Back and Spine Health Dr. Jimenez Chiropractic for Children: A child’s health includes physical, mental, and social well-being. Knowing the basics of keeping kids healthy, like healthy foods, making sure they get enough sleep, exercise, and safety. It is also important for kids to get regular checkups with their health care providers. Regular visits offer a chance to check a child’s development.
They are also a good time to catch or prevent problems. Other than checkups, school-age kids should be seen for significant weight gain or loss, sleep problems or change in behavior, a fever higher than 102, rashes or skin infections, frequent sore throats, and breathing problems.
Chiropractic care for children offers a solid foundation for wellness. A regular chiropractic lifestyle offers choices and benefits for your greater health and well-being throughout pregnancy, birth, and childhood. The following video and articles will help you understand the importance of the chiropractic family wellness lifestyle.
Strength training: The Centers for Disease Control have estimated that around 16% of six to nineteen-year-olds in the US are overweight or obese. This comes from inactivity, no movement, exercise, and poor diet. On the other end, young athletes search for ways to gain an edge, often falling victim to steroids and all of the negative effects they have.
This is where strength training comes in. This could be an answer to getting kids off the couch, moving, and offers a healthy alternative to the young athletes looking for that competitive edge. Fitness experts, doctors, health coaches, and parents say absolutely.
The focus for children in strength training is not to bulk up, as this is not weightlifting, powerlifting, or bodybuilding. Fitness experts agree that these types of training regimens are not healthy or safe for children. The goal is to:
Added benefits of strength training can help young athletes improve performance through increased endurance.
Training Guidelines
It is fundamental to find a program that is safe and successful for children. Parents want a program designed specifically for kidssupervised by a fitness professional with child experience, and most of all, it is fun. For strength training, there is not a minimum age; however, the kids should understand and follow directions.
Before starting a child on any new fitness program, check with their doctor or healthcare provider.
A training program should include:
A session should start with a 5-10 minute warm-up exercise/s like stretching and light aerobics.
Every session should end with a cool-down combined with stretching and relaxation.
Kids should not immediately be using weights until proper form and technique are learned.
Kids should start with their own body weight, bands, or a bar with no weight.
Using 6-8 different exercises that address all the muscle groups, begin with 8-15 repetitions.
Each exercise should be done with a complete follow-through of the full range of motion.
If the repetitions are too much with a specific weight, reduce the weight.
Repetitions and sets should gradually increase over time to maintain the intensity of the training.
Add more weight only when the child displays the proper form and can easily do at least 10 reps.
Workouts should be 20 to 30 minutes long, 2 to 3 times per week, to get the most benefit.
Make sure to rest a day between each workout day.
Safety
Strength training was not always considered an appropriate exercise for kids. Doctors and fitness professionals believed that it was unsafe for a child’s growing body because of the added pressure on growth plates or the cartilage that has not fully turned into solid bone. However, experts now know that kids can safely participate in a strength training program with proper technique and supervision.
As with any exercise/fitness regiment, safety measures need to be in place along with heightened supervision. Unfortunately, most injuries happen when kids are not supervised, not using proper techniques, or from trying to lift too much weight. Here are some safety precautions to remember:
Learning new exercises should be done under the supervision of a trainer/instructor, making sure proper technique and form are used.
Smooth, controlled motions should be the goal.
Controlled breathing and not holding their breath needs to be taught
Proper technique will help avoid injuries
The kids’ progress should be monitored
Have the children record the exercises they have done, how many reps, and the amount of weight/resistance.
If enrolled in a strength training class, a good ratio is one instructor per 10 students. With this ratio, the kids can receive proper instruction and supervision.
Kids should train in a hazard-free, well-lit, and properly ventilated facility.
Make sure the kids drink plenty of water during and after the workout
Fitness trainers/instructors will see to it that there are frequent rest and rehydration breaks
Keep in mind
In a strength training program for children, there should be no competitive drive. Instead, the focus should be on participation, learning the movements, and positive reinforcement. Set realistic goals and expectations for the child to understand that it will take time to learn these new skills.
Remember that kids do not increase muscle size until after puberty. Please make sure the kids enjoy the strength training sessions and that they are having fun. Keep in mind that kids can become easily bored. Therefore, use various exercises and routines, keeping them excited and wanting to learn and do more.
Healthy Habits
Getting kids interested in fitness early on can help establish a life-long habit of wanting to be and stay healthy. This includes a balanced diet, plenty of rest, and regular exercise. When done correctly, strength training can be a fun and highly beneficial activity.
As you teach healthy ergonomics, remember these neutral posture guidelines apply to children but can also benefit adults.�The main focus is to always work in a neutral posture. Following these guidelines will ensure your child uses a computer in a comfortable and ergonomically correct fashion.
Neutral Posture
Healthy upper body posture means the shoulders are back, relaxed and not slumped/slumping forward over the keyboard.
