Manual therapy for children (children's manual therapist). Manual therapy for children and adolescents What is included in the scope of the specialist

Children's manual therapy- these are gentle and non-aggressive methods of exposure, suitable for both children and adults. Parents of children turn to a chiropractor in case of problems with the spine in a child from birth and at any age.

Children in adolescence may experience pain and discomfort in the spine, often pain and various diseases can be found in infants. At any age, the best way to treat them will be, since it is a gentle and at the same time effective method of exposure. You can make an appointment with a vertebrologist at the Clinic of Dr. Ignatiev in advance.

Children's torticollis, abnormal development of the spinal column in infants.
Scoliosis and kyphosis, osteochondrosis in older children.
Scoliosis and poor posture in school-age children and adolescents.
Birth trauma in infants.
Hereditary diseases of the musculoskeletal system.
Injuries and dislocations in middle childhood and school age.
Joint diseases.
Diseases of the internal organs.
Muscular pathology.

Various diseases in childhood and adolescence are accompanied by a series of different symptoms. In infants and young children, it is impossible to accurately determine the symptoms on their own, at home. The main sign will be crying during various movements, turns, as well as physical exercises for babies. At an older age, children may already complain of pain in the cervical, thoracic or lumbar spine, pain in the limbs or joints, as well as pain that can be caused by problems with the spine.

Pain syndrome in children is manifested moderately, but can also have a strong expression. In addition, with kyphosis, as well as torticollis, there are strong changes in posture, incorrect positioning of the child's head. In infants, torticollis can be diagnosed by a constant and fixed tilt of the head, and scoliosis and other changes in posture are diagnosed by school doctors or parents.

After the first symptoms, you should seek the advice of a specialist. This will help to make a timely diagnosis and start treatment. To clarify the diagnosis, x-rays, MRI, magnetic resonance angiography, and CT may be required. The need for laboratory tests, as well as repeated manual examination by a doctor, is not ruled out.

Children's manual therapy widely used worldwide. Immediately after the final diagnosis is made, it is necessary to begin manual therapy sessions in order to prevent the development and progression of the disease or pathological condition.

In childhood, compensatory abilities, as well as mechanisms of adaptation of the body, are increased. Therefore, the young and even infancy of a child is the best time to solve problems with the spine or joints. The effectiveness of manual procedures in children increases several times, in contrast to adults. In addition, such a beneficial effect is also possible due to the fact that children at a young age have not yet fully formed the skeleton, it is mobile and susceptible to external influences. This allows the chiropractor to eliminate the disease and restore the correct posture of the child without the use of medication and too aggressive methods of treatment.

Often parents send their child to sports classes, in the section, without thinking about whether he can do this kind of sport. So, a predisposition to injury to the spine or a hereditary disease that has not been previously identified can cause injuries or the development of pathology in a child. In such a difficult case, manual therapy can restore the functioning of the child's organs and spine, allowing him to return to his usual way of life.

Pain in the back can indicate problems and diseases not only in the spine, but also in the internal organs. If these are not inflammatory or other serious diseases, but pathologies associated with the development and muscle weakness of the child, then a mild effect during manual therapy will increase the tone of the muscles of the spine and muscles that support internal organs. This will help not only get rid of the pain syndrome, but also restore the protective functions of the organs, improve them.

Parents often mistake severe headaches in children and adolescents for simple overwork and stuff them with pills or traditional medicine. In fact, quite often the causes of headaches can be a violation of posture, improperly fused cervical vertebrae. In this case, it is necessary to treat the cause itself, affecting the problem areas of the spine manually. Already after the first sessions, the child can feel the improvement and disappearance of the pain syndrome.

