Health-E-News. January 2011
empowering you to optimal health
Children/Pediatric Utilization of Chiropractic Care
by Mark Studin DC, FASBE(C), DAAPM, DAAMLP
83% of children under 3 years old were referred by their medical practitioners
Children have been under chiropractic care for almost 100 years according to my 30 years of rendering chiropractic care to children and the 2 generations of my instructors and mentors that taught me how to care for children. While there is a growing body of evidence of the efficacy of chiropractic care and childhood maladies, the amount of children under care and being referred to chiropractors by pediatricians and other medical doctors is growing.
In December, 2008, the National Center for Complementary and Alternative Medicine (NCCAM), part of the National Institutes of Health, released findings on Americans and the use of complementary and alternative medicine (CAM). "The findings are from the 2007 National Health Interview Survey (NHIS), an annual in-person survey of Americans regarding their health- and illness-related experiences. The CAM section gathered information on 23,393 adults aged 18 years or older and 9,417 children aged 17 years and under" (National Center for Complementary and Alternative Medicine, 2008). They found that 11.8% of children in the United States have undergone CAM therapies, indicating that children aren’t obtaining the desired outcomes and their parents are looking for solutions.
CAM is a term applied to any healing discipline that does not fall into the category of traditional medicine or any health care that traditional medicine must govern over, such as nursing or physical therapy, rendering those as secondary health care providers and not allowing them to care for patients unless under the supervision of a medical doctor. Chiropractic is considered part of CAM simply because doctors of chiropractic are not medical doctors or secondary providers requiring supervision by a medical doctor.
Miller reported in 2010 on 2,645 children that were treated in the outpatient clinic of the Anglo-European College of Chiropractic from 2006-2010 for various maladies. Of these children, 87% were under the age of 5 and 13% were between 5 and 13. 34% were seen for musculoskeletal problems such as neck pain and postural issues, 30% were treated for infant colic/excessive crying, 16% for feeding disorders and the balance for various other issues. Every child had been seen by at least one medical practitioner and some by many medical providers. Of the 2,645 children referred to the chiroprctic clinic, 83% were referred by thier medical physicians.
According to Jandial, Myers, Wise, and Foster in 2009, 21% of all medical practitioners, including pediatricians, had no confidence in treating musculoskeletal issues and only 53% had "some" confidence in treating musculoskeletal issues in children. Considering the "self-rated" format of this study, there are no interpretation issues of the results. Miller (2010) also reported in the study that 83% of the children under 3 years of age were referred by medical practitioners, underscoring the need for this type of care and the efficacy of the care for children. In a limited study, Alcantara and Davis (2010) reported improvement with chiropractic treatment in children with attention deficit hyperactivity disorder (ADHD) as well as various other limited and case studies. While significantly more research is required for children and chiropractic care, the growing body of recognition by the medical and chiropractic communities and the public gives evidence to the results of chiropractic care in the pediatric population.
- National Center for Complementary and Alternative Medicine. (2008, December). The use of complementary and alternative medicine in the United States. Retrieved from http://nccam.nih.gov/news/camstats/2007/camsurvey_fs1.htm
- Miller, J. (2010). Demographic survey of pediatric patients presenting to a chiropractic teaching clinic,Chiropractic & Osteopathy,18(33), Retrieved from http://www.chiroandosteo.com/content/pdf/1746-1340-18-33.pdf
- Jandial, S., Myers, A., Wise, E., & Foster, H. E. (2009). Doctors likely to encounter children with musculoskeletal complaints have low confidence in their clinical skills. Journal of Pediatrics, 154(2), 267-271.
Engage Your Senses to Reduce Stress
Many people exist in such a perpetual state of stress that activities generally considered stressful actually come as a welcome relief. When you've been under the gun at work all day and find yourself faced with a screaming carload of kids, suddenly spending a little quiet time doing household chores or catching up on the bills - in silence - doesn't sound too bad. Really? You deserve much better than that. Here are a few ways to engage your senses and leave stress behind.
Taste: There's nothing like a soothing cup of tea and your favorite dessert to take some of the edge off a hectic, stressful day, particularly when combined with a little time to enjoy your own time, far away (as far as you can get) from the stress-inducers that seem to surround you.
Touch: When you're overworked, overstressed, overwhelmed and just plain over it, find the time to escape and experience the power of touch. Schedule a chiropractic adjustment or a massage, or retreat into the soothing, stress-releasing luxury of a bubble bath and see how your attitude changes in a matter of moments.
See: The so-called "daily grind" is a major source of stress, and it only gets worse when the work hours get long and the days get short. In fact, during the winter months, many people never see the light of day, arriving at work before sunrise and leaving after sunset. Take a midday walk around the block and open your eyes to what the world has to offer. And at night, turn off the glare and light a few calming candles instead.
Smell: The next time you're on the brink of losing it, let your nose take you to a better place. Sounds funny, but it's oh so true. Just try to stay stressed after smelling your favorite food wafting up at you from your plate. And don't discount the power of a scented candle or two; replace the unpleasantry of another dreary day with the aroma of peace and tranquility.
Hear: When was the last time you truly appreciated the lyrics, melody and arrangement of a song? Music has an incredible ability to soothe the soul, but many of us don't take the time to listen - we just use it as background noise while working out or flip from song to song, station to station in the car. Tune out the stress and tune into the relaxing power of music.
If you're feeling particularly stressed these days and are dreading the holiday crush and additional stress that's sure to come, talk to us for ways (above and beyond the above) to reduce stress and improve your life.
Cold and Flu Defense
If you're looking to gear up for the cold and flu season without subjecting yourself or your family to the potential dangers of the flu vaccine, take heart: There are natural ways to boost your immune system and reduce your risk of getting sick. Here are a few to discuss with your doctor.
