Friday, April 8, 2016

It's not about your back, it's about your health

  Chiropractic is not about your back, it's about your health.

   The human body is a self-healing and self regulating system. The best doctor in the world is YOU. Your body makes every drug, hormone, enzyme that you need, if there is no interference. Very few people know that the very first system to be developed when we are inside our mother's womb is the nervous system. Only then can the other systems in our body be developed, such as the muscular system, cardiovascular system, respiratory system, etc. The central nervous system is the CPU of the entire body. It controls and regulates all of our function. Without it, the body loses control of all function. No one says it best than Christopher Reeves:

   "People do not realize, if you inure your neck, you injure every organ in your entire body. An adult is as fragile as a blade of grass, millimeters from death."

   Because the nervous system is the master system of the body, the body protects it at all costs. The body has 5 defense mechanisms that protect the nervous system. The first defense mechanism is the curves on your spine.

   When looking at the spine from the side, there should be a 45 degrees forward curve at the neck and the low back 40 degrees. The suspension bridges of the Golden Gate Bridge, Brooklyn Bridge, or the Hoover Dam bypass is approximately 45-62 degrees. However, over time we begin to lose these curves, more commonly the neck curve/cervical spine. The reason why it is more common to lose the neck curve and not the others is because the neck has more range of motion and is more vulnerable to injury due to its lack of structural support as compared to all the other areas of the spine.

   How do we lose our curves?

The easiest way to remember how we lose our curves is to think of the 3 T's: Trauma, Toxins, Thoughts.

   TRAUMA

   Trauma can be divided into 2 categories: macrotrauma and microtauma.

   Macrotrauma is a big injury such as an automobile accident or a slip and fall that can cause injury to the spine and if left uncorrected could cause a loss of curvature overtime leading to early degeneration.

   Microtrauma is everyday repetitive motions such as sports, poor seating posture, work, or twisting and bending. Although there may not be any pain associated with microtrauma, there may still be degeneration. Pain is never a good indicator for health. By the time we feel pain, the problem would have already progressed, making it difficult to correct. It is always easier to prevent than to correct.

   TOXINS

   Very few dis-eases are associated with genetics. Most of the time it is because you lived the same lifestyle as your parents or grandparents. The majority of all dis-eases are caused by either a long standing deficiency in the body or a toxic substance that we are not properly eliminating from our bodies. This is why it is crucial to have your blood work properly analyzed to assess these deficiencies and toxicities.

   THOUGHTS

   Everyone knows the saying that, "stress kills," but no one takes it seriously. Stress can affect the body at the physiologic level destroying and pre-aging many of the organs of the body. We may not "feel" its effects immediately, but if it is sustained over a long period (years), its effects will start to reveal itself. They may include, but are not limited to: early aging, ulcers, heart disease, cancer, uncontrolled weight gain, increased cholesterol, high blood pressure, and chronic fatigue.

   Our body was not meant to be in "fight or flight" mode all the time. It is important that we find ways to help cope with daily stress, such as getting adjusted, meditating, good nutrition, and exercising.

   Positive mental attitude (PMA) is also very important to maintaining good health. Our thoughts directly correlate with our health. Negativity can lead to a weak immune system putting our body at risk for many illnesses. This is why it has been shown that positive and happy people have less sick days than people who are negative and depressed.