In addition, manual therapy can help teenagers, especially boys, who suffer from rapid growth. During adolescence, bone tissue can grow very quickly, but muscle tissue simply cannot keep up with it, which leads to severe pain. And only manual impact can make the muscles more elastic and supple, which will save the child from pain. If such treatment is not carried out in time, the child may develop scoliosis, and then even an intervertebral hernia may appear. But even in serious cases, manual therapy is able to help. If an inflammatory process is not detected in the tissues and there are no other contraindications, then manual techniques will help put the vertebrae, intervertebral discs in place and retract the hernia back. This is carried out without the use of medicines, which eliminates the possibility of a negative impact on the child's body. In the event of a hernia, the patient is shown therapeutic spinal traction along with other manual procedures. Due to the traction in the spine, an anti-pressure is created, which sucks the hernia back into the location of the intervertebral disc. This reduces the manifestations of pain and eliminates their cause.

A timely appeal to a vertebrologist will reduce the time of treatment, increase the chances of a full recovery, restoration of the normal functioning of organs and systems associated with the spine. It is necessary to make an appointment with a vaertebrologist in advance.

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases should be carried out under the supervision of a specialist. All drugs have contraindications. Expert advice is required!

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Who is a manual therapist?

Chiropractor- is a specialist more often with medical education), who received training in manual therapy. This area of medicine is a combination of various methods of diagnosis and treatment, which are carried out by the hands of a manual therapist.

Some believe that the professional activity of this specialist is similar to the work of a chiropractor. But this opinion is erroneous, since the chiropractor specializes in setting bones and joints, and the work of a chiropractor is more like a massage.
Since during manual therapy there is a direct effect on the nervous system, bones, muscles, manual therapy is inextricably linked with such disciplines as neurology, orthopedics, traumatology.

What is the job of a manual therapist?

The main principle of the work of this specialist is to conduct therapeutic massage. Manual therapy differs from conventional massage in that the doctor affects only certain areas of the body, using special techniques for this.

Most often, people with pathologies of the musculoskeletal system turn to a chiropractor. Also, this doctor provides professional assistance to those who suffer from diseases of muscle tissue, circulatory or metabolic disorders. The impact that a specialist has on muscles and joints helps to improve blood supply and tissue nutrition, due to which a healing effect is achieved.

Most often, a chiropractor is treated with diseases of the following organs:

Head. Headaches due to impaired blood supply in the neck are a common reason for visits to this doctor. The massage performed by the therapist normalizes blood circulation, resulting in an improvement.
Joints, bones. Patients often come to this doctor in the direction of other doctors after fractures, dislocations and other injuries. Manual therapy promotes rapid and proper bone growth.
Organs of the digestive tract. With some problems of the gastrointestinal tract, therapeutic massage can significantly improve the patient's condition. This is due to such positive effects of manual therapy as the acceleration of metabolism, improved intestinal motility.
Back. Frequent patients of a chiropractor are people who spend a lot of time at the computer. Prolonged sitting in a sitting position leads to curvature of the spine and, as a result, pain. Muscle strengthening through manual therapy helps to correct posture and keep your back straight in the future.

One of the distinguishing features of manual therapy is the absence of drug treatment. This doctor does not prescribe drugs in rare cases, vitamins), but may prescribe physiotherapy, physiotherapy exercises.

Manual Therapist Courses

Manual therapist courses are educational theoretical and practical classes that allow you to gain the necessary skills to work in this specialty. The duration of training depends on the initial preparation of the student. So, for classical massage specialists and other people who have massaging skills, as a rule, courses are held that last no more than 24 hours. In the absence of any skills, courses can last from several weeks to several months.

Upon completion of training, diplomas are issued, allowing you to work as a chiropractor. The entire learning process can be divided into three main stages. The duration of each stage depends on the type of course.

The first stage of manual therapy courses
At the first stage, students receive a general knowledge of the anatomy and physiology of the human body. This knowledge is especially important for compliance with the principles of safety during therapeutic massage. They also help chiropractors in the future to correctly interpret patient complaints, determine the presence of contraindications and take an anamnesis ( medical history).

At the first stage of the course, the structure and functions of the following body systems are considered:

bones, joints, ligaments;
circulatory and lymphatic systems;
muscles of the head, neck and other organs;
organs of the chest, abdominal cavity and small pelvis;
innervation ( nerve supply) organs and tissues.

