Chiropractic Treatment for Neck Side Preference and Mishappen Skull Shapes in Infants

The malleable skull of a baby is a soft structure that is designed to help them pass through the birth canal. It takes between 9-18 months for their skulls to fully form. The skull is very malleable in this time. It is especially so during the first 6 weeks of life. There are many different head shapes seen in infants and children. This can be alarming for a parent to notice and is important for primary health care providers, such as your chiropractor,to pick up.  At birth, an infant can also have a neck side preference and struggle to turn their head or keep their head turned to one side. During the first few weeks of life and between 9-18 months, babies can also DEVELOP a mishappen skull, where they lose the rounding of their skull and develop a flattening on a side of the skull. This flattening of the skull is referred to as plagiocephaly.  Plagiocephaly is a medical term that refers to abnormal changes in the shape and symmetry of the skull.  Causes of flattening of one side of the head in infants: Functional: body and head positional causes, harder laying surfaces, genetics (predisposition for softer and more malleable skull bones), joint restriction leading to further dysfunction. This can be linked to the neck side preference of the baby turning the head to one side more than the other, causing more pressure on that side and resulting in the flattening of the skull. Deformational: conditions like early suture closure (craniosynostosis) can also lead to skull shape abnormalities. Craniosynostosis is however only considered a diagnosis with an array of other signs and symptoms that a baby can present with. Risks of diagnosed plagiocephaly (change in head shape), if left untreated Abnormal head shapes are not purely cosmetic. For children with plagiocephaly there is a40% risk for neurodevelopmental delays if left untreated. There is also a risk of: jaw(temporomandibular joint) dysfunction (TMJ) – which would influence the latch and nutritive suckle; visual problems (optic nerve); craniofacial tightness (trigeminal nerve); headaches later in life and biopsychosocial problems (Drapeau, 2016) if left untreated. Why is chiropractic care important if my baby has a neck side preference? Not only does the positional effects of a neck side preference in a baby generally lead to a mishappen skull shape, but also sub-optimal latching to either the breast or bottle.  This can lead to more air swallowed and more cramping later in the day.  It can also have a longer lasting effect that can cause developmental problems such as delayed milestone achievement or asymmetricaldevelopmental patterns e.g. baby only rolling to one side. What will my chiropractor do to help my baby’s neck side preference or skull shape? The sooner your chiropractor can treat the joint restriction and dysfunction, the sooner your baby can show progress and recovery.  Babies are so resilient.  They just need to be nudged in the right direction. Treatment can be provided for associated conditions, such as a torticollis (a tight muscle on one side of the neck), which can cause a head tilt which constricts baby into one position.  Lifestyle advice such as tummy time, prone play, limiting the time your baby spends in swings or baby carriers while awake to resultantly encourage your baby to sit up and take pressure off the back of the head etc. will also be shared and encouraged and in so doing aid in baby’s recovery. Chiropractic care for infants and children are very important to help screen for and monitor an array of conditions that have and can be developed. A chiropractor who has a special interest in working with infants and children can help navigate the functional and developmental problems to head shapes.  Working with a cranial orthotist, lactation consultant, neurodevelopmental physiotherapist, paediatric occupational therapist also come into play according to the infant’s diagnosis. Please do note that it is still important for your baby to sleep on their backs as part of the recommendations of the ABC’s of safe infant sleeping. Babies should always sleep alone on their backs, in a crib. This reduces the risk of SIDS (sudden infant death syndrome).Remember: back to sleep, tummy to play rule! However safe, positional advice may be recommended to accommodate the healing process of the mishappen skull shape e.g. symmetrical movement and positional advice. Sources: Drapeau Annie (MD). Baby’s Head Shape: Should You Be Concerned? 2016www.nationwidechildrens.org/family-resources-education/700childrens/2016/12/babys-head-shape-should-you-be-concerned Kim DG, Lee JS, Lee JW, et al. The Effects of Helmet Therapy Relative to the Size of the Anterior Fontanelle in Nonsynostotic Plagiocephaly: A Retrospective Study. J Clin Med. 2019;8(11):1977 Burmeister S, Kayne A, Yazdanyar A, Hagstrom J, Burmeister D. Plagiocephaly Perception and Prevention: A Need to Intervene Early to Educate Parents. Open J Occup Ther. 2021;9(3):1-11 Collett BR, Wallace ER, Ola C, Kartin D, Cunningham ML, Speltz ML. Do Infant Motor Skills Mediate the Association Between Positional Plagiocephaly/Brachycephaly and Cognition in School-Aged Children? Phys Ther. 2021;101(2) Pastor-Pons I, Hidalgo-García C, Lucha-López MO, et al. Effectiveness of pediatric integrative manual therapy in cervical movement limitation in infants with positional plagiocephaly: a randomized controlled trial. Ital J Pediatr 2021 471. 2021;47(1):1-12 Turk AE, McCarthy JG, Thorne CH, Wisoff JH. The “back to sleep campaign” and deformational plagiocephaly: is there cause for concern? J Craniofac Surg. 1996;7(1):12-18 Argenta L. Clinical Classification of Positional Plagiocephaly. J Craniofac Surg. 2004;15(3):368-372 van Vlimmeren LA, van der Graaf Y, Boere-Boonekamp MM, L’Hoir MP, Helders PJM, Engelbert RHH. Risk Factors for Deformational Plagiocephaly at Birth and at 7 Weeks of Age: A Prospective Cohort Study. Pediatrics. 2007;119(2):e408-e418 Branch LG, Kesty K, Krebs E, Wright L, Leger S, David LR. Argenta clinical classification of deformational plagiocephaly. J Craniofac Surg. 2015;26(3):606-610. Murgia M, Venditto T, Paoloni M, et al. Assessing the cervical range of motion in infants with positional plagiocephaly. J Craniofac Surg. 2016;27(4):1060-1064. McLain RF. Mechanoreceptor endings in human cervical facet joints. Iowa Orthop J. 1993;13:149-154 Sergueef N, Nelson KE, Glonek T. Palpatory diagnosis of plagiocephaly. Complement Ther Clin Pract. 2006;12(2):101-110 Kim DH, Kwon DR. Neurodevelopmental delay according to severity of deformational plagiocephaly in children. Medicine (Baltimore). 2020;99(28):e21194 Hussein MA, Woo T, Yun IS, Park H, Kim YO. Analysis of the correlation between deformational plagiocephaly and neurodevelopmental delay. J Plast Reconstr Aesthetic Surg. 2018;71(1):112-117 Unwin S, Dika C. Deformational Plagiocephaly—A Focus on Prevention. J Nurse Pract. 2017;13(2):162-169 Collett BR, Gray KE, Starr JR, Heike CL, Cunningham ML, Speltz ML. Development at age 36 months