The 33 Chiropractic Principles

  1. The Major Premise - A Universal Intelligence is in all matter and continually gives to it all its properties and actions, thus maintaining it in existence.
  2. The Chiropractic Meaning of Life - The expression of this intelligence through matter is the Chiropractic meaning of life.
  3. The Union of Intelligence and Matter - Life is necessarily the union of intelligence and matter.
  4. The Triune of Life - Life is a triunity having three necessary united factors, namely: Intelligence, Force and Matter.
  5. The Perfection of the Triune - In order to have 100% Life, there must be 100% Intelligence, 100% Force, 100% Matter.
  6. The Principle of Time - There is no process that does not require time.
  7. The Amount of Intelligence in Matter - The amount of intelligence for any given amount of matter is 100%, and is always proportional to its requirements.
  8. The Function of Intelligence - The function of intelligence is to create force.
  9. The Amount of Force Created by Intelligence - The amount of force created by intelligence is always 100%.
  10. The Function of Force - The function of force is to unite intelligence and matter.
  11. The Character of Universal Forces - The forces of Universal Intelligence are manifested by physical laws; are unswerving and un-adapted, and have no solicitude for the structures in which they work.
  12. Interference with Transmission of Universal Forces - There can be interference with transmission of universal forces.
  13. The Function of Matter - The function of matter is to express force.
  14. Universal Life - Force is manifested by motion in matter; all matter has motion, therefore there is universal life in all matter.
  15. No Motion without the Effort of Force - Matter can have no motion without the application of force by intelligence.
  16. Intelligence in both Organic and Inorganic Matter - Universal Intelligence gives force to both organic and inorganic matter.
  17. Cause and Effect - Every effect has a cause and every cause has effects.
  18. Evidence of Life - The signs of life are evidence of the intelligence of life.
  19. Organic Matter - The material of the body of a "living thing" is organized matter.
  20. Innate Intelligence - A "living thing" has an inborn intelligence within its body, called Innate Intelligence.
  21. The Mission of Innate Intelligence - The mission of Innate Intelligence is to maintain the material of the body of a "living thing" in active organization.
  22. The Amount of Innate intelligence - There is 100% of Innate Intelligence in every "living thing," the requisite amount, proportional to its organization.
  23. The Function of Innate Intelligence - The function of Innate Intelligence is to adapt universal forces and matter for use in the body, so that all parts of the body will co- ordinated action for mutual benefit.
  24. The Limits of Adaptation - Innate Intelligence adapts forces and matter for the body as long as it can do so without breaking a universal law, or Innate Intelligence is limited by t the limitations of matter.
  25. The Character of Innate Forces - The forces of Innate Intelligence never injure or destroy the structures in which they work.
  26. Comparison of Universal and Innate Forces - In order to carry on the universal cycle of life, Universal forces are destructive, and Innate forces constructive, as regards structural matter.
  27. The Normality of Innate Intelligence - Innate Intelligence is always normal and its function is always normal.
  28. The Conductors of Innate Forces - The forces of Innate Intelligence operate through or over the nervous system in animal bodies.
  29. Interference with Transmission of Innate Forces - There can be interference with the transmission of Innate forces.
  30. The Causes of Dis-ease - Interference with the transmission of Innate forces causes in-coordination of dis-ease.
  31. Subluxations - Interference with transmission in the body is always directly or indirectly due to subluxations in the spinal column.
  32. The Principle of Coordination - Coordination is the principle of harmonious action of all the parts of an organism, in fulfilling their offices and purposes.
  33. The Law of Demand and Supply - The Law of Demand and Supply is existent in the body in its ideal state; wherein the "clearing house," is the brain, Innate the virtuous "banker," "brain cells "clerks," and nerve cells "messengers."

Thursday, April 7, 2016

How often do you feed your baby?

A Parent’s Guide: How Often to Feed Your Baby

By Dr Bob Sears

This is a very common question we get from parents in our office: How often to feed your baby. The feeding routine may change as your baby grows. The amount and frequency of feedings will also change as the months go by. Below are general guidelines that we recommend:

Between birth and six months of age your baby will need an average of 2 to 2.5 ounces of milk per pound per day. So, if your baby weighs ten pounds, she will need 20 to 25 ounces per day. Here are additional guidelines to follow:

  • Newborns may take only an ounce or two at each feeding
  • One to two months: 3 to 4 ounces per feeding
  • Two to six months: 4 to 6 ounces per feeding
  • Six months to a year: as much as 8 ounces at a feeding

Small, more frequent feedings will work better than larger ones spaced farther apart. Your baby’s tummy is about the size of their fist. Take a full bottle and place it next to your baby’s fist and you’ll see why tiny tummies often spit the milk back up when they’re given too much at one time.

Is my baby getting too little or too much milk?

Signs that your baby may be getting too little formula are:

  • slower-than-normal weight gain
  • diminished urine output
  • a loose, wrinkly appearance to baby’s skin
  • persistent crying

Signs that your baby is being fed too much at each feeding are:

  • a lot of spitting up or profuse vomiting immediately after the feeding
  • colicky abdominal pain (baby draws his legs up onto a tense abdomen) immediately after feeding
  • excessive weight gain

If these signs of overfeeding occur, offer smaller-volume feedings more frequently and burp baby once or twice during the feeding.