The back/spine should be at a 90� degree angle supported by a chair with proper back support.
The knees�should not compress the chair seat. If they do adjust the seat to go back enough for the knees to be free.
The knees should be at a 90� degree angle behind the knees and should be open.
Don’t sit with legs and feet tucked under the chair.
The feet should be firmly flat on a stable surface ensuring proper support on the floor or a footrest.
The head should stay balanced and not tilted back or too far forward.
The upper arms should be close to the body and relaxed.
The elbows should be at a 90� degree angle and the forearm horizontal.
The wrist should remain in a neutral position.
Let your child use the computer for a little while then adjust their posture and the workstation if needed, so they are working in the most neutral posture. Find ways to help them remind themselves of their posture and to take frequent breaks to stretch out and move around.
Create/Organize a Normal Workstation
The work area should be a space that is easily accessible by a child while they can sit comfortably/properly without having to bend awkwardly or overly twist to reach for something.
Keep the items that are used the most�while working at the computer within arms reach.
If your child needs to type and use a text document or book for reference, make sure there is a document holder/stand that is next or as near to the screen as possible so that they don’t have to turn or twist their head over and over or in a strenuous fashion. You want them to use their eyes with minimal head movement other than to look away for an eye break, a quick neck stretch and repositioning to stay comfortable.
Check the Screen Position
The computer screen should be positioned to be able to comfortably view the screen without having to tilt their neck backward or forwards.
Too high, the child’s neck will tilt back, and too low means it will be bent forward.
Adjust the height and angle to avoid these incorrect postures.
Workstation Equipment
Ergonomic furniture and equipment can help create a comfortable and adjustable workstation for your child as they grow.
An ergonomic chair with height adjustment, adjustable/comfortable seat and proper lumbar back support.
Make sure they work on a stable and sturdy desk with a flat work surface so that your child works in a neutral posture.
An ergonomically tilted keyboard system or a height-adjustable keyboard and mouse platform can help keep the forearms and wrists in a neutral posture.
The fit of the keyboard and mouse should be comfortable in your child’s hands.
If they have small hands, then consider a smaller keyboard and mouse if necessary.
Screen Glare
Check the computer screen for glare areas/bright spots. This could affect the eyes and cause the child to start moving their head/neck around too much and in the wrong way that would create a crick or strain.
Adjust/reposition the screen to get the correct angle for the proper posture or adjust the room’s lighting.
Proper lighting is a must for reading and protecting the eyes.
Make sure they take frequent eye breaks and look away at something other than a screen like a piece of furniture or out a window and that is farther away to readjust the eyes.
Computer Time Management
Posture problems associated with computer use vary on the length of time that your child uses the computer, takes rest breaks and does other tasks/chores to keep them moving/stretching out and not staying seated or in one position for too long.
Regulating computer time use is important and can be done just watching the clock and saying when is when or use an app to set the time on and off. These apps give screen alerts and tell when to take a break and provide simple stretching exercises.
As part of our Acute Injury Treatment & Rehabilitation Practice, we are presently offering detailed�Institute For Functional Medicine��Collaborative Assessment Programs focused on Integrative Treatment Protocols. We completely evaluate personal history, current nutrition, activity behaviors, environmental exposures to toxic elements, psychological and emotional factors, in tandem with your genetics.
Our purpose with these high-level assessments is to understand the root cause of chronic disorders and to treat the person holistically.� Integrative Personalized Medicine is the future of healthcare and we are very proud to bring it to all our patients.� Our online�Functional Medicine Health Assessment Questionnaire has given insights into our patients’ present Functional Health.
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NCBI Resources
Because we spend so much time�in a chair we need to have the right one that will protect our spines.�Think of the�chair as a piece of�work�equipment to optimize productivity.�Ergonomics utilized to the fullest means less back pain and better focus.
Children are not born with a fully developed microbiome, and a baby’s diet has a large impact on the foundation set for a healthy guts future (Biotics Education Team, 1).� Setting up a child to have healthy gut flora from early stages can help them:
In the TEDDY study published in Nature Medicine, it shows that a child’s microbiome goes through 3 transitional phases:
Developmental phase (3�14 months)
Transitional phase (15�30 months)
Stable phase (31�46 months)(Stewart et al., 3)
Throughout the developmental stage, those with a higher breastfeeding rate were associated with increased levels of Bifidobacterium.� “However, once the infants were weaned, there was a rapid loss of the�Bifidobacterium spp.,�and a quick turnover occurred in the microbiome, which featured a higher population of bacteria within the�Firmicutes�phylaphase (Biotics Education Team, 1)”.� Once infants begin to wean off milk, it is helpful to start providing them with probiotic powders.
Prebiotics are the dietary fiber that the live organisms in the probiotics need to eat in order to flourish.