The second stage of manual therapy courses
The second stage is devoted directly to the techniques on which manual therapy is based. Students learn the basic methods of therapeutic massage, the rules for their implementation and the situations in which they will be appropriate. Theoretical knowledge is supported by practical exercises.

At the second stage of the course, the following manual therapy techniques are studied:

Cranial. This type of therapy involves the impact on the bones of the skull and the sacral spine. The main technique of execution is soft stroking movements.
Visceral. This direction of manual therapy involves the impact on the internal organs of the abdominal cavity, chest and pelvis. Visceral therapy is based on soft pressure, point pressure, squeezing, weak twisting.
Structural. This technique is used for problems with the musculoskeletal system and involves the impact on the bones, ligaments, muscles. Structural therapy is performed with pushes, blows and slaps of medium and high strength.
Myofascial. This type of manual therapy is more often used in the diagnosis. The therapist presses with fingers or palm on soft tissues in order to find painful areas on the patient's body.

The third stage of manual therapy courses
At the final stage, much attention is paid to the psychological aspect in the work of a manual therapist. The ability to make a positive impression, establishing contact with the patient, mechanisms for preventing conflict situations - all these points are considered at the third stage of training. Also, specialists who conduct manual therapy courses touch upon issues of professional ethics, sanitary and hygienic rules of massage, safety measures for both the therapist and the patient.

What does a chiropractor treat?

The competence of a manual therapist lies in a wide range of diseases. These are mainly diseases of the musculoskeletal system and the muscular system. Manual therapy is also recommended for diseases of the cardiovascular system, metabolic disorders, flat feet. At the same time, there are limitations to manual therapy.

As already mentioned, the main indication for manual therapy is musculoskeletal pathology. The essence of this method of treatment is to eliminate pathological phenomena in the musculoskeletal system. Such a phenomenon can be displacement of the vertebrae, osteochondrosis, hernia. Correction of these pathological phenomena occurs with the help of the hands of a chiropractor without the use of drugs. At the same time, manual therapy is most effective when combined with reflexology and physiotherapy.

Manual therapy for osteochondrosis

Osteochondrosis is a chronic disease of the spine that affects the elastic intervertebral discs. These discs play a big role in the cushioning function ( softens the load), make the spine flexible and elastic. With osteochondrosis, due to impaired metabolism and blood circulation in the spine, dystrophic processes begin to develop in the intervertebral disc. As a result, the disc loses its elasticity, strength and resilience. It dries very quickly, becoming thin and less durable. Such a disk ceases to carry out its main function of depreciation and cannot withstand the load from the spine. In the future, if no action is taken, the disc ring may protrude, forming a hernia.

The main causes of osteochondrosis include:

irrational physical activity with improper distribution on the spine;
sedentary lifestyle;
congenital anomalies of the spine;
chronic infections of the body;
trauma;
metabolic disorders.

Osteochondrosis can affect different parts of the spine, and depending on this, its symptoms will differ.

The types of osteochondrosis include:

Osteochondrosis of the cervical region. The main symptom is aching or sharp pain in the neck, pain when turning the head. Associated symptoms may include blurred vision ( flies before eyes), tinnitus, dizziness.
Osteochondrosis of the thoracic region. Manifested by aching sensations in the chest ( most pronounced with deep inspiration), pain between the shoulder blades, between the ribs especially while walking.
Osteochondrosis of the lumbar. It is the most common type of osteochondrosis. Manifested by lower back pain, which can be sharp or aching. Pain is aggravated by physical exertion and may radiate to the coccyx or leg.

With the help of special manual techniques, the chiropractor separates the surfaces of the joints of the vertebrae from each other. The basic treatment for osteochondrosis is to relieve stiffness ( blockade) of the spine, after which the therapist proceeds to relaxing techniques. Before proceeding to the spine, the chiropractor gently warms up the muscles without sudden movements. Further, by directly pressing on the vertebrae, the specialist restores their previous position. As a result of deep warming up of the muscles, the natural curvature of the spine is restored, the discs are inserted into place, and the pain syndrome is relieved. It is important to know that manual therapy is recommended in the first three stages of osteochondrosis, when there are no bone growths.