Thursday, March 31, 2016

Vaccine Injury Table


Vaccine Injury Table

http://www.hrsa.gov/vaccinecompensation/vaccineinjurytable.pdf


National Vaccine Injury Compensation pays out on average $100,000,000.00 each year to vaccine injured children. Some years way more... Its all listed on their website. Total amount awarded is $3,325,248,027.02 (as of March 1st, 2016) since the creation of the compensation program and the protection of all Pharmaceutical Companies from liability for vaccine injury. 

 (a) In accordance with section 312(b) of the National Childhood Vaccine Injury Act of 1986, title III of Pub.L. 99–660, 100 Stat. 3779 (42 U.S.C. 300aa–1 note) and section 2114(c) of the Public Health Service Act (42 U.S.C. 300aa–14(c)), the following is a table of vaccines, the injuries, disabilities, illnesses, conditions, and deaths resulting from the administration of such vaccines, and the time period in which the first symptom or manifestation of onset or of the significant aggravation of such injuries, disabilities, illnesses, conditions, and deaths is to occur after vaccine administration for purposes of receiving compensation under the Program: 



http://www.hrsa.gov/vaccinecompensation/vaccineinjurytable.pdf 

Monday, March 28, 2016

Over 50 doctors who explain clearly why vaccines aren't safe or effective

I love this list.

Over 50 doctors who explain clearly why vaccines aren't safe or effective. Version 2.0.

