in a 16-Year-Old Soccer Player with Ankle Pain. Journal of Clinical Chiropractic Pediatrics, 12(1), 862-863. Retrieved from <a href="https://www.chiroindex.org/?search_page=articles&amp;action=&amp;articleId=21953&amp;search1=sport%20injuries">https://www.chiroindex.org/?search_page=articles&action=&articleId=21953&search1=sport%20injuries</a></p> Pediatric Sports Injuries Part 2 http://www.theadjustment.com/blog/chiroblog/2024/04/15/pediatric-sports-injuries-part-2/ Mon, 15 Apr 2024 11:50:14 -0400 <p>Pediatric injuries in soccer are a significant concern as the popularity of the sport continues to rise among children and adolescents worldwide. Soccer, known for its fast pace, agility demands, and physical contact, poses various risks to young players. While the sport offers numerous health benefits, including cardiovascular fitness and teamwork skills, the potential for injuries cannot be overlooked. Understanding the nature and prevalence of these injuries is crucial for developing effective prevention strategies and promoting safe participation in soccer among children.</p> <p><br /> In recent years, there has been a growing interest in alternative healthcare modalities for children, particularly chiropractic care. Chiropractic interventions can be beneficial for children suffering from injuries, whether acute or chronic. The gentle and non-invasive nature of chiropractic adjustments makes it suitable for children of all ages. Chiropractic care focuses on restoring proper alignment and function of the musculoskeletal system. This approach not only helps alleviate pain and discomfort but also promotes natural healing processes within the body, which is particularly advantageous for pediatric patients who may be more sensitive to pharmaceutical interventions.<br /> Â</p> <p>In order to prevent long-term complications and promote optimal development, it is important to practice early intervention. Chiropractic care offers a holistic approach to pediatric healthcare, addressing not only the immediate symptoms but also underlying biomechanical issues that may contribute to recurrent injuries or musculoskeletal imbalances. By incorporating chiropractic adjustments, soft tissue therapies, and rehabilitative exercises, healthcare practitioners can effectively manage pediatric injuries and support the overall well-being of children.</p> <p>Reference: Corso M. Developmental changes in the youth athlete: implications for movement, skills acquisition, performance and injuries. J Can Chiropr Assoc. 2018 Dec;62(3):150-160. PMID: 30662070; PMCID: PMC6319435.</p>