Chiropractic for Children

Why should children see a Chiropractor?


Because children have healthy growing spines, they are the perfect chiropractic patients. A small spinal curve or other issue can be easily spotted in a chiropractic exam and quickly addressed. The spine is similar to a young tree that begins to grow crooked. If you don’t give it the support to grow straight, you’ll end up with a tree with a curved trunk. Children are much the same. It’s also important to protect children from the neurologic health changes that are often caused by a misaligned spine.

Do children like getting adjusted?        

Most children like getting adjusted and are often excited to come in for their visits.  Infants will frequently sleep through their entire visit or smile while being adjusted. We use various techniques on children depending on their health needs, and occasionally we can we give them a choice of the method they like best. We use techniques such as craniosacral therapy, activator and non-force techniques as well as manual adjustments using fingers and hands.

How often should children be seen? 

We recommend that children get their spines checked twice a year much like you would do for a dental check up. Keeping the spine aligned through chiropractic care can be very helpful in preventing scoliosis and other childhood problems such as ear infections, growing pains and sleep issues.

What role can chiropractic play in a child’s healthcare?

In addition to routine spinal assessment, chiropractic can play an important role in your child’s healthcare through many stages of development. Here is a break down of some commonly seen conditions in our clinic.

  • Newborn 0-12 months:  colic, trouble breast feeding, trouble sleeping, failure to thrive, constipation, reflux/stomach upset, ear infection

  • Toddlers 1-3 years:  low back pain, trouble walking, unusual stride pattern, clumsiness/tripping/frequent falls, failure to start walking, trouble sleeping, night terrors, ear infection, constipation

  • Start of school 5-7 years:  knee pain, growing pains, trouble adjusting at school, playground injury, colds, swimmer’s ear, bed wetting

  • Adolescence 11-15 years:  scoliosis, growing pains, menstrual troubles, sports injuries

  • High school 15-18 years:  Growing pains (more common in boys at this point), sports injuries, menstrual troubles

  • College to adult:  At this age their bodies start responding more like an adult so normal chiropractic rules apply


What are the goals of treating children?

Since children experience periods of rapid growth, our goal at inHealth Clinic is to keep the foundation of the musculoskeletal system strong and balanced.  Additionally we provide well and sick-child exams and offer natural alternatives to address many childhood illnesses.

Our practice blends the best of chiropractic and holistic health care using some of the following treatment options:

  • Adjustments (many technique options)

  • Careful and accurate testing

  • Thorough exams

  • Botanical medicine

  • Homeopathy

  • Nutrition

  • Vitamins and minerals


At in-Health, we pride ourselves in giving you honest and direct answers. We offer a complimentary 10-minute phone consultation and we promise to tell you if we are not a good fit for your healthcare needs.

Bursitis

What is bursitis?

Bursitis is caused by inflammation of a bursa, a small fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body.  There are approximately 160 bursae in the body.  The major bursae are located bordering the tendons near large joints such as the shoulders, elbows, hips, knees, and ankles. 

What causes bursitis?

Bursitis is most often caused by repetitive minor impact on the area, or a serious injury.  In addition, incorrect posture at work or home and poor stretching or conditioning before exercise can also lead to bursitis. The following risk factors have been associated with the development of bursitis:

  • Repetitive stress or overuse injury

  • Spine disease

  • Joint-related injury

  • Bone spurs or calcium deposits

  • Rheumatoid arthritis

  • Leg-length inequality


Who usually gets bursitis?

Bursitis is more common in adults, especially women over 40 years of age.

What parts of the body does bursitis affect?

Any part of the body that has a bursa can be irritated and inflamed.  However, the following joints have the highest risk factors for the development of bursitis:

  • Shoulder

  • Elbow

  • Hip

  • Knee

  • Achilles tendon


What are the symptoms of bursitis?

The symptoms of bursitis are directly related to the level of inflammation of the bursa.  The inflamed bursa can cause localized pain and tenderness.  If the bursa is so severely inflamed that swelling occurs, it can cause local redness and warmth.  The pain may increase gradually or sudden.  If calcium deposits are present, the pain can be severe. 

How can I prevent bursitis?

Avoiding behaviors and activities that make the inflammation of the bursa worse is the best way to prevent bursitis.  For example:

  • Avoid repetitive activities that put stress on the bursa.

