Injury Problems


Chiropractic Care of a Pediatric Patient with Foot Pain & Vertebral Subluxations Following a Fall
Joel Alcantara DC Bio
Mary Kleijan DC Bio
[August 11, 2008 pp 1-6]

Abstract

Objective: To describe the chiropractic care of a child following a jumping injury.

Clinical Features: A 17-month-old male was presented by his mother for chiropractic consultation and possible care following a jumping injury. The patient could not stand upright in a weight bearing position following an injury to his right foot following a jump from his father’s back as he lay prone on the floor. The patient stopped walking, favored his right foot and crawled for mobility. Chiropractic examination revealed subluxations in the right sacroiliac (SI) joint, the right navicular joint and the Atlas. Consultation with two medical doctors between chiropractic visits resulted in one diagnosing a sprained knee and the other diagnosed a “problem with the right SI joint.” Both medical doctors recommended “rest” as an approach to care

Intervention and Outcome: The patient was cared for with adjustments to sites of vertebral and extraspinal subluxations using a combination of Atlas Toggle Recoil, the Activator Instrument and high-velocity low amplitude manual thrusts. After 4 visits, the patient was able to stand weight bearing only by holding himself up on the furniture and walk with a limp. With continued care and following 9 office visits, the patient was able to walk and run unassisted.

Conclusion: This case provides supporting evidence on the effectiveness of chiropractic care in children with jumping injuries through subluxation detection and correction.

 

Case study: acceleration/deceleration injury with angular kyphosis.   Kessinger RC, Boneva DV.J   J Manipulative Physiol Ther. 2000 (May); 23 (4): 279-287

  • OBJECTIVE:  To discuss the case of a patient who received upper cervical chiropractic care after trauma-induced arcual kyphosis in the cervical spine

  • CONCLUSION:  This study provides support for the use of upper cervical chiropractic management in cervical spine trauma cases. The clinical work-up consisted of physical examination, radiographic analysis, computer-administered and scored cognitive function testing, and audiometric examination. After conservative care, these examinations were repeated and demonstrated that the objective findings concurred with the subjective improvements reported by the patient.


Additional articles:

Peter Fysh, DC    Auto Accidents and Children

  • Children passengers who are involved in auto accidents frequently suffer injuries without showing any overt symptoms. This fact is often overlooked after an auto accident, simply because the child does not complain of pain symptoms or because an infant or toddler is unable to communicate their symptoms to their parents. Symptoms such as irritability, lethargy, poor feeding and restlessness may be the only evidence that a young infant has suffered injuries. In older children who are better able to communicate, symptoms may include fatigue, headache, neck pain or restricted range-of-motion.


Daniel J. Murphy, DC, DABCO    Children in Crashes

  • Motor vehicle collsion injuries are the leading cause for death in children older than one year of age, the leading cause of children's doctor visits, and the most common reason for admittance to hospital emergency departments. Motor vehicle accidents are the most frequent cause for injuries to children and young adults.