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Correct Pacifier Shapes

Even though, I do not advocate pacifier usage, there is a place for it.  However, there is only a place for it when parents are aware of the best possible options available.  Choosing the correct pacifier can be stressful for new parents.  Bearing in mind that pacifiers can cause problems such as: nipple confusion, negative impacts on denture development in infants; it is still used by most families to soothe their babies. I personally recommend the Nuk pacifier range, due to their extensive research of the correct shape that is crucial in dental and palate development.  Here are a couple of tips for parents who feel a pacifier is a must for their infant care  1. Consider the material– latex: hypersensitivity risk, bacterial and fungal colonisation.Thus, I recommend that we choose SILICONE.– silicone: No reported allergy risk, does not absorb odours, increased demand sucking stimulus (lower risk of dependence). 2. Consider the lip shield shape– Allow nostrils to be free to breathe.– Most adequate lip shield shape is the HEART SHAPE . It is important to keep the shield free of spit, to prevent risk of irritation to skin.  3. The tongue should adapt as far as possible to the palate– Shape of the teat should allow the tongue to move to the palate (be able to rise). – A whip shape is thus important.  See point 4.– The front open bite and back crossbite should be taken into consideration and prevented  4. There are three competing shapes:– Standard soother vs orthodontic soother vs conventional sootherThickness of the teat is smaller with the standard and orthodontic soothers. This is what you are looking for.The distribution of the stress on palate surface is lowest on standard and orthodontic pacifiers.  Studies on pacifier force, tooth displacement, malocclusions and more show the same trend.The study shows that standard and orthodontic soothers are best.  5. Different geometries of pacifier teat is very importantPacifier with slim origin at the base and a thicker whipped shape at the end is showing the least force on the palate with least developmental anomaly risk of the denture development. Resources:  Pacifiers: the right shape is crucial by Pharmawissen aktuell, 2022 et al. Springer Medizin https://www.nuk.co.uk/fileadmin/Default/specials/pacifier_study/EN/Publication_Pacifiers-the-right-shape.is-crucual.pdf

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Graston Instrument Technique (GIT) – an instrument assisted approach to chiropractic care in scar tissue