1. Dr. Nancy Banks - http://bit.ly/1Ip0aIm

2. Dr. Russell Blaylock - http://bit.ly/1BXxQZL

3. Dr. Shiv Chopra - http://bit.ly/1gdgh1s

4. Dr. Sherri Tenpenny - http://bit.ly/1MPVbjx

5. Dr. Suzanne Humphries - http://bit.ly/17sKDbf

6. Dr. Larry Palevsky - http://bit.ly/1LLEjf6

7. Dr. Toni Bark - http://bit.ly/1CYM9RB

8. Dr. Andrew Wakefield - http://bit.ly/1MuyNzo

9. Dr. Meryl Nass - http://bit.ly/1DGzJsc

10. Dr. Raymond Obomsawin - http://bit.ly/1G9ZXYl

11. Dr. Ghislaine Lanctot - http://bit.ly/1MrVeUL

12. Dr. Robert Rowen - http://bit.ly/1SIELeF

13. Dr. David Ayoub - http://bit.ly/1SIELve

14. Dr. Boyd Haley PhD - http://bit.ly/1KsdVby

15. Dr. Rashid Buttar - http://bit.ly/1gWOkL6

16. Dr. Roby Mitchell - http://bit.ly/1gdgEZU

17. Dr. Ken Stoller - http://bit.ly/1MPVqLI

18. Dr. Mayer Eisenstein - http://bit.ly/1LLEqHH

19. Dr. Frank Engley, PhD - http://bit.ly/1OHbLDI

20. Dr. David Davis - http://bit.ly/1gdgJwo

21. Dr Tetyana Obukhanych - http://bit.ly/16Z7k6J

22. Dr. Harold E Buttram - http://bit.ly/1Kru6Df

23. Dr. Kelly Brogan - http://bit.ly/1D31pfQ

24. Dr. RC Tent - http://bit.ly/1MPVwmu

25. Dr. Rebecca Carley - http://bit.ly/K49F4d

26. Dr. Andrew Moulden - http://bit.ly/1fwzKJu

27. Dr. Jack Wolfson - http://bit.ly/1wtPHRA

28. Dr. Michael Elice - http://bit.ly/1KsdpKA

29. Dr. Terry Wahls - http://bit.ly/1gWOBhd

30. Dr. Stephanie Seneff - http://bit.ly/1OtWxAY

31. Dr. Paul Thomas - http://bit.ly/1DpeXPf

32. Many doctors talking at once - http://bit.ly/1MPVHOv

33. Dr. Richard Moskowitz - http://bit.ly/1OtWG7D

34. Dr. Jane Orient - http://bit.ly/1MXX7pb

35. Dr. Richard Deth - http://bit.ly/1GQDL10

36. Dr. Lucija Tomljenovic - http://bit.ly/1eqiPr5

37. Dr Chris Shaw - http://bit.ly/1IlGiBp

38. Dr. Susan McCreadie - http://bit.ly/1CqqN83

39. Dr. Mary Ann Block - http://bit.ly/1OHcyUX

40. Dr. David Brownstein - http://bit.ly/1EaHl9A

41. Dr. Jayne Donegan - http://bit.ly/1wOk4Zz

42. Dr. Troy Ross - http://bit.ly/1IlGlNH

43. Dr. Philip Incao - http://bit.ly/1ghE7sS

44. Dr. Joseph Mercola - http://bit.ly/18dE38I

45. Dr. Jeff Bradstreet - http://bit.ly/1MaX0cC

46. Dr. Robert Mendelson - http://bit.ly/1JpAEQr

47. Dr. Garth Nicolson - http://bit.ly/1OQVJsF

48. Dr. Marc Girard - http://bit.ly/1iw0smT

49. Dr. Charles Richet - http://bit.ly/1G5GG7j

50. Dr. Zac Bush - http://bit.ly/1LS19OZ

Many more doctors testifying that vaccines aren't safe or effective, in these documentaries....

