Chiropractic & Infants- Safe? Necessary?

Our August patient survey, "When Should a Child Have Their First Chiropractic Visit?", revealed that 36% of those surveyed believed that "Anytime after birth" was an appropriate time to bring a child for a chiropractic visit. Among the comments we heard were, "The younger you get started, the better chance you have of staying healthy", and "If an infant had some kind of trauma, and wasn't getting better under medical care, then of course I would recommend chiropractic".

The International Chiropractors Assocation (ICA)recommends the earliest possible evaluation, detection and correction of chiropractic lesions (subluxations) in children, especially infants, to maximize the potential for normal growth and development. The ICA points to research indicating that vaginal deliveries, especially when forceps are used, can lead to excessive force on the cervical spine, leading to trauma and subluxation in newborns.

Some patients expressed concern about the safety of adjusting infants, since their bones had not hardened enough.

Let's look at a 2008 study from Great Britian, "Adverse Effects of Spinal Manipulative Therapy in Children Younger Than 3 Years", published in the Journal of Manipulative and Physiologic Therapeutics. The objective of the study was to identify any adverse effects to chiropractic care occurring in the pediatric patient and to evaluate the risk of complications arising in the pediatric patient resulting from chiropractic care. A 3-year review of pediatric case files from the Anglo-European College of Chiropractic teaching clinic were evaluated. The results showed that out of 697 children receiving 5,242 chiropractic treatments, 85% of parents reported an improvement. 7 parents reported an adverse effect. There were no serious complications resulting from chiropractic treatment (reactions lasting >24 hours or severe enough to require hospital care.

Infants don't complain about back pain.

If your use of chiropractic care is limited to reducing back pain, then you probably would never conceive of a situation where an infant could benefit from chiropractic treatment. If you take a closer look at what chiropractic treatment does- improve the function of the nervous system- then you may be able to see how chiropractic may be appropriate for infants.

Case Study from Our Practice- 11 month old baby with painful bowel movements becoming less and less frequent, from every other day to every 4 days. Increase in medication from using up a whole bottle of maltsupex once a month to every two weeks, even while increasing fruit and vegetable intake. Incredibly hard stools and rectal bleeding.

One treatment improved the baby to having soft movement every day. She needed another treatment the following week, and now she's having 2-3 movements regularly, every morning with no medication at all. No more tears and screaming.

This baby had subluxations in the lower spine and sacral region resulting in decreased nerve stimulation to the bowel. There was inadequate musculature contraction to initiate normal bowel movements resulting in chronic constipation. Infants typically respond quickly to chiropractic treatment (1-2 visits), because their nervous and musculoskeletal system is less mature.

Other Conditions of Infants that May Respond to Chiropractic Treatment

Ear Infections

Respiratory Distress

Breast Feeding Problems

Digestion and Elimination Problems

Developmental Delays- Lifting head, balancing, crawling, standing, walking

Colic

When Should a Child Have Their First Chiropractic Visit?

We asked our patients last week, "When should a child have their first chiropractic visit?". We told them to give us their opinion, not what they thought we wanted them to say. We gave them four choices.

#1 Any time after birth.

#2 Any time after age 5.

#3 Any time after age 13.

#4 Any time after age 18.

Over the next few weeks we will take a look at our patients' answers, and explore the rationale for chiropractic care at different ages. We will share stories about children that we have treated here in our office, and let you decide if and when it make sense for a child to see a chiropractor.

NEXT WEEK- CHIROPRACTIC AND INFANTS: Is it safe or necessary to perform chiropractic on newborns or infants?

Medicare Fee Increase

Congress has approved a 2.2% fee increase for Medicare chiropractic services and other physicians services that will take effect in our office beginning September 1, 2010. This means that Medicare patients will pay between $.66-$1.31 more for chiropractic adjustments. The difference is due to the number of regions of the spine that must be treated on each visit. If just one or two regions are adjusted, then the lower fee applies. If five or more regions are adjusted, then the higher fee applies. You may think, an adjustment is an adjustment, is an adjustment.

Medicare and most other healthcare plans count each region of the spine as a distinct, reimbursable area of treatment including the cervical (neck& head), thoracic (mid back & ribs), lumbar (low back), pelvis (hips). Other segments of the body may be adjusted, but are not reimbursable by Medicare, such as the hand, elbow, wrist, knee, ankle and feet. It is not known if Congress will stick with the 2.2% increase, or enact at 20.2% decrease for chiropractic and other physician services after November 1st, 2010. Sources claim that a decrease of that proportion will cause many primary care providers to refuse to accept Medicare patients. The fallout from that could overwhelm hospital emergency rooms, as they would now become the only alternative for seniors needing primary medical care.