The Effect of Chiropractic Care on an Infant with Problems of Constipation: A Case Study

Chiropractic Care on Infant with Constipation New York

Infant began having constipation at age 6 months when solid foods were introduced. In order for her to have a bowel movement she had to be in a warm bath with her legs up and her abdomen massaged. At one point, the baby actually became impacted and emergency care was needed. Was not uncommon for her to go a week to ten days between bowel movements. After the second chiropractic, adjustment patient had a bowel movement all by herself. Within two weeks began having regular bowel movements by herself every two or three days. At 23 months, the patient began to walk and she has at least one totally normal bowel movement every day.

Marko, S. Chiropractic Pediatrics Vol. 1 No. 3 Dec. 1994.

New York City Chiropractor Dr. Boris Nektalov provides exceptional chiropractor care for the entire family. He is experienced in Chiropractic Care for Children and also Chiropractic Care to reduce or eliminate back pain for pregnant women in NYC.

Spinal Decompression for Herniated Disc, Jamaica Estates Queens, NY

Herniated Disc Queens, New York (NY)

An Intervertebral Disc, or Spinal Disc, has two main components. The first, the annulus fibrosis, is the outer layer. This can be likened to the dough part of a jelly doughnut. The second, inner layer, comparable to the jelly portion of a jelly doughnut is known as the nucleus polposus. The inner nucleus portion functions primarily as a fulcrum for movement and as a shock absorber to handle the impacts of movement.

To better understand how a disc functions we often compare it to a jelly doughnut. If you put pressure on one end, say the front end, of a doughnut you could imagine that the jelly would migrate towards the back. If you put pressure on the back end, the opposite would occur, and the jelly would migrate towards the front. The same holds true for your intervertebral disc since it functions as a fulcrum. When the jelly starts to protrude from the confines of the annular fibers this is known as a prolapse. This can cause symptoms of sciatica or radiculopathy such as numbness and tingling down an extremity.

Herniated and Degenerative Disc Disease

As people age, the nucleus pulposus begins to dehydrate, which limits its ability to absorb shock. The annulus fibrosus gets weaker with age and begins to tear as a result of repetitive stress as well as the aging process. This doesn’t always cause pain for all people although it can for some.

In Medicine one generally refers to the gradual dehydration of the nucleus pulposus as degenerative disc disease or if accompanied by bony changes; spondylosis.

Once a tear has arisen within the annular fibers it is highly likely that the inner nuclear material will begin to make it’s way through that tear. This is termed a herniation. All along the sides of the spine are nerve roots and spinal nerves that make their way to organs, tissues and other body parts and they are at high risk of being infringed upon by herniated disc material. A pinched nerve is when this herniated disc material begins to make contact with one or more affected nerve roots and may cause severe radiating pain, numbness, tingling and reduced ranges of motion. One can also suffer pain as a result of a ‘leaky’ disc where the jelly simply oozes out of the tear and begins to cause inflammation in the adjacent soft tissues. If the pain is nerve related it’s usually deemed a radiculopathy.

Disc can become slipped, ruptured, or bulged. However, in medical terms it is more commonly referred to as:
1. Protrustion
2. Extruded Disc
3. Sequesteration

Up until a few years ago surgery was the only option for those who failed therapy. A gap between these two groups left no other options for those who failed therapy. Soon you will learn about a new option that bridges the gap between failed therapy and surgery.

Surgery should be considered if a patient has a significant neurological deficit, or if they fail non-surgical therapy. The presence of cauda equina syndrome (in which there is incontinence, weakness and genital numbness) is considered a medical emergency requiring immediate attention and possibly surgical decompression.

Regarding the role of surgery for failed medical therapy in patients without a significant neurological deficit, a meta-analysis of randomized controlled trials by the Cochrane Collaboration concluded that “limited evidence is now available to support some aspects of surgical practice”. More recent randomized controlled trials refine indications for surgery.

Surgical intervention should only be considered after all other forms of non-surgical intervention have been exhausted.

