Archive for Osteopathic Treatment for Babies and Children

What Causes Colic?

How can I help my colicky infant?

The word colic comes from a Greek word meaning “suffering in the colon”. It is generally thought that colic stems from the immaturity of the baby’s digestive tract. Now that he or she is on the outside of the womb, their digestive tract is learning to deal with food for the first time. In the womb, they only had to deal with the amniotic fluid. Sometimes gastroesophageal reflux (heartburn) can be a contributing cause.

All babies cry. It’s part of their way of communicating. But some babies cry excessively because they are hurting. Let’s look at some different possibilities:

“The Rule of Threes”
Inconsolable crying is considered colic if:
• It begins in the 1st 3 weeks of life
• Goes on for 3 hours a day
• At least 3 days a week
• Lasts for 3 weeks or more
• Often resolves by 3 months of age

Many times there are not obvious findings on a traditional pediatric physical exam. However, in the trained hands of a Cranial Osteopathic Physician, subtle changes and restrictions of the spine, tailbone and head caused from birth trauma or the tight space in utero can be felt. These restrictions can affect nerves related to the digestive system.

Gastroesophageal reflux is often a contributing factor to colic pain. This issue also has a root in structure. Pediatric textbooks discuss the receptor sites in the GI tract that drugs can affect for reflux, although a more common cause is irritation of the vagus nerve (Cranial nerve X). This nerve stimulates many organs including the stomach. It passes through a canal between 2 bones in the back of the skull-the most common presenting part during the birthing process. Gentle Osteopathic manipulation can help relieve pressure causing the irritation and improve the functioning of baby’s digestive tract.

The number of gentle osteopathic treatments needed varies depending on the severity of birth trauma. This is another illustration of the intimate relationship between structure and function. Babies like gentle osteopathic manipulation and will often “quiet” when their body releases a restriction or finds a balance point.

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Cerebral Palsy

Cerebral Palsy is a neurological condition resulting from some form of brain injury affecting the brain’s normal abilities. “Cerebral” meaning from the brain, and “Palsy” meaning an inability to use some of their muscles in their body the normal way.

Approximately 5,000 new cases of cerebral palsy are diagnosed each year. Cerebral palsy is caused by injury to the brain before, during, or shortly after birth. Such injuries can be the result of the brain to develop properly (developmental brain malformation) and neurological damage to the child’s brain. Examples of such injuries that cause cerebral palsy, and its corresponding injuries, are: bleeding into the brain way of intraventricular hemorrhage, and poor oxygen to the brain by way of cord compression or strangulation.

Injury from such events can be varied and no two cerebral palsy patients are alike. The severity or neurological damage and subsequent injury is too varied. However, all cases are characterized by an inability to fully control motor function, particularly muscle control and coordination. Depending on which areas of the brain have been damaged, people with cerebral palsy may experience one or more of the following: Muscle tightness or spasm, involuntary movement, disturbance in gait and mobility, abnormal sensation and perception, impairment of sight, hearing or speech, seizures.

What can be done for treatment? A multidisciplinary approach is necessary to maximize neurological improvements and over functioning. Language and speech, occupational, sensory, and physical therapies are vital. Medications and surgery are also possibly included dependent on the patient. The earlier the patient can begin therapy the better the improved neurological outcomes.

In conjunction with all other therapies, osteopathic manipulation can be a valuable treatment tool. Osteopathic manipulation specialists believe the body has an innate ability to heal itself, that if structure can be optimized function will follow. The structure and function of the body is interrelated, and by using gentle hands on techniques to find body strain patterns and eliminate them, health will then follow in the way of decreased spasticity, increased joint and body range of motions, improved cognitive abilities, improved coordination and bowel functions. In general, overall improved health and well-being.

A study in Clinical Pediatrics in 2004 looked at 42 pediatric cerebral palsy patients who were randomized into two groups. There were those who were treated with osteopathic manipulation (23 patients) and those who were not (19 patients). Parents were to keep a log of physical, cognitive, and behavioral behaviors over a period of 24 weeks. Over the 24 week period, “21 of the 23 parents of the children in the osteopathic group reported improvement in their child during the course of the therapies.” In the control group, only 2 of 17 parents reported “general but nonspecific improvement” in any area.

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Starting Osteopathic Treatments Early

Helping babies and children with osteopathic treatment is one of the most rewarding parts of my practice. The best time to start is right after birth (or preferably with mom before and during pregnancy). Children can be effectively treated at any but starting early can often prevent many issues and enhance their health. Key times are after birth (in the first week is best), and in the first 2 years of life. During the first 2 years the child is rapidly growing and testing the laws of gravity, commonly resulting in a compressed tailbone or bumps on the head. Just as your car runs better when tuned up, your children do too. Healthy children benefit from yearly “tuneups”, especially after sports seasons or injuries. Other key times when treatment is helpful is at transitional times such as 5 to 7 years of age and at puberty when a myriad of changes are taking place.

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