Inner Ear Infection Otis Media in Children Case studies

In the past 30 years I have had at least 60 children we hav etreated with Chiorpractic for inner ear infections. About 75% showed good imporvement in therir chonic condiotion using gentle thumb method chiropractic adjustments. In the past 2 year we ahve ahve over a dozen children with chornic ear infections and sinusitis with alleriges. We hav eadded Asrya Biofeedback and have found that over 90% showed dramatic improvment in a weeks time. Its to early to say what the long term effects will be but reevaluations in 1-2 years will put us in the direction of determining outcomes. Much futther investigation is needed.

The below study shows similar findings without the use of Asyra for Allergies.

Journal of Clinical Chiropractic Pediatrics, 1997 Oct; 2(2) :167-83

The Role of the Chiropractic Adjustment in the Care and Treatment of 332 Children with Otitis Media, Fallon, J.

Journal of Clinical Chiropractic Pediatrics, 1997 Oct; 2(2) :167-83

Objective: To conduct a pilot study of chiropractic adjustive care on children with otitis media using tympanography as an objectifying measure, and to propose possible mechanisms whereby subluxation is implicated in the pathophysiology of otitis media. Design: Case series Setting: Subjects presented in a private clinical practice in New Rochelle, New York. The subjects were referred by various sources including pediatricians, other MDs, chiropractors and parents. Participants: 332 children who presented consecutively with previously diagnosed otitis media, ages 27 days to 5 years. Main Outcome Measures: A survey of the parent/guardian was used to determine historical data with respect to previous otitis media bouts, age of onset of initial otitis media, feeding history, history of antimicrobial therapy, referral patterns, and birth history. Otoscopic and tympanographic data was collected as well as data concerning the number of adjustments administered to produce resolution of the otitis media. Data with respect to recurrence rates over six months

Objective: To conduct a pilot study of chiropractic adjustive care on children with otitis media using tympanography as an objectifying measure, and to propose possible mechanisms whereby subluxation is implicated in the pathophysiology of otitis media. Design: Case series Setting: Subjects presented in a private clinical practice in New Rochelle, New York. The subjects were referred by various sources including pediatricians, other MDs, chiropractors and parents. Participants: 332 children who presented consecutively with previously diagnosed otitis media, ages 27 days to 5 years. Main Outcome Measures: A survey of the parent/guardian was used to determine historical data with respect to previous otitis media bouts, age of onset of initial otitis media, feeding history, history of antimicrobial therapy, referral patterns, and birth history. Otoscopic and tympanographic data was collected as well as data concerning the number of adjustments administered to produce resolution of the otitis media. Data with respect to recurrence rates over six months was also collected. Results: The average number of adjustments administered by types of otitis media were as follows: acute otitis media (n=127) 4.0±1.03, chronic/serous otitis media (n=104) 5.1±1.53, for the mixed type of bilateral otitis media (n=10) 5.3±1.35 and where no otitis was initially detected on otoscopic and tympanographic exam (but with history of multiple bouts) (n=74) 5.88±1.87. The number of days it took to normalize the otoscopic examination was for acute 6.67±1.9 chronic/serous 8.57±1.96, and 10.18±3.39, and mixed 10.9±2.02. The overall recurrence rate over a six month period from initial presentation in the office was for acute 11.02%, chronic/serous 16.34%, for mixed 30% and for none present 17.56%. Conclusion: To our knowledge this is the first time that tympanography has been used as an objectifying tool with respect to the efficacy of the chiropractic adjustment in the treatment of children with otitis media. As tympanography has been used extensively in the medical assessment of children with otitis media, it also serves as a bridge from which the chiropractic field and the medical field can begin to communicate with respect to otitis media. The results indicate that there is a strong correlation between the chiropractic adjustment and the resolution of otitis media for the children in this study. Normal cranial molding, which is essential for the proper juxtaposition of the cranial bones, often does not occur in the case of a birth malposition, as well as in the case of the child born with the aid of a C- section. This pilot study can now serve as a starting point from which the chiropractic profession can begin to examine its role in the treatment of children with otitis media. Large-scale clinical trials need to be undertaken in the field using tympanography as an objectifying measure. In addition, the role of the occipital adjustment needs to be examined. This study begins the process of examining the role of the vertebral cranial subluxation complex in the pathogenesis of otitis media, and the efficacy of the chiropractic adjustment in its resolution.