The Role of the Chiropractic Adjustment in the Care and Treatment of 332 Children with Otitis Media

From the abstract: This pilot study included children from 27 days old to five-years-old, was on the effects of chiropractic adjustments on children with otitis media used tympanography as an objective measure.

Results: the average number of adjustments administered by types of otitis media were as follows: acute otitis media (127 children) 4 adjustments; chronic/serous otitis media (104 children) 5 adjustments; for mixed type of bilateral otitis media (10 children) 5.3 adjustments; where no otitis was initially detected (74 children) 5.88 adjustments. The number of days it took to normalize the otoscopic examination was for acute 6.67, chronic/serous 8.57 and mixed 8.3. the number of days it took to normalize the tympanographic examination was acute: 8.35, chronic/serous 10.18 and mixed 10.9 days. The overall recurrence rate over a six month period from initial presentation in the office was for acute 11.02%, chronic/serous 16.34%, for mixed 30% and for none present 17.56%.

Conclusion: The results indicate that there is a strong correlation between the chiropractic adjustment and the resolution of otitis media for the children in this study. Note: 311 of the 332 had a history of prior antibiotic use. 53.7% of the children had their first bout of otitis media between the ages of 6 months and 1 year and a total of 69.9% of the subjects in the study had their first bout of OM under a year of age. This is consistent with the findings of others.

Fallon, JM. Journal of Clinical Chiropractic Pediatrics Vol 2, No. 2 1997 p.167-183.

The Effect of Spinal Manipulation in the Treatment of Cervicogenic Headache

This is a randomized controlled trial performed at the University of Odense, Denmark by chiropractors and medical doctors.

From the abstract: Fifty-three [patients] suffering from frequent headaches who fulfilled the International Headache Society criteria for cervicogenic headache.were recruited from 450 headache sufferers from responded to the newspaper advertisements. .28 of the group received high-velocity, low-amplitude cervical manipulation twice a week for three wk. The remaining 25 received low-level laser in the upper cervical region and deep friction massage in the lower cervical/upper thoracic region, also twice a week for three weeks.

Results: The use of analgesics decreased by 36% in the manipulation group, but was unchanged in the soft-tissue group; this difference was statistically significant. The number of headache hours per day decreased by 69% in the manipulation group compared with 37% in the soft-tissue group; this was significant. Finally, the headache intensity per episode decreased by 36% in the manipulation group, compared with 17% in the soft-tissue group; this was significant. At a four-week follow-up, she remained pain free.

Nilsson N, Christensen HW, Hartvigsen J. J Manipulative Physiol Ther. 1997 (Jun); 20 (5): 326-330

Successful Resolution of Chronic Constipation in Pediatric Patients With Adjustments to Sites of Vertebral Subluxation


Background: Chronic constipation is a common condition as reflected in the $800 million yearly spent on laxatives in the United States. Constipation is such a common problem in the pediatric population that it is the second most referred problem to the pediatric gastroenterologist and accounts for 25% of all visits. Between 5-28% of all children experience great difficulty with elimination of food waste, which is often accompanied with pain, fear, and avoidance. The symptoms of constipation are defined as infrequent or difficult evacuation of the feces.

The ever increasing use of complementary and alternative medicine (CAM) in adults is accompanied by children. Parent CAM users are three-times more likely to use CAM for their children compared to non-CAM users. Chiropractic stands as the most popular type of CAM therapy for children and yet not reflected in the scientific literature. We describe the successful outcome of chiropractic care in pediatric patients with chronic constipation.

Clinical Features: All three patients were under the age of 2 years with bowel movements ranging from once per week to every 3-4 days. This was accompanied with straining, pain and rectal bleeding. Previous unsuccessful care involved medical advice with dietary changes (i.e., increase fiber and fluid intake) and the use of cod liver oil or mineral oil.

Intervention and Outcome: Following a trial of chiropractic care using a combination of high velocity low amplitude thrust type care and Activator Methods to sites of vertebral subluxations. The patients’ constipation resolved as demonstrated by an increased frequency in bowel movements once every 1-2 days without straining and pain.