1. Vaccination - The Silent Epidemic - http://bit.ly/1vvQJ2W

2. The Greater Good - http://bit.ly/1icxh8j

3. Shots In The Dark - http://bit.ly/1ObtC8h

4. Vaccination The Hidden Truth - http://bit.ly/KEYDUh

5. Vaccine Nation - http://bit.ly/1iKNvpU

6. Vaccination - The Truth About Vaccines - http://bit.ly/1vlpwvU

7. Lethal Injection - http://bit.ly/1URN7BJ

8. Bought - http://bit.ly/1M7YSlr

9. Deadly Immunity - http://bit.ly/1KUg64Z

10. Autism - Made in the USA - http://bit.ly/1J8WQN5

11. Beyond Treason - http://bit.ly/1B7kmvt

12. Trace Amounts - http://bit.ly/1vAH3Hv

13. Why We Don't Vaccinate - http://bit.ly/1KbXhuf

14. Autism Yesterday - http://bit.ly/1URU2A7http://bit.ly/1Ip0aIm

2. Dr. Russell Blaylock - http://bit.ly/1BXxQZL

3. Dr. Shiv Chopra - http://bit.ly/1gdgh1s

4. Dr. Sherri Tenpenny - http://bit.ly/1MPVbjx

5. Dr. Suzanne Humphries - http://bit.ly/17sKDbf

6. Dr. Larry Palevsky - http://bit.ly/1LLEjf6

7. Dr. Toni Bark - http://bit.ly/1CYM9RB

8. Dr. Andrew Wakefield - http://bit.ly/1MuyNzo

9. Dr. Meryl Nass - http://bit.ly/1DGzJsc

10. Dr. Raymond Obomsawin - http://bit.ly/1G9ZXYl

11. Dr. Ghislaine Lanctot - http://bit.ly/1MrVeUL

12. Dr. Robert Rowen - http://bit.ly/1SIELeF

13. Dr. David Ayoub - http://bit.ly/1SIELve

14. Dr. Boyd Haley PhD - http://bit.ly/1KsdVby

15. Dr. Rashid Buttar - http://bit.ly/1gWOkL6

16. Dr. Roby Mitchell - http://bit.ly/1gdgEZU

17. Dr. Ken Stoller - http://bit.ly/1MPVqLI

18. Dr. Mayer Eisenstein - http://bit.ly/1LLEqHH

19. Dr. Frank Engley, PhD - http://bit.ly/1OHbLDI

20. Dr. David Davis - http://bit.ly/1gdgJwo

21. Dr Tetyana Obukhanych - http://bit.ly/16Z7k6J

22. Dr. Harold E Buttram - http://bit.ly/1Kru6Df

23. Dr. Kelly Brogan - http://bit.ly/1D31pfQ

24. Dr. RC Tent - http://bit.ly/1MPVwmu

25. Dr. Rebecca Carley - http://bit.ly/K49F4d

26. Dr. Andrew Moulden - http://bit.ly/1fwzKJu

27. Dr. Jack Wolfson - http://bit.ly/1wtPHRA

28. Dr. Michael Elice - http://bit.ly/1KsdpKA

29. Dr. Terry Wahls - http://bit.ly/1gWOBhd

30. Dr. Stephanie Seneff - http://bit.ly/1OtWxAY

31. Dr. Paul Thomas - http://bit.ly/1DpeXPf

32. Many doctors talking at once - http://bit.ly/1MPVHOv

33. Dr. Richard Moskowitz - http://bit.ly/1OtWG7D

34. Dr. Jane Orient - http://bit.ly/1MXX7pb

35. Dr. Richard Deth - http://bit.ly/1GQDL10

36. Dr. Lucija Tomljenovic - http://bit.ly/1eqiPr5

37. Dr Chris Shaw - http://bit.ly/1IlGiBp

38. Dr. Susan McCreadie - http://bit.ly/1CqqN83

39. Dr. Mary Ann Block - http://bit.ly/1OHcyUX

40. Dr. David Brownstein - http://bit.ly/1EaHl9A

41. Dr. Jayne Donegan - http://bit.ly/1wOk4Zz

42. Dr. Troy Ross - http://bit.ly/1IlGlNH

43. Dr. Philip Incao - http://bit.ly/1ghE7sS

44. Dr. Joseph Mercola - http://bit.ly/18dE38I

45. Dr. Jeff Bradstreet - http://bit.ly/1MaX0cC

46. Dr. Robert Mendelson - http://bit.ly/1JpAEQr

47. Dr. Garth Nicolson - http://bit.ly/1OQVJsF

48. Dr. Marc Girard - http://bit.ly/1iw0smT

49. Dr. Charles Richet - http://bit.ly/1G5GG7j

50. Dr. Zac Bush - http://bit.ly/1LS19OZ

Many more doctors testifying that vaccines aren't safe or effective, in these documentaries....

1. Vaccination - The Silent Epidemic - http://bit.ly/1vvQJ2W

2. The Greater Good - http://bit.ly/1icxh8j

3. Shots In The Dark - http://bit.ly/1ObtC8h

4. Vaccination The Hidden Truth - http://bit.ly/KEYDUh

5. Vaccine Nation - http://bit.ly/1iKNvpU

6. Vaccination - The Truth About Vaccines - http://bit.ly/1vlpwvU

7. Lethal Injection - http://bit.ly/1URN7BJ

8. Bought - http://bit.ly/1M7YSlr

9. Deadly Immunity - http://bit.ly/1KUg64Z

10. Autism - Made in the USA - http://bit.ly/1J8WQN5

11. Beyond Treason - http://bit.ly/1B7kmvt

12. Trace Amounts - http://bit.ly/1vAH3Hv

13. Why We Don't Vaccinate - http://bit.ly/1KbXhuf

14. Autism Yesterday - http://bit.ly/1URU2A7,

Sunday, March 27, 2016

Ignorance and Vaccines???



In the current National Vaccine Schedule, in the first 6 years of life your child receives the following Vaccine Ingredients:

• 17,500 mcg 2-phenoxyethanol (Insecticide)
• 5,700 mcg aluminum (a known neurotoxin)
• Unknown amounts of fetal bovine serum (aborted calf's blood)
• 801.6 mcg formaldehyde (carcinogen, embalming agent)
• 23,250 mcg gelatin (ground up animal carcasses)
• 500 mcg human albumin (human blood)
• 760 mcg of monosodium L-glutamate (causes obesity & diabetes)
• Unknown amounts of MRC-5 cells (aborted human babies)
• Over 10 mcg neomycin (antibiotic)
• Over 0.075 mcg polymyxin B (antibiotic)
• Over 560 mcg polysorbate 80 (carcinogen)
• 116 mcg potassium chloride (used in lethal injection to shut down the heart and stop breathing)
• 188 mcg potassium phosphate (liquid fertilizer agent)
• 260 mcg sodium bicarbonate (baking soda)
• 70 mcg sodium borate (Borax, used for cockroach control-infertility in male primates)
• 54,100 mcg of sodium chloride (table salt)
• Unknown amounts of sodium citrate (food additive)
• Unknown amounts of sodium hydroxide (Danger! Corrosive)
• 2,800 mcg sodium phosphate (toxic to any organism)
• Unknown amounts of sodium phosphate monobasic monohydrate (toxic to any organism)
• 32,000 mcg sorbitol (Not to be injected)
• 0.6 mcg streptomycin (antibiotic)
• Over 40,000 mcg sucrose (cane sugar)
• 35,000 mcg yeast protein (fungus)
• 5,000 mcg urea (metabolic waste from human urine)
• Other chemical residuals
(From the book, "What The Pharmaceutical Companies Don't Want You To Know About Vaccines" - By Dr Todd M. Elsner)

http://vaccines.procon.org/view.resource.php?resourceID=005206#sources
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Did you know? For more resources, check out: www.LearnTheRisk.org

Friday, March 25, 2016

Chiropractic care of a pediatric patient with symptoms associated with gastroesophageal reflux disease

Chiropractic care of a pediatric patient with symptoms associated with gastroesophageal reflux disease, fuss-cry-irritability with sleep disorder syndrome and irritable infant syndrome of musculoskeletal origin

J Can Chiropr Assoc. 2008 Dec; 52(4): 248–255.