Vitamin C: A study of 715 people showed that flu symptoms were decreased by 85 percent when people took 6 grams of vitamin C as a one-time loading dose, then continuing with 1 gram three times a day, compared with people taking only the 3 grams daily. The message here is to take a lot of vitamin C the first day you feel symptoms or the first day people around you are getting sick, and then take 3 grams daily after that. Keep in mind that vitamin C can loosen stools, so be careful if you are predisposed to this.
Vitamin D: Vitamin D has exploded in research and popularity the past few years. Most of us are familiar with its bone-building properties, however new research suggests it improves the immune system as well. Have your doctor test your vitamin D levels before supplementing. Research suggests 2,000 IU daily is safe for most adults and children. Higher doses are safe and effective, but must be monitored by your doctor.
Elderberry: Elderberry (Sambucus) was researched in a group of 60 people and found to alleviate symptoms four days earlier compared with controls. Elderberry helps boosts the immune system and is great-tasting for kids. Start taking as soon as symptoms manifest.
Gingseng: Panax quinquefolium (ginseng) was studied in a large group of 323 patients as a preventive natural medicine. The group that took panax experienced 30 percent less colds compared with the placebo group (people who didn't take ginseng), and average number of sick days were 11 compared with 16 in the non-treatment group.
Chiropractic adjustments: Chiropractic adjustments are known to dramatically improve your immune response. Dr. Ron Pero, New York Preventative Medicine Institute and Environmental Health at NYU stated. "people who receive regular chiropractic adjustments have immune system competency that is 200% greater than those who donít."
Talk to us for more information about these and other natural ways to boost your immune system and ward off colds and the flu.
Get Your Children Check By A Chiropractor
A recent study, published in the Journal of Pediatrics, details the results of sending questionnaires to a broad spectrum of British medical providers (practicing in Primary Care, Pediatrics, Emergency Care, and Orthopedics management). These doctors were asked to self-rate their confidence in pediatric musculoskeletal clinical assessment.
The depressing results are that 73% of these doctors graded themselves as having “low” to “no” confidence in their pediatric assessment skills. 
Considering that musculoskeletal complaints are the primary reason that parents bring their children to a medical provider , it’s no wonder that more and more parents now bring their children to the undisputed leader in NMS management…chiropractors. 
- Doctors Likely to Encounter Children With Musculoskeletal Complaints Have Low Confidence in Their Clinical Skills
The Journal of Pediatrics 2009 (Feb); 154 (2): 267–271
- The Safety and Effectiveness of Pediatric Chiropractic: A Survey of Chiropractors and Parents in a Practice-based Research Network
Explore (NY) 2009 (Sep–Oct); 5 (5): 290–295
- End Medical Mis-Management of Musculoskeletal Complaints
WHO Agrees - Only Chiropractors Should Adjust The Spine
The World Health Organization (WHO) recently crafted and published the WHO Guidelines on Basic Training and Safety in Chiropractic in consultation with the World Federation of Chiropractic, the Association of Chiropractic Colleges, and various other chiropractic, medical, and osteopathic groups.
The Guidelines clarify that chiropractic is a separate profession rather than a set of techniques that can be learned in short courses by other health professionals. They also make it clear that medical doctors and other health professionals, in countries where the practice of chiropractic is not regulated by law, should undergo extensive training to re-qualify as chiropractors before claiming to offer chiropractic services. In some countries there have been recent efforts by medical groups to provide short courses of approximately 200 hours in chiropractic technique. The WHO feels this is a bad decision.
The World Health Organization guidelines indicate that a medical graduate should a require an additional minimum of 1800 class hours, including 1000 hours of supervised clinical training, before claiming to offer chiropractic services.
World Health Organization Guidelines on Basic Training and Safety in Chiropractic
Key Research from 2010
Chiropractic as Effective as Surgery for Sciatica, Without the Hazards
Investigators looked at 40 patients with sciatic pain caused by a herniation of a spinal disc in the low back. All of the patients had received medical treatment for at least three months, which included some or all of the following: pain medication, lifestyle modification, physiotherapy, massage therapy and acupuncture. These interventions failed to relieve the patients’ condition.
The study participants were randomly assigned to receive surgery or standard chiropractic care. Findings showed that 60 percent of patients benefited from chiropractic care “to the same degree as if they underwent surgical intervention.”
Journal of Manipulative and Physiological Therapeutics – October, 2010;33:576-84. www.jmptonline.org
Chiropractic Care May Alleviate Asthma
As part of the investigation, research- ers pooled data from eight studies on chiropractic care for asthma. They concluded that chiropractic patients showed improvements in subjective measures and, to a lesser degree, objective measures.
“It is evident that some asthmatic patients may benefit from this treatment approach ... .”
Journal of the Canadian Chiropractic Association – March, 2010;54:24-32. www.jcca-online.org
Chiropractic Adjustments Help Kids With ADHD
The analysis pooled data on four patients with ADHD. The participants ranged in age from 9 to 13 years. Progress was monitored with questionnaires completed by the patients’ parents and teachers. The children received chiropractic care for a minimum of five months.
Findings showed significant improve- ment in symptoms such as hyperactiv- ity, impulsivity and inattentiveness, as well as behavioral, social or emotional difficulties.
Explore – 2010;6:173-82. www.elsevier.com
Michael Jordan: "Since I’ve been in chiropractic, I’ve improved by leaps and bounds both mentally and physically.”
“I don’t know how much I could improve until I started seeing a chiropractor. Since I’ve been in chiropractic, I’ve improved by leaps and bounds both mentally and physically.”
Top Professionals in every sport are under chiropractic care to increase health and performance.
He continues to rely upon chiropractic adjustments to keep himself healthy and active. What about you?