Conclusion: This cased series provides supporting evidence on the effectiveness of chiropractic care in children with chronic constipation. We advocate for further investigations in this field.
Diane M Meyer, BSc, DC 1 and Joel Alcantara, BSc, DC 2

1. Private Practice of Chiropractic, Oakville, Ontario, Canada
2. Research Director, International Chiropractic Pediatric Association, Media, PA, USA and Private Practice of Chiropractic, San Jose, CA, USA

This study was funded by the International Chiropractic Pediatric Association, Media, PA, USA

Corresponding Author:
Joel Alcantara, BSc, DC

Have you heard of Spine Transplant?

8679If your teeth rot you can have them made for you. If your liver or kidneys fail, you can wait in line for a new one. If your hip or knee degenerates, you can replace it.

Can you get a spine transplant? How about your spinal cord and nerves?

There is no such a thing as a spine transplant and spinal cord with nerves, they don’t generally re-grow or transplant well. You only get one in a life time, better make sure to take very good care of it. It is critically important to understand that your nervous system the only organ system that is being surrounded and protected by bone. The skull protects the brain, and the spinal cord is protected by the vertebral column. The nervous system is made up of the brain, the spinal cord, and millions upon millions of miles of fine nerve fibers, a thousand times thinner than a human hair that go to every organ, tissue, and cell.

Your nervous system is vital for every single function in your body. Your brain is the center where all decisions are being made and send down the spinal cord for action. This communication system is a more sophisticated than any computer system that ever was designed and yet the brain is about the size of two fists held together. These messages that are being sent from the brain have to travel throughout the body without any interruption.

When the bones of the vertebral column become misaligned or subluxated, they interfere with the function of the Nervous System. The objective of the chiropractor is to adjust the vertebrae into their proper position, taking the pressure off the nerves and allowing the life force to flow once again so that each part of the body can begin to work properly. The body has the capacity to heal itself and maintain itself in a healthy state. Click HERE to get checked on us.

A Natural Solution To Back Pain

Middle-Back-Pain-Symptoms-Large1Getting your health back after a spine injury can be problematic if you do not approach it holistically. What is meant by holism? In general it is caring for the person as a whole vs. individual parts, and using techniques that assist different bodily systems. It can be treating the mind as well as the body. It is well known that depression is an important risk factor for back pain.

When dealing with a mechanical spinal problem, the doctor needs to consider the condition of the disks and ligaments, scar tissue, muscle strength, posture, movement, and alignment. A simple prescription, while effective at reducing pain, is not a good solution in the long run. For example, the scar in muscles that is formed after injury when NSAIDs (ibuprofen) are used is much weaker. The patient needs to also consider the side effects of stomach or gastrointestinal bleeding that can come with long-term use. Leaving joints problems to sit for years while masking the pain, will just make future rehabilitation more difficult and less effective.

Pain is a signal for your body to avoid certain movements and can be very protective. While muscle pain is good during rehabilitation, if there is ligament or joint pain, then you’re pushing it too hard.

Exercise and stretching without attention to joint injuries, will also not work over time. It’s hard to maintain exercise when there is joint pain. Chiropractic care can keep the spine and other joints flexible while you also approach the other aspects of spine function with specific exercises and stretching.

Maintaining a healthy body weight is also part of any holistic approach. If you’re overweight, this adds tremendous stress to your spine. In some cases it may be important to first get your weight down, before commencing an exercise program, or weight training.

In addition to proper weight control you have to also consider sound nutrition in terms of vitamin and mineral consumption. Most patients need to do better at eating green leafy vegetables, fresh fruits and other nutritious foods. One has to avoid harmful fats, and chemicals/preservatives that are often present in highly processed foods. Supplements such as manganese and glucosamine chondroitin may help joint health. Although there are few studies on exactly how effective these supplements help, the downside or side effects are quite minimal.

A doctor of chiropractic can advise you on integrating a holistic approach with spinal joint care, strength training, flexibility, and sound nutrition.

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