Chiropractic treatment has greatly advanced over time, integrating different methods to deal with musculoskeletal problems and improve overall health. An increasingly popular technique is the Graston Instrument Technique (GIT). Invented by David Graston, a sports lover and businessman, GIT has become a common tool in numerous chiropractic clinics around the globe since the early 1990s. This article explores the core of the Graston Instrument Technique, including its approach, advantages, and significance in contemporary chiropractic treatment. The Graston Instrument Technique:The Graston Instrument Technique is a type of chiropractic treatment that involves using instruments to identify and address issues with soft tissues. This technique uses custom stainless steel tools to locate and alleviate scar tissue, fascial limitations, and adhesions in the muscles, tendons, ligaments, and other soft tissues of the body. Approach:
In a Graston Instrument Technique session, a chiropractor uses a specific emollient on the skin to decrease friction and improve the instruments’ efficacy. The professional carefully examines the impacted area, checking for any irregularities in the texture and movement of the tissue. When a problem area is found, the chiropractor uses the instrument to apply pressure and break up adhesions and scar tissue. This procedure triggers the body’s innate healing reaction, enhances blood circulation in the region, and enhances flexibility. • Pain reduction: GIT may help reduce chronic pain from soft tissue injuries, repetitive strain injuries, and disorders like tendonitis and plantar fasciitis by breaking down scar tissue and adhesions. • Non-Invasive approach: Unlike surgical procedures, GIT is a low-risk non-invasive therapeutic approach that may be used in addition to other chiropractic techniques. • Increased range of motion: By removing limitations in the soft tissues, GIT attempts to bring the afflicted area’s range of motion and flexibility back to normal. • Faster recovery: GIT may hasten the healing process for a variety of musculoskeletal disorders by increasing blood flow to the wounded tissues and encouraging the body’s natural healing processes.
 • Improved athletic performance: To treat soft tissue injuries and maximize performance, athletes frequently use the Graston Instrument Technique. Athletes may avoid injuries and reach their maximum potential by keeping their soft tissues in good condition. Function in contemporary Chiropractic therapy:The Graston Instrument Technique has become an important tool in contemporary Chiropractic therapy, helping to address soft tissue dysfunction and encourage whole-body recovery. GIT is frequently included by chiropractors into all-encompassing therapy regimens for ailments including tennis elbow, carpal tunnel syndrome, and neck discomfort, among others. Patients looking for non-invasive, natural remedies to musculoskeletal problems have come to like it because of its efficacy. In summary, the Graston Instrument Technique is a noteworthy development in the field of chiropractic treatment, providing a focused method for resolving soft tissue dysfunction and fostering the best possible musculoskeletal health. GIT has grown to be an essential tool in chiropractors’ toolkits all across the world because of its capacity to lessen pain, increase range of motion, and hasten healing. The Graston Instrument Technique is a notable example of the creative thinking that has propelled advancements in the field of chiropractic as it continues to change. Before treatment, irregular orientated and diminished amount of fibroblasts The treated appears to have increased cellularity and more regularly orientated elongated fibroblast

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Human Movement

1.  Movement is Essential for Health The concept that “movement is medicine” emphasizes the profound benefits of physical activity on muscle health and injury prevention, particularly in athletes. Active individuals tend to experience enhanced muscle functionality and reduced injury risks. This principle holds true not only for athletes but also for older adults, where maintaining activity levels contributes significantly to muscular and joint health (source: LIFE ENRICHING COMMUNITIES). Studies, such as those from Ball University, highlight that active older individuals can retain muscle capabilities comparable to younger counterparts, underscoring the validity of the movement as medicine initiative (source: Ball University study). 2. Physiological Needs of Joints and Muscles Synovial joints, the most prevalent type of joint in the body, receive extensive blood supply crucial for their function. The rich network of arteries ensures adequate vascularization, penetrating deep into the synovial membrane to maintain joint health and mobility (source: PHYSIOPEDIA). Hyaline cartilage within these joints rely on synovial fluid for nourishment and lubrication, essential for smooth and painless movement across the full range of motion. Similarly, vertebral discs, primarily composed of water, require bodily movement to facilitate nutrient exchange and hydration, crucial for spinal health (source: PERFORMANCE CHIROPRACTIC). 3. The Synergy of Biokinetics and Chiropractic Care The collaboration between chiropractic care and biokinetics offers comprehensive solutions for musculoskeletal health. Chiropractic treatment addresses immediate pain relief and correction of spinal alignment, while biokinetics focuses on sustaining these improvements through tailored exercise prescriptions. This combined approach not only enhances recovery but also prevents future by promoting optimal biomechanical function (source: integration of chiropractic and biokinetics). In conclusion, prioritizing regular physical activity and consulting healthcare professionals for tailored care are pivotal steps toward maintaining a healthy, pain-free lifestyle. These practices not only enhance muscular and joint health but also optimize overall well-being.