Manual therapy for hernia

Lumbar hernia is a common complication of osteochondrosis. It is a protrusion of the intervertebral disc into the spinal canal. In turn, this leads to infringement of the nerve roots, which is manifested by a pronounced pain syndrome.
It is important to know that manual therapy is used only in mild cases of herniated discs that are not accompanied by a ruptured annulus. In other cases, medical and surgical treatment is indicated.

With a hernia formed, a manual therapist acts with his hands on the projection site of the hernia, preheating the muscle. This creates a negative pressure that allows the hernia to retract back into place. Next, the therapist works on the entire spine, which improves circulation in the cartilage and bone tissue and contributes to their restoration.

The chiropractor must necessarily review all previous examinations of the patient, and if they are not available, appoint them. So, it is recommended to consult a neurologist, take an x-ray, and sometimes magnetic resonance ( MRI) . If examination shows ligament rupture or protrusion ( bulge) disc, against the background of displacement of the vertebrae, then this is an absolute contraindication to manual therapy.

What is the difference between an osteopath and a chiropractor?

An osteopath is a doctor who has specialized in alternative medicine with a focus on osteopathy. In turn, osteopathy is a branch of medicine that considers a violation of the anatomical relationships between organs as the cause of the disease. An osteopath and a chiropractor, first of all, differ in their approaches to treatment. The main task of the chiropractor is to eliminate any symptom, while the osteopath treats the whole body. It can be said that manual therapy is the "daughter" of osteopathy. What is common is that the healing tool in both disciplines are the hands of a specialist.

So, an osteopath, like a doctor, works with the whole body. In his work, he uses such techniques as relaxation, normalization of blood flow, drainage of the lymphatic system, restoration of micromotion. The manual therapist mainly uses indentation and reduction techniques.

Chiropractor for children

Manual therapy is a method of non-drug treatment, which is also indicated for children. In his practice, a children's manual therapist uses non-aggressive methods of influencing the child's body.

What does a chiropractor treat in children?

A chiropractor treats a wide range of childhood illnesses. First of all, these are diseases of the musculoskeletal system and muscle pathology. Recently, however, manual therapy is increasingly recommended for somatic ( bodily) diseases, for example, with bronchial asthma.

Indications for manual therapy in children are:

birth trauma in infants;
scoliosis or kyphosis;
children's torticollis;
muscle pathology.

birth trauma
Unfortunately, birth injuries are not uncommon in pediatrics. The reason for this may be the incorrect presentation of the fetus, rapid or, conversely, prolonged labor. With rapid childbirth, the upper cervical spine is most often injured. If unskilled actions of an obstetrician join the pathology during childbirth, then this is complicated by the mixing of the vertebrae, the development of torticollis and plexitis ( brachial plexus injury).

First of all, birth injuries need manual therapy. The sooner assistance is provided, the fewer complications will accompany the child.

Scoliosis
This is one of the most common pathologies of the spine in children. Most often appears in preschoolers and school-age children, when the spine is under load. The spine does not always cope with this load, which is manifested by its deformation in various planes. Scoliosis is called deviation of the spine in the frontal plane. This disease can be either congenital or acquired. Depending on the stage of scoliosis, various treatment tactics can be used. So, with severe curvature, surgical treatment is carried out, which consists in installing special metal structures that fix the vertebrae between themselves. In addition, corset therapy, anti-scoliosis gymnastics and manual therapy are used. In manual therapy, much attention is paid not to the spine itself, but to the muscular frame. So, if the muscles are weak for any reason, then they cannot support the spine.

Pediatric torticollis
Torticollis is a common childhood pathology that can be congenital or acquired. The most common is acquired post-traumatic torticollis.

Symptoms of torticollis may include the following:

The head is always directed to one side. Moreover, this is always observed at rest, in motion, in a dream, while swimming.
Turning the head to the other side is difficult. When you try to turn the baby's head, he resists.
When the child is positioned on the stomach, an s-shaped curve of the spine is visible.
In a dream, the child squeezes only one fist.
Sometimes cranial deformities are seen.