Joel Alcantara, BSc, DC1 and Renata Anderson, DC2

Introduction

For the chiropractor attending to the care of the pediatric patient, a number of clinical challenges arise from the simple and realistic reassurance for the parents that chiropractic care “can help” to making the proper referral to a specialist for co-management and ultimately providing an effective and safe intervention. As demonstrated by surveillance studies on the use of complementary and alternative medicine (CAM) by children, the patient may present with multiple symptom complex associated with both musculoskeletal and non-musculosketal origin. In the interest of evidence-based practice on the chiropractic care of children, we describe the successful care of a pediatric patient with multiple symptoms consisting of frequently interrupted sleep, excessive intestinal gas, frequent vomiting, excessive crying, difficulty breastfeeding, plagiocephaly and torticollis.

Case Report

The mother of a three-month-old female presented her daughter for chiropractic consultation and possible care with a chief complaint of gastroesophageal reflux disease (GERD). At 2 months of age, the patient was diagnosed by her family physician with GERD and prescribed 2 mg/ml of Prilosec (Omeprazole). Instructions were to take 2 cc p.o.q. days at two a day for about six weeks with a follow up visit in eight weeks. Prior to her medical diagnosis and concurrent with medical care, the patient was attended to by another chiropractor to address complaints of intestinal gas and vomiting. The patient attended a total of 5 visits with the first chiropractor but the infant’s subjective complaints “somewhat improved” without total resolution. According to her mother, the patient suffered from frequently interrupted sleep, excessive intestinal gas, frequent vomiting, and excessive crying and difficulty breastfeeding. The patient was described as “very fussy” at feeding time and had difficulty making a complete seal so that she had no desire to breastfeed, refused a pacifier or suck on her mother’s fingers or her own. Crying described as a high-pitched sound and vomiting were noticed as worst after her feedings. When she was picked up or held, the patient would cry excessively and go into full body rigidity and throw herself into an upper body extension (i.e., an arching motion). According to the patient’s mother, walking and “bouncing” her baby was the only way her daughter would breastfeed. The patient’s frequent interrupted sleep was associated with an almost constant “wiggling” of the body throughout the night. The patient would sleep continuously for only 2 hours during the night with even shorter “nap-time” during the day.
Physical examination of the patient revealed the following. The infant was very agitated and displayed the high-pitched painful cries throughout her evaluation. While being held and crying, the patient would go into upper body extension (i.e., arch her back) as described by her mother. Notable examination findings included a positive suckling reflex with no response to stimulus. The patient’s head was observed to be approximately 45° in right rotation with slight left lateral flexion of the cervical spine. A flattening of the patient’s right occiput (i.e., plagiocephaly) was noticeable. Further inspection revealed her mandible was “seated” to the right and could explain her inability to make a proper seal for breastfeeding. Moderate blistering on the right lower lip was also noticed. The patient’s abdomen was extremely taut with discomfort on digital palpation as noticed by the patient’s withdrawal response. Based on a chiropractic examination procedure incorporating postural examination and static and dynamic palpation of the spine, it was determined that the patient had spinal segmental dysfunctions at the atlas and the 4th thoracic vertebrae. The atlas was determined to have a right posterior rotation and right laterality malposition with respect to the C2 vertebral body (VB). The 4th thoracic VB had a posterior malposition with respect to C3VB. Following craniosacral technique procedures, cranial distortions of the right parietal and temporal bones were determined as well as aberrant motion of the mandible at the right temporomandibular joint (TMJ).
With the parent’s consent, the patient was cared for with high velocity low amplitude (HVLA) thrust type spinal manipulative therapy (SMT) characterized as Diversified Technique with technique modification appropriate for the patient’s age and size. Chiropractic SMT was applied to the atlas in the following manner. With the patient in the seated position, the clinician’s index finger contacted the right transverse process of the patient’s atlas. An HVLA thrust with a lateral to medial vector and a slight posterior to anterior component was applied (see Figure 1). The patient also received pediatric SMT to correct the posterior malposition of the T4 VB using an index finger contact over the spinous process of the patient’s T4 VB. A posterior to anterior HVLA vector was applied (See Figure 2). With respect to the patient’s cranial distortions; the patient’s parietal, temporal bones and mandible were corrected using Craniosacral Therapy (see Figure 3 and and4).4). Following the patient’s initial visit, the patient’s mother stated that her child was able to feed from both breasts, that she was able to make a complete seal with her mouth and not “pull off “ from her mother’s breast. The patient’s mother was able to sit to feed her infant rather than walk and “bounce” her child as previously described. The infant also slept for 3½ hours the night after her initial treatment without the uncomfortable “wiggling” that would awaken her. Given the positive response to care, the patient was scheduled with a treatment frequency of 3 visits per week for 3 weeks followed by 2 visits per week for 3 weeks and 1 visit per week thereafter. The patient was cared for similarly as described for the first visit. With continued chiropractic care came continued improvement in the patient’s symptoms. Following her 4th chiropractic visit, the mother intimated to the attending clinician that she made an independent decision to take her daughter “off” Prilosec due to the noticeable improvement in her daughter’s symptoms. By the 7th visit, the patient was vomiting only once per day as compared to vomiting following after every feeding. The patient was now able to latch on to her mother’s breast more efficiently without pulling off before finishing her feeding. According to the patient’s mother, her daughter began to increase her sleeping time during the night to 4–5 hours at a time as well as increasing the length of her “nap-time” in the day to approximately 2 hours. The infant’s parents also noticed that their daughter was not crying as often or for extended lengths of time as before chiropractic care. The patient’s high-pitched, “painful cry” began to subside and replaced by quieter, “whimpering-like” cry. The infant’s whole body began to relax without the body rigidity that was noticed when she was held. The patient’s mother attributed her daughter’s improvement to the chiropractic care received. Long term follow up revealed full resolution of symptoms.
Figure 1
The patient receiving chiropractic SMT to correct an atlas malposition
Figure 2
The patient receiving chiropractic SMT to correct the posterior malposition of the T4 vertebral body
Figure 3
The patient receiving cranial-sacral therapy to the parietal bone
Figure 4
The patient receiving light force cranial sacral therapy to the mandible

