Chiroblog

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.

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.

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!

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.

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.

The infant'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.

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.

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.

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'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.

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.

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.

This is why Dr. Rubin makes sure to check eye functioning of all children, because the eyes are the 'windows into the brain!'

Reference: Gabrielle Tymms, BAppSc(ClinSc)/BChiroSc. Visual Recovery from Diplopia in a 13–Year-Old Following Chiropractic Intervention. Journal of Clinical Chiropractic Pediatrics Volume 12, No. 1, June 2011.

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.

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.

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.

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

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.

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.

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.

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' return to sports activities.

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.

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.

Chiropractic works for athletes young and old, weekend warriors or Super Bowl level professionals!  Make sure you find a chiropractor that is sports certified!

References:

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.

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 https://www.chiroindex.org/?search_page=articles&action=&articleId=21953&search1=sport%20injuries

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.

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.
 

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.

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.

           As we know, breast milk’s popular nickname is “liquid gold” and rightfully so! There are millions of antibodies and nutrients that a mother’s breast milk can provide for her infant and beyond when ingested. As amazing as breast milk is for the gut microbiome, what other ways can it be useful to a child?

           Breast milk is known for its antibacterial properties which can be useful when trying to avoid harmful ingredients when treating skin conditions. Breast milk contains an epidermal growth factor which may promote skin repair.  Some conditions include, eczema, diaper rash, conjunctivitis (eye infection), and Otitis media (ear infection), which is a no-cost and noninvasive approach to such conditions. For many centuries, breastmilk was the treatment of choice due to its affordability (free!) and its natural ingredients.

           As always, more research is necessary to provide further evidence-based results to confirm or deny the effectiveness of this traditional therapy.

Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6567207/pdf/nutrients-11-00944.pdf

There are so many incredible books to help prepare mothers and fathers for parenthood. Many of them express what you cannot or should not do. In "Ina May's Guide to Childbirth" she provides a comprehensive book written by Ina May Gaskin, one of the world’s most prominent midwives. Her book helps redirect the mother’s mindset to things she can do by focusing on natural childbirth.

The book provides a holistic approach to childbirth, emphasizing the body's innate ability to give birth and the importance of mental and emotional preparation for labor. Gaskin shares beautiful birth stories from her experiences at The Farm, a midwifery community she co-founded in Tennessee, which highlights the positive outcomes of natural childbirth.

These optimistic birth stories are a refreshing, new outlook for mothers that may not have been exposed to this side of birth from the media and other outside factors. This allows the mother’s mindset to shift from fear to empowerment.  She further discusses various techniques for coping with labor pain, including relaxation, breathing exercises, and the use of water during labor. Additionally, the book addresses common medical interventions and their potential risks, empowering women to make informed choices about their birthing experiences. "Ina May's Guide to Childbirth" encourages women to trust their bodies and embrace the transformative experience of childbirth.

            Typically, neck pain and headaches are considered a complaint that brings adults into a practitioner’s office, especially chiropractic offices. However, recently, there has been a shift of patient population entering chiropractic offices for such complaints. What is a common denominator in a rise of neck pain and headaches? Many factors play a role in this shift; however, it is hard to overlook the obvious: Text Neck Syndrome. Text Neck Syndrome is a recent phenomenon due to improper and overuse of technological devices such as iPads, cell phones, and laptops. Though this is common in adulthood due to poor working ergonomics, there is a rise in text neck development through the increasing use of technology in young and growing children.

            Today’s environment is a world of technology that children cannot get enough of if exposed to it. If we take a second to look around a crowded room, we can see the commonality amongst the population; most are looking down at some form of devices. So, why does this matter? If the natural, healthy forward curve of our neck bones are not maintained, it will disappear. And why is that important? How does this affect my child? Without the maintenance of normal spinal function, changes begin to take place such as degeneration and muscle tightness. Remember- the spine houses one of our favorite systems, the nervous system.

            When degeneration occurs, it is difficult to reverse. Degeneration is a permanent form of misalignment and aging of the spine, further causing irritation to the communication of the brain and body that happens via the nerves. More importantly, degeneration in the neck (due to Text Neck) is the closest area of the spine to the brain. Thus, the body’s alarm system begins to sound, leading to physiological symptoms such as headaches, possible dizziness, and of course neck pain.

            In a child that is still developing, these changes can lead to complications scholastically, behaviorally, and ultimately irreversible spinal changes. Though screen time is not recommended in a developing child, proper ergonomics can help facilitate a healthier spine! Rather than your child sitting in a chair playing games or scrolling, have them rest on their stomachs to encourage a healthy curve in the cervical spine! If lying prone is not an option, consider expressing the importance of lifting the device to eye level to avoid the forward bending. Limit screen time when necessary to decrease the poor positioning if not able to reach these ergonomics.

Check out the ‘screen time’ post for information!

Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914771/pdf/ijerph-18-01565.pdf