Treatment of torticollis should be carried out immediately, as it does not go away with age. The main treatment, which should begin at two weeks of age, is reduced to manual therapy, gymnastics, electrophoresis. During treatment, it is important to pay attention to the whole body, and not just the diseased muscle. So, massaging the muscle should be combined with massage of the chest and back of the baby. The sore muscle must be massaged from the place of attachment behind the ears to the collarbone and back. It is also important to relieve tension from the muscles, for this it is recommended to put the child on a fitball ( fitness ball) and, holding it by the legs, let it go down. It is important to consider that a healthy muscle also needs massage, but more energetic.

In parallel with manual therapy, daily exercises are recommended for children with torticollis. It is best to spend it in the pool, where the muscles relax as much as possible.

Muscular pathology
Muscular pathology is also an indication for manual therapy. However, here it is necessary to take into account the nature of the disease. In newborns, due to perinatal trauma, hypertonicity is most common. This condition is characterized by an increased tone of all muscle groups, as a result of which all the muscles of the child are constantly tense. This violation occurs quite often - in every tenth child.

Manifestations of hypertension in a child may be the following:

the baby behaves restlessly, constantly cries;
often bends;
throws his head back;
constantly requires breasts, as he is constantly hungry;
screams monotonously and piercingly;
during sleep, the limbs are tightly pressed against each other, and the head is thrown back;
gait on tiptoe, not on the whole foot.

Before starting treatment, it is important to find out what caused this condition. After all, hypertension is a symptom, not an independent disease. The most common cause of this is birth trauma and pathology of the central nervous system. Treatment in this case is complex and, in addition to manual therapy, includes other methods.

Treatment options for hypertension include:

manual therapy;
gymnastics;
aquatherapy;
physiotherapy.

Manual therapy courses are carried out continuously with breaks of 4-5 days. At the same time, the massage is relaxing.

The reverse state of hypertonicity is called hypotonicity - a decrease in tone in all muscle groups. The main manifestation is muscle weakness. As a rule, it is a consequence of past infections or congenital anomalies.

Causes of hypotension include:

birth trauma and, as a result, insufficient blood supply;
unbalanced nutrition of the baby;
chronic infections;
hypotrophy ( underdevelopment) child.

With hypotonicity, the sucking reflex is impaired; during breastfeeding, the child often falls asleep. There is no flexion characteristic of newborns ( bending) limbs. When the baby sleeps, his legs are fully unbent. Also, such children move little, do not cry, and sleep more often than others. The main treatment is massage and gymnastics.

Manual diagnostics

Before starting treatment, a detailed manual diagnosis is necessary. It consists in collecting anamnesis ( medical history) and examination of the child. Anamnestic data are very important, as they allow us to find out what caused the injury and the development of perinatal pathology. It is important to know how the birth went ( were they long or fast), how the pregnancy proceeded, whether auxiliary manipulations were used to extract the child. Important is the information about the birth of a child and about his early development, namely when he began to hold his head, roll over, take his first steps.

After a thorough history taking, the chiropractor proceeds to examine the child. The examination should be carried out in a well-lit room.

Principles of examining a child by a manual therapist
Initially, the therapist pays attention to the proportionality of the development of the child and the general physique. A newborn child is characterized by a slight hypertonicity - the arms and legs are in a flexion position, the hands are bent into fists. While in the supine position, the child can turn or throw back his head. The facial expression of the baby is noteworthy - it can be gloomy, suffering or calm.

With various perinatal and congenital pathologies, the child can take various pathological postures ( like the frog pose). Next, the chiropractor must evaluate the upper and lower extremities. They can be sharply bent, straightened or brought to the body ( like a soldier). Determination of muscle tone should occur from head to toe. In this case, symmetry, tone and the presence of edema should be taken into account. So the muscles can be in a state of hypotonicity or hypertonicity, and it, in turn, can be unilateral or bilateral ( i.e. symmetrical). In parallel with the assessment of muscle tone, an examination of the skeletal system is also carried out. It is important to assess the condition of the ribs, the position of the clavicles, the structure of the sternum.