Discussion

Several topics are salient for discussion in the case reported; particularly for the patient that presents with multiple symptoms concomitant with several diagnoses.
The principal reason for attending chiropractic were symptoms initially attributed to GERD. GERD is a pathologic process in infants associated with poor weight gain, signs of esophagitis, occult blood loss, anemia, recurrent and persistent respiratory problems, dysphagia and a complex of changes in neurodevelopmental patterns. An infant with GERD may likely have more than 5 episodes of reflux per day, regurgitate approximately 28g per episode, refuse and have problems with feeding, have problems gaining weight and demonstrate increasing irritability. GERD may also have otolaryngologic manifestations such as chronic sinusitis and recurrent otitis media. Complications include such serious conditions as esophageal ulcerations, strictures, and Barrett’s esophagus. The differential diagnosis of GERD involves a variety of disorders and is provided in Table 1. The definitive diagnosis of GERD in the pediatric population is determined by several means although no exact diagnostic protocols exist to accurately diagnose GERD in infants. Three tests frequently used to diagnose GERD include 1) intra-esophageal pH monitoring, scintography, and intraluminal esophageal impedance; 2) inflammation testing; and 3) the use of symptom-assessment questionnaires. The least invasive of these diagnostic methods of course is the symptom-assessment questionnaire. The attending clinician in this case report was well aware of the medical diagnosis of GERD and concurred. The diagnosis of GERD was confirmed by the chiropractor based on the patient’s presenting complaints of excessive crying and irritability, which often occurred following feeding. The patient also demonstrated the arching back characteristic of babies with acid reflux as well as vomiting, regurgitation and intestinal gas. Blistering of the right lower lip may be associated with the patient’s suckling dysfunction but more than likely may be attributed to acid burns as a result of gastric acid regurgitation. Lastly, the patient did not respond to medication, which is characteristic for patients with GERD that are less than 2 years of age. Upon further retrospection, we would also include the diagnosis of irritable infant syndrome of musculoskeletal origin (IISMO) and infant-cry-irritability with sleep disorder syndrome (IFCIDS)., The diagnostic criteria for IISMO/GERDS and IFCIDS are provided in Tables 2 and and3.3. The patient satisfies the diagnostic criteria provided for both IISMO and IFCIDS. The patient’s musculoskeletal complaints of right plagiocephaly and torticollis concomitant with cranial distortions and malposition of the mandible may likely be more associated with intra-uterine constraint since a right occiput plagiocephaly is not consistent with a torticollis posture of right rotation and left lateral flexion of the head and neck., Intra-uterine positional plagiocephaly occurs more often on the right occiput. The right-sided preference is based on the finding that 85% of vertex presentations lie in the left occipital anterior position. As the infant’s head descends into the pelvis, growth of the right occiput and left frontal areas may be limited, leading to potential development of plagiocephaly. The malposition of the mandible is more than likely associated with the plagiocephaly and its concomitant cranial distortions causing an anterior displacement of the ipsilateral TMJ.
Table 1
Differential Diagnosis for GERD*
Table 2
Diagnostic criteria for IIMSO and GERD in the context of the patient presented (15)
Table 3
Diagnostic Criteria for IFCIDS in the context of the patient presented (15)