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Mechanical back pain and Chiropractic Care: A Holistic Approach

By Dr Nicole Labuschagne (Msc Chiropractic, UJ) Edited by Dr Michelle Cloete (Mtech Chiropractic, UJ) People of all ages are frequently afflicted with back discomfort, which frequently interferes with everyday activities and quality of life. Particularly, mechanical back pain is a common kind of pain that comes from the mechanical components of the spine, including the muscles, ligaments, discs, and joints. The use of chiropractic therapy as a natural, non-invasive treatment procedure for mechanical back pain has grown in popularity. We will go into the fundamentals of chiropractic treatment, examine the origins of mechanical back pain, and talk about how this alternative therapy may provide relief in this blog article. Understanding Mechanical Back Pain Mechanical back pain is defined as pain or discomfort that arises from the mechanical components of the spine, such as strained muscles, sprained ligaments, or poor posture. Incorrect lifting techniques, abrupt movements, and poor work ergonomics are frequently cited causes of mechanical back discomfort. In order to effectively manage the pain, which is frequently localized and may worsen with certain activities, the underlying reasons must be found. Chiropractic Care Chiropractic care is an alternative medicine that specializes in the diagnosis and treatment of mechanical diseases of the musculoskeletal system. To enhance movement of the spine and reduce discomfort, chiropractors adjust the spine and other joints manually. Optimal spine alignment and movement can improve general health and support the body’s natural healing process.  Furthermore, other treatments which can be offered include mobilization, dry needling, traction, ultrasound and massage, to name a few. These methods seek to support the body’s natural healing process, decrease local inflammation, and restore equilibrium. Because chiropractic therapy follows and individualized approach, doctors may customize treatment regimens to meet the unique needs and circumstances of each patient. Benefits of Chiropractic Treatment for Mechanical Back Pain 1. Pain Relief: By relieving nerve pressure, lowering local inflammation, and improving blood flow, chiropractic adjustments can provide about instant pain relief. 2. Increased Range of Motion: By treating joint restrictions and muscle stiffness/spasms, regular chiropractic therapy may improve range of motion and flexibility. 3. Preventive Care: By preserving appropriate spinal alignment and treating underlying problems, chiropractic adjustments can not only alleviate current pain but also avert further occurrences. 4. Non-Invasive Approach: Because chiropractic therapy is non-invasive, it is a safer choice with fewer adverse effects than intrusive medical procedures or operations. 5. Holistic Wellness: To promote long-term health, chiropractors frequently place an emphasis on the patient’s general well-being and provide guidance on ergonomics, exercise, and lifestyle changes. In conclusion Mechanical back pain may have a major negative influence on day-to-day functioning. However, chiropractic therapy provides a natural, holistic means of easing pain and enhancing general health. Chiropractors can help people restore mobility, lessen discomfort, and avoid further problems by treating the underlying reasons of mechanical back pain using spinal adjustments and other methods. Speaking with a chiropractor might be a helpful first step in obtaining relief from mechanical back pain and enhancing your quality of life.

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Understanding the journey of TRUE RECOVERY for neck and back pain

Understanding the journey of TRUE RECOVERY for neck and back pain We need to be more pro-active than re-active with our spinal health. Back and neck pain can have a mechanical origin with inflammatory components, it can be due to a sedentary lifestyle, poor posture, injury or it can even have a degenerative nature. No matter what the cause- we need to treat it accordingly. Chiropractic care can bring much pain relief, but my objective today is to address the muscular weakness and imbalance that is an additional cause of pain in 95% of my patients. I have written this blog to explain to patients in an easy-to-grasp way on practical ways to aid in their back recovery program. This is truly the answer if you are looking for more than just a quick fix for your back pain. 1. Stretch it out. Until pain is under a 3/10 pain scale. This forms part of the acute phase treatment protocol (or part of the initial phase of a chronic condition). 2. Start with light exercise. Ideally this will be done with a biokoneticist. Most bios also offer pilates group classes which are inexpensive and a wonderful tool to keep you ACCOUNTABLE. I have the gentle pilates YouTube links: start with beginners (even if you are fit) because Jessica Valant is a physical therapist that goes through the steps, such as breathing techniques and posture. 3. Start with some sort of cardiovascular exercise – depending on your condition and what is available to you: swimming, walking, running, cycling, rebound classes. The list goes on. This step needs to be easily accessible and a form of exercise that you can do three times each week. Start with shorter times and build your endurance. 4. Find out how to warm up, cool down from not only exercise, but also from your day! E.g. breathing 5. Make sure that your footwear is correct. Everything starts from the base up. This is an advice blog only and needs to be used in conjunction with personalised primary care with your primary health care provider, such as a chiro. Stay in good health and cease each opportunity to improve yourself! Facebook Instagram