Tests used in manual diagnostics include:

Head flexion resistance test. The result can be normal, low or high.
Traction test. From a supine position, the child is gently taken by the hands and pulled towards him. There is some moderate resistance.
Hip abduction resistance. The lower limbs of the child, also lying on his back, are moved to the side with a moderately sharp movement. There should be resistance to this.

Sometimes a correct diagnosis will help identify existing problems before they even appear. After all, birth injuries can manifest both immediately and after a certain time.

Manual therapy in pediatrics is considered one of the official methods of treatment. Its value is also very high. This is explained by the high plasticity of the musculoskeletal and musculoskeletal system in children.

Appointment with a manual therapist

An appointment with a chiropractor is no different from other doctors and is a visit by the patient to the doctor for the purpose of diagnosis and subsequent treatment ( if needed). At the initial consultation, the therapist listens to the patient's existing complaints, and also conducts an examination with the use of hands. First, the doctor visually assesses the patient's figure and posture in order to determine if there are spinal curvatures and other pathologies. Then, to determine muscle tone and other deformities, he performs palpation ( fingering), which can be superficial, sliding, plucked, deep.

Based on the data obtained, the doctor makes a conclusion about whether the patient needs manual therapy sessions. Often, in order to make a decision and exclude the presence of contraindications, a chiropractor prescribes instrumental examinations or consultations of related specialists. Of the most prescribed studies by this doctor, radiography, magnetic resonance or computed tomography can be noted.

Himself a manual therapist

A chiropractor for children in Moscow in the center "Human Health" (metro station "Otradnoye", North-Eastern Administrative District) is not a whim or a whim, as it may seem to ignorant parents. This is a complex of physiotherapeutic measures aimed at the treatment and prevention of diseases associated with the musculoskeletal system. Severe torticollis, lordosis and scoliosis can be detected by a neonatologist already in the maternity hospital in the first hours of life. Timely therapy in combination with other treatment minimizes the development of anomalies and reduces the likelihood of intervention by the surgeon.

Features of manual therapy for children

The main reasons why a pediatrician prescribes manual therapy for children are the following:

Birth trauma. Breech presentation, entanglement with the umbilical cord, rapid childbirth contribute to trauma to the upper cervical spine in babies. In such cases, treatment should be carried out as early as possible, since an untreated or undertreated birth injury will turn into a serious health problem in the future.
Anomalies of the spine (scoliosis, osteochondrosis). Problems with the spine usually begin at school age, when the baby begins to sit at the table for a long time over the lessons, and the growth and development of the muscle corset is often not given due attention.
. One of the hidden causes of pain may be subluxation or circulatory disorders of the cervical spine.
Injuries. Unsuccessful jumps, falls, active sports - all this seems to test the baby's spine for strength.
Diseases of the internal organs.

It is important not to wait until the disease fully manifests itself, but to turn to a pediatric chiropractor in time. Under certain conditions, pathologies of the cervical and spinal cord give severe complications in the future: from paresis of early osteochondrosis to cardiac arrhythmias.

Parents should pay close attention to the periods of growth of babies associated with a sharp change in the work of the muscular corset and spine: how the baby begins to sit, crawl, walk, run, hold his head. During these periods, there is an active formation of the natural curves of the spine. In adolescence, there is an intensive growth of the child and the load on the spine increases due to age.

Indications and contraindications

Therapy is indicated for babies in the following cases:

scoliosis,
torticollis,
lordosis,
kyphosis,
osteochondrosis,
displacement of the vertebrae, hernia,
spinal and skull injuries,
diseases of the gastrointestinal tract,
muscle pain,
pinched nerves,
bad posture,
incorrect positioning of the legs during active walking,
protrusions,
clubfoot.

Separately, it is worth mentioning scoliosis. If the disease is caused by tumors, compression of the spinal cord or infectious diseases, therapy is contraindicated. With scoliosis in severe forms, therapy is also undesirable. A pediatric chiropractor in Moscow will refuse to work with a small patient if he has the following diseases:

obesity,
heart failure,
lung failure,
hypertension,
inflammatory processes in the spine,
oncology,
acute pain
infection,
recent surgery or injury.