  • Maintain strength and flexibility of the muscle surrounding the joint/bursa.

  • Maintain a healthy weight.


How is bursitis treated?

The doctor will feel the joint for swelling or tenderness.  An x-ray may be taken or fluid from the bursa may be removed with a small needle to check for infection.

Drug therapies include:

  • Non-steroidal anti-inflammatory drugs (NSAIDs)  reduce pain and swelling.  Over the counter NSAIDs include: ibuprofen (Motrin, Advil) and naproxen (Aleve). Be forewarned that using NSAIDs over a long period of time can increase the risk of stomach bleeding and heart attack.

  • Corticosteroid injections into the bursa can reduce inflammation.  Usually only one shot is needed.  Sometimes oral corticosteroids are used to treat chronic inflammation.


Natural therapies include:

  • A healthy diet including whole grains, fruits, vegetables, and fatty fish and avoiding sugary, fatty and processed foods.

  • Nutraceuticals such as glucosamine sulfate, omega-3 fatty acids, vitamin C with flavonoids and bromelain

  • Herbs such as Boswellia (Boswellia serrata), Turmeric (Curcuma Longa), White Willow (Salic Alba)


The use of nutraceuticals and herbs can decrease the level of inflammation.  However, they can trigger side effects and can interact with other herbs, nutraceuticals, or medications.  They should be taken with care, and under the supervision of a health care provider.

While massage may be tempting to relieve pain, it is not recommended until an infection has been ruled out. Then it may help to reduce the discomfort from a sore joint.

Chiropractic and Movement Therapy

  • Mobilizing the muscles around the joints will help reduce the pressure on the joint and bursa.

  • Graston Therapy may help break down adhesion, increasing flexibility and reducing muscle tension.

  • Other therapies, including chiropractic adjustments and muscle release techniques, may also be helpful to improve muscles and ligaments and reduce the tension caused by repetitive motions.


Research:

Bron C, Wensing M, Franssen JL, Oostendorp RA. Treatment of myofascial trigger points in common shoulder disorders by physical therapy: a randomized controlled trial [ISRCTN75722066]. BMC Musculoskelet Disord. 2007 Nov 5;8:107.

De Silva V, El-Metwally A, Ernst E, Lewith G, Macfarlane GJ; Arthritis Research UK Working Group on Complementary and Alternative Medicines. Evidence for the efficacy of complementary and alternative medicines in the management of osteoarthritis: a systematic review. Rheumatology (Oxford). 2011 May;50(5):911-20. Review.

Huang HH, Qureshi AA, Biundo JJ Jr. Sports and other soft tissue injuries, tendinitis, bursitis, and occupation-related syndromes. Curr Opin Rheumatol. 2000 Mar;12(2):150-4. Review.

Kimmatkar N, Thawani V, Hingorani L, et al. Efficacy and tolerability of Boswellia serrata extract in treatment of osteoarthritis of knee -- a randomized double blind placebo controlled trial. Phytomedicine. 2003;10:3-7.

Klein G, Kullich W. Short-term treatment of painful osteoarthritis of the knee with oral enzymes. Clin Drug Invest. 2000;19:15-23.

Lewis JS, Sandford FM. Rotator cuff tendinopathy: is there a role for polyunsaturated fatty acids and antioxidants? J Hand Ther. 2009 Jan-Mar;22(1):49-55. Review.

Paoloni JA, Orchard JW. The use of therapeutic medications for soft-tissue injuries in sports medicine. Med J Aust. 2005 Oct 3;183(7):384-8. Review.

Reginster JY, Deroisy R, Rovati L, et al. Long-term effects of glucosamine sulphate on osteoarthritis progression: a randomised, placebo-controlled clinical trial. Lancet 2001;357:251-256.

Schmid B, Ludtke R, Selbmann HK, et al. Efficacy and tolerability of a standardized willow bark extract in patients with osteoarthritis: randomized, placebo-controlled, double blind clinical trial. Z Rheumatol. 2000;59:314-320.

Vas J, Perea-Milla E, Mendez C, Galante AH, Madrazo F, Medina I, et al. Acupuncture and rehabilitation of the painful shoulder: study protocol of an ongoing multicentre randomised controlled clinical trial [ISRCTN28687220]. BMC Complement Altern Med. 2005 Oct 14;5:19.