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The chiropractic role in the management of scoliosis

The scoliosis patient may present with: – pain (painful back, shoulders, hips), – muscular imbalance, – postural imbalance, – instability that needs an exercise program, or – deformity that needs to be assessed. A doctor of chiropractic has the diagnostic tools to diagnose different types of scoliosis. Our main objective is to: diagnose, treat pain due to myofascial trigger points and help prevent/monitor the progression of the scoliosis, by means of a multidisciplinary approach. Spinal screenings for children, especially between the ages of 9 and 16 years is imperative if there is a family history of scoliosis. Incorporating chiropractic as part of your family medical care regimen could make all the difference in your child’s future. Facebook Instagram

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Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review.

Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review. It is common for women to experience Low back pain, pelvic girdle pain or a combination of both during pregnancy and post-partum. With up to 90% of women reporting that they had low back pain and of this, 30% experiencing it for the very first time. There is uncertainty to what causes the pain experienced, but it has been theorised that it may be due to weight gain, changes in hormone levels and altered biomechanics. A recent study by Carol AnnWeis, et al. (2020) the aim was to conduct a systematic review of the literature to assess the effectiveness of chiropractic care options commonly used for pregnancy-related low back pain, pelvic girdle pain, or a combination for both experienced practitioners and students of chiropractic. It was concluded that although there was a lack of evidence, many of the interventions have moderate or unclear but favourable outcomes. CASA (Chiropractic Association of South Africa) The full study can be read here; https://bit.ly/3lKZ6pO -RRS Education (2020).-Journal of Manipulative and Physiological Therapeutics (2020) Facebook Instagram

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CHIROPRACTIC RELIEF FOR UNEVEN SHOULDER LEVELS, NECK AND SHOULDER PAIN

The ‘BEFORE’ photo: Patient X has a prominent higher shoulder LEVEL on the LEFT. She is RIGHT handed. So this is an abnormal finding on observation as her dominant hand should rather have a slightly (about 1cm) higher shoulder level when compared to the left. Neck and shoulder pain. After 1st treatment the shoulder levels are more even and patient reported less pain. After second treatment harmony and balance is restored and there was even less pain reported. This is just a glance at one anatomical section and it should be noted that this was a small finding of a much larger picture Chiropractic adjustments have a physiological effect that can cause surrounding musculature to RELAX. This helps to: – RESTORE balance which IMPROVES posture, – restore motion, – DECREASE neck and shoulder pain, – decrease muscle weakness – REHABILITATE FUNCTION of a joint, joint complex and biokinetic chain. #chiropracticrocks #balance #harmony #painisnotnormal #weaknessisnotnormal #feelingunbalancedisnotnormal #liveoptimally #getitfixed #getadjusted Facebook Instagram

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How a chiropractor can help with back, shoulder and knee pain this winter!

PROBLEM Many patients complain of knee, shoulder or other joint pain just prior to a cold front or during colder months and have recently asked me about this. Is this a painful superpower that arthritic patients have to estimate the arrival of a cold front is there science to it? SCIENTIFIC EXPLANATION A cold front by definition is when the atmospheric pressure steadily decreases so that the cold, dry air can lift the warm moist air to effectively lower the temperature. This is why before I even feel a chill in the air, your painful joint could respond to this atmospheric pressure changes. When this happens, joint stability decreases due to the atmospheric/air pressure decrease. Atmospheric pressure is the primary external force that affects joint stability. When air pressure decreases, there is less air pressure that pushes against the body. This allows tissues to expand.  Expanded tissues can put pressure on joints and cause pain. SOLUTION Frequent chiropractic care.  This is a safe and natural treatment protocol which includes chiropractic adjustments, mobilisations and soft tissue work that will help combat and assist in reducing: stiffness, soreness and pain associated with joint and muscle pain. WHAT CAN WE DO AT HOME TO AID IN PAIN RELIEF IN BETWEEN CHIROPRACTIC SESSIONS? Above and beyond chiropractic treatment, there are other actions that you can take to take care of your body this winter:  Warm-up and stretch before and after outdoor activities Dress warmly when going outdoors Limit cold-weather exposure time Maintain an active lifestyle  Eating healthy foods Facebook Instagram

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