Also, a professional will not work in case of an unclear diagnosis or difficulties with its formulation. Therapy in this case can do harm.

How is the session

First, the doctor must collect all the necessary analysis and data on the disease of his little patient. Depending on the diagnosis, the baby will be prescribed tomography, x-rays, scoliometry, and lung volume is measured. In our center, the session usually begins with massage actions such as stroking and kneading, and ends with methods of active influence on the muscle corset and relaxation. The pain usually subsides after the first session, but this does not mean at all, but you can stop the sessions. The final result will be noticeable only after the end of the course, which usually includes 7-10 sessions.

What diseases does the doctor treat?

Children's manual therapist specializes in the fight against pathologies, disorders in the functioning of the musculoskeletal system in babies from the first days of birth to adulthood. In his practice, the specialist uses soft, sparing techniques that have both a therapeutic effect and preventive properties.

The doctor's specialization includes the following types of diseases:

torticollis, developing mainly during fetal development;
posture disorders - kyphosis, lordosis;
pathologies affecting internal organs;
joint diseases of both congenital and acquired nature;
genetic pathologies of bone and muscle tissue;
fractures, traumatic injuries of the spinal column;
pathologies of the spine that do not require surgical intervention, the recovery period after surgery;
consequences of birth traumatic injuries;
muscular dystonia;
vegetative-vascular dystonia.

Timely access to a pediatric specialist significantly increases the chances of successful treatment of the above diseases, improves the quality of life of the child. Certain manual techniques can be used both as the main method of treatment and as an integral element of a complex therapeutic course.

What are the clinical manifestations of the need to see a doctor?

The help of a pediatric chiropractor may be needed by the baby during the first months of his life. The reason for an extraordinary consultation with a specialist for parents should be signs of a lag in the physical development of the baby, constant crying, and limited joint mobility.

Small patients of preschool and school age are recommended to be taken to a pediatric chiropractor if the following symptoms appear:

headache;
decrease in academic performance;
problems with learning, concentration, remembering new information;
slouch;
gait disorders;
pain, manifested in the neck, spinal column, lumbar;
increased fatigue;
sleep disorders;
muscle and joint pain.

These clinical signs may indicate diseases of the nervous system, musculoskeletal system, spine. Therefore, parents should seek advice from a pediatric neurologist who owns manual techniques as soon as possible.

A good, professional pediatric chiropractor is one who is trained in pediatrics, neurology, or orthopedics and who has completed an additional course of manual therapy.

You can find a doctor in private medical centers and clinics. Also, a neuropathologist, surgeon, pediatrician can issue a referral to a pediatric specialist, having identified certain clinical symptoms in the child.

A good chiropractor working with young patients must have extensive knowledge of pediatric anatomy and physiology, and be able to find an individual approach to each child.

How is the reception going?

At the appointment, the pediatric chiropractor examines the baby, examines the present symptoms, listens to the complaints of the parents and the little patient, and analyzes the results of the collected examination. The doctor evaluates the figure, posture, proportionality of the child's body, determines muscle tone.

In addition to a visual examination and the use of the palpation method, in order to make a correct diagnosis, determine the method of treatment, the following types of additional instrumental studies may be needed:

X-ray examination;
computed tomography of the spine;
Magnetic resonance imaging;
ultrasound examination of the joints.

Based on the results obtained, the established diagnosis, the children's manual therapist develops a treatment program for the child using a number of techniques, determined by the duration of therapy, the required number of sessions.

Treatment Methods

In his practice, a children's manual therapist uses effective, but at the same time the most sparing techniques and techniques, taking into account the disease and age category of the patient. In most cases, the following methods are used:

massages - manual impact on the area of the joints, cervicothoracic and lumbosacral sections of the spinal column;
acupuncture - impact on biologically active points;
reduction - with shifts of the vertebral elements, dislocations;
post-isometric relaxation of the back, neck, thoracic region.