Implications for Chiropractic Care

The chiropractic care of the pediatric patient with complaints associated with non-musculoskeletal and musculoskeletal problems are fraught with anecdotes and testimonials in the chiropractic profession. To provide a context for discussion on the implications of the case presented, we performed a selective review of the literature involving the chiropractic care of pediatric patients with GERD, in addition to IFCIDS and IISMO. Unfortunately, IFCIDS and IISMO are descriptive terms only and thus too general to perform a review of the literature in the context of chiropractic care. We encourage the reader to access the papers by Miller and colleagues, on these topics as well as the article by Alcantara and colleagues on their review of the sleep disorders in pediatric patients under chiropractic care. A literature search of Pubmed [1966–2007] using the subject heading “gastroesophageal reflux disease AND chiropractic” or “GERD AND chiropractic or “acid reflux disease AND chiropractic” with search limits: English, Complementary Medicine, and All Child: 0–18 years, Similarly, MANTIS [1965–2007] was consulted using similar search terms as above specified to the Chiropractic Discipline, the English language in Refereed Journals and High Clinical Relevancy. Two articles were found. Jackson addressed the clinical assessment strategies (and augmented by clinical experience) regarding the condition of GERD but provided no chiropractic treatment strategies or approaches to this condition. Recently, Jonasson and Knapp presented the care of an 8-yr-old boy with gastroesophageal reflux disease. The patient initially presented with complaints of headache and neck pain. Treatment to the patient was described as chiropractic SMT to the upper cervical spine in combination with cranial therapy and dietary advice (i.e., remove all wheat and dietary products from diet). This approach to care was unsuccessful with the patient referred to a colleague where an eventual diagnosis of GERD was made and referred for medical care.
With respect to the chiropractic technique described in this case report, the use of HVLA-type thrusts are well documented in several clinical trials. Furthermore, pediatric chiropractic SMT has recently been found to be safe with only a handful of reported adverse events (i.e., 10 cases) in 104 years of scientific publications based on a systematic review of the literature. However, the same cannot be said of cranial technique and remains to be fully investigated. The craniosacral interventions and health outcomes, the validity of craniosacral assessment, and the pathophysiology of the craniosacral system have been found to have insufficient evidence. Research methods to conclusively evaluate its effectiveness have not been applied to date.
With respect to generalizations and making cause and effect inferences from the case presented, we caution the reader for the following reasons. As with all case reports, improvement in a patient’s symptoms may be attributed to (a) the natural history, (b) regression to the mean and (c) the result of placebo. Furthermore, both the clinician and the patient (or in this case the patient’s mother) may make incorrect inferences from treatment due to (d) the demand characteristics of the therapeutic encounter and (e) subjective validation. Consider for example the “dogma” that the majority of children outgrow their GER or GERD symptoms is challenged. Studies now indicate that childhood GERD may be a risk factor for long-term severe disease sequalae in adulthood. There are findings that in infants with acid reflux, after 1 year, despite resolution of symptoms, the histology remained abnormal. Based on 22 studies, Pace et.al. concluded that placebo is a relatively inactive drug in the short-term treatment of erosive ulcerative reflux and does not appear to change the natural history of the disease.

Conclusion

We reported the successful chiropractic care of a 3-month old female with subjective complaints consistent with GERD in addition to fuss-cry-irritability with sleep disorder syndrome and irritable infant syndrome of musculoskeletal origin. This study suggests to the possibility that similar patients may benefit from chiropractic care.

Footnotes

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

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