Journal Of The American Chiropractic Association May 1997: 33-34, 90.

Abstract: The childbearing year is a period of dynamic change and adaptation. Alterations occur in every system, including the musculoskeletal system. This article will discuss the major structural changes inherent in pregnancy, the goals of therapy and protocol for the major presenting complaints, including sacroiliac, lumbar and thoracic involvement Pregnancy is a time of profound change and adaptation. As early as 10-12 weeks after fertilization, increased estrogen and relaxin begin to affect the musculoskeletal system by causing the softening of ligaments and increased joint laxity. Compensation for the enlarging uterus, anteriorly, produces the need for the pregnant woman to lean back, thus increasing the lumbar lordosis shifting the center of gravity over the lower extremity. I point out the three joints in the ring (two SI joints and one pubic symphysis) and explain that hormonally, one or both of the SI joints has become softened and is less supportive than normal. The tender muscles and joint pain is the body's response to this instability in the joints. A portion of my treatment of sacroiliac dysfunction occurs with the patient in the prone position. I accomplish this by using SOT-type blocks and pillows. Sacroiliac Involvement In the non-gravid state, the sacroiliac (SI) joint is very stable relative to the lumbosacral joint. However, during pregnancy, the ligamentous support to the SI joint is significantly relaxed. This is the most common presenting musculoskeletal complaint comprising 75-85 percent of women seen during pregnancy. A portion of my treatment of sacroiliac dysfunction occurs with the patient in the prone position. I accomplish this by using SOT-type blocks and pillows. Lumbopelvic treatment considerations focus on the pelvic block placement with the patient in the prone position, sacral pumping into dural flexion on inhalation, adjust for bilateral AS ilium, and neurolymphatic drainage particularly over the sacrum. Thoracic techniques are also stressed in many ways during pregnancy due to enlargement and increased weight in the breasts, widening of the sub-costal angle and pressure on the lower four to five ribs, viscero-somatic reflex from stressed organs such as the stomach, liver and pancreas and response to increasing lordosis of the lumbar region.

J Manipulative Physiol Ther. 1996 Mar-Apr;19(3):169-77.

OBJECTIVE: The aims of this study were to determine (a) if the patients improved while under chiropractic care; (b) how many treatments were needed to reach improvement; and (c) which factors were associated with early improvement. DESIGN: Cohort, nonrandomized retrospective study. SETTING: Private chiropractic practice in a Minneapolis suburb. PARTICIPANTS: Forty-six children aged 5 yr and under. INTERVENTION: All treatments were done by a single chiropractor, who adjusted the subluxations found and paid particular attention to the cervical vertebrae and occiput. Sacral Occipital Technique-style pelvic blocking and the doctor's own modified Applied Kinesiology was used. Typical treatment regimen was three treatments per week for 1 wk, then two treatments per week for 1 wk, then one treatment per week. However, treatment regimen was terminated when there was improvement. OUTCOME MEASURE: Improvement was based on parental decision (they stated that the child had no fever, no signs of ear pain, and was totally asymptomatic), and/or the child seemed to be asymptomatic to the treating DC and/or the parent stated that the child's MD judged the child to be improved. A data abstraction form was used to determine number of treatments used and presence of factors possibly associated with early improvement. RESULTS: 93% of all episodes improved, 75% in 10 days or fewer and 43% with only one or two treatments. Young age, no history on antibiotic use, initial episode (vs. recurrent) and designation of an episode as discomfort rather than ear infection were factors associated with improvement with the fewest treatments. CONCLUSION: Although there were several limitations to this study (mostly because of its retrospection but also, significantly, because very little data was found regarding the natural course of ear infections), this study's data indicate that limitation of medical intervention and the addition of chiropractic care may decrease the symptoms of ear infection in young children.