There are a large number of techniques and techniques designed to work with children, which are selected by a specialist on an individual basis after examination and preliminary diagnosis of the patient.

What are the contraindications?

Manual exposure is contraindicated for a child in the presence of:

infectious processes affecting the joints and spinal column;
mental disorders;
disorders in the functioning of the gastrointestinal tract during its exacerbation;
tumor neoplasms of a malignant nature;
disorders of the processes of spinal or cerebral circulation, occurring in severe form;
arterial hypertension.

Some of the contraindications listed above are absolute, while others are relative, suggesting a more careful doctor's influence.

In order to eliminate possible risks for the child, a pediatric specialist must prescribe a comprehensive medical examination for a small patient before the start of the course, and may also recommend consultations of other highly specialized specialists.

Please do not transfer this topic to Medicine, I need it to be in TD.

The question is, what can a chiropractor do?
I'll tell my story.
We have a son, a 5-year-old boy, because of a birth injury (cervical region), he does not speak well. Replacement of sounds, the tongue tosses and turns somewhat awkwardly. We went to the speech therapy garden in the fall, progress is evident - I began to speak almost purely, the only thing that has to be repeated when I mistakenly pronounce the sound incorrectly.
About 3 weeks ago, my husband accidentally talked to a chiropractor. He rents an office next door to his husband's job. The chiropractor said that the garden is bullshit, and birth trauma is very serious. And he will be able to correct its consequences, they say, the child will speak clearly and so on. and so on.
My child and I were just on sick leave.
Go. Foolishly (due to my stupidity), I did not ask the peasant for any documents. The husband says that he has been seeing him for 3 years already, and people go to him, both babies and old people. "So it helps." He began to "conjure" over my son. And the child has an asthenic (male) physique, one-on-one. The shoulders are narrow, the bones are thin, such an elongated figure, thin.
And flat feet plus everything (not strong, but some kind of average type).
During the session, the chiropractor and I chatted about medicine, birth injuries, and so on. and so on. I ask, "I wonder if the shoulders can be made straight, or is it hereditary?" And she also asked about flat feet. He says, "We'll fix everything."
We were like 4 days, my little boy became somehow very active, disordered, disinhibited. (Although immediately after the session he passed out right on the bus and slept all 1.5 hours that we were driving home.)

Let's go to the garden, the teachers say, "He doesn't study and interferes with the children." He began to eat badly, bullies children, even fights. (But in general he is a pacifist, I even started a topic here in the fall, about the fact that he fundamentally does not give back, reconciles children, etc., and substantiates all this)
Moreover, I began to bathe him. I look, my son does not have his shoulders. Wide, sharp, bones protrude. Straight broad thin shoulders. They look unnatural, since the handles are not bony, rounded, puffy. The chest has become so dense, "wrestling" and the stomach sticks out like a tight drum. wheel. Some kind of bent became. The stomach is hard, like a drum, big, .. I even thought that (God forbid) the liver has grown so much.

People, I know my child for 5 years. Already in the hospital it was clear what he was like - the constitution was immediately visible. Thin, transparent, with thin long fingers. Such a complete constitutional type. And now... I'm not crazy. But this is not his figure.
Now I put him to bed, once again looked at all this and decided to ask here. What to do? Could this be? Can a manualist change a figure? Is it normal? The constitution has changed, ... it's important.
We go to the garden for a week, the teachers do not recognize him for a week. nervous, quick-tempered. The speech therapist said that he began to speak worse, the regression began.
Who turned to chiropractors, or just who has honey. education. Give comments what to do to me.
The chiropractor is unhappy that we interrupted the course, said that 10 sessions should be completed, but I'm really afraid.
In addition to everything, he said for the last time that he was a psychic and was engaged in "white deeds" and other turbidity. Which, of course, alerted me. Because witchcraft has very little to do with therapy, this is some kind of profanation.

And on top of that, my son's feet have changed, the instep of the foot has appeared, the heel has become stronger, that is, there is no flat feet, the foot has become different.
Go to another specialist? I feel like a mother-criminal.