Some foods that include prebiotics are:
Vegetables
Fruits
Legumes
It is great to start toddlers on prebiotics and probiotics because it can help them to continue to have a healthy gut. A healthy gut can help prevent many issues that adults face later on in life (Veereman-Wauters, 4) Having a healthy gut can help to protect the gut from harmful bacteria and fungi, it can aid in sending signals to the immune system, regulate inflammation, create a supportive barrier in the cell lining of the colon and reduce the risk of cancer (Lewis, 2)�
Probiotics are safe for most children and can reduce the risk of upper respiratory tract infections and well as helping to reduce their risk of allergies. It is beneficial to have toddlers on probiotics and prebiotics so they do not develop a “leaky gut”. By starting children on probiotics and prebiotics young, it can aid their overall health for life.
ProbioMax� for Toddlers
Prebiotic and Probiotic Support for Toddlers*
�Overall, it is best to start building the child’s microbiota through the maternal diet in pregnancy, expose them to environments, and talk with their pediatrician about starting them on probiotics. It’s better to start young and build a healthy foundation than to be diagnosed in their 20’s with leaky gut from something that could have been prevented. – Insight from Kenna Vaughn, Health Coach�
NCBI Resources:
Our knowledge of microbiota is rapidly developing and changing. A relatively young field, the science of gut bacteria has been quickly taken up by industry. Most drugstores sell probiotics in some form or another, and yogurt and other fermented foods are frequently hailed as healthy for the gut because they contain live bacteria. Probiotics are food or supplements that contain living microbes intended to support or improve your microbiome’s health. If your favorite yogurt contains �live and active cultures,� you are getting a dose of probiotics along with your breakfast. These microbes are thought to bolster or replace the bacteria communities in the gut of people.
�Cites:
Biotics Education Team. �Impact of Diet on Baby’s Microbiome.� Biotics Research Blog, blog.bioticsresearch.com/impact-of-diet-on-babys-microbiome.
Lewis, Sarah. �Probiotics and Prebiotics: What’s the Difference?� Healthline, Healthline Media, 3 June 2017, www.healthline.com/nutrition/probiotics-and-prebiotics.
Stewart, Christopher J., et al. �Temporal Development of the Gut Microbiome in Early Childhood from the TEDDY Study.� Nature News, Nature Publishing Group, 24 Oct. 2018, www.nature.com/articles/s41586-018-0617-x.
Veereman-Wauters, Gigi. �Application of Prebiotics in Infant Foods.� The British Journal of Nutrition, U.S. National Library of Medicine, Apr. 2005, www.ncbi.nlm.nih.gov/pubmed/15877896.
As humans, we depend on microbiomes to stay alive. Microbiomes are essential in fighting off germs and maintaining health. The development of microbiomes begins in utero where the microbes have been isolated to the placenta, fetal membranes, amniotic fluid, and umbilical cord blood, but are mainly transferred from mother to child during birth in a process referred to as “seeding” (1,2). “Seeding”� occurs as the child passes through the mothers vaginal canal and becomes coated in her microbiome. In addition to this, small amounts of microbiomes get transferred to the child as the mother breastfeeds. This early introduction from mother to infant serves as an inoculation process with long term health outcomes for the newborn (2). With the number of cesarean births being higher this decade than in the past, you may find yourself asking, “How does a cesarean birth affect my child’s microbiomes?”
Vaginal
With vaginal births still being the most common way of delivery (68%), these children are seen to have overall better health throughout their lifetime than those born via cesarian (2). Vaginal birth is the most effective way to spread the microbiomes to the child’s skin, but studies have found that microbiomes do differ between ethnic groups. Microbiomes are made up of multiple bacterias and specifically, women with a higher pH have a smaller community of protective biomes. It has also been seen that the gut microbiota in pregnant women with gestational diabetes, tend to have an increased abundance of disease-associated microbes (2). That being said, the pH and mothers gut microbes play a significant role in the types of microbiomes that get transferred to their child.
Cesarean
There are generally two ways a child ends up being born via cesarean, labor ending in a cesarean, or a planned cesarean with no labor attempted. Children who are born via cesarean with labor attempted first, have a slightly higher number of microbiomes due to the vaginal fluids exposed to them during labor than that born elective cesarean. The most effective way a mother can transfer microbiomes to their newborn via cesarean is to “incubate” a cloth for 1 hour in their vaginal canal. When the infant is born,� the doctors rub the child’s mouth, eyes, and skin with the cloth that was previously incubated within minutes after birth (2). This process ensures that the child will have microbiomes more closely related to those born vaginally. Children born elective cesarean without using the incubation method, show fewer gut microbiomes related to their mother, but rather have more skin and oral microbes, and bacteria due to the operating room (2).
Children who are born via cesarean, whether labor was attempted first or not, are more likely to develop immune-related disorders such as asthma, allergies,� inflammatory bowel disease, and obesity (2). This is directly linked to not being “seeded” by the mother. Furthermore, adults who were born via cesarean contain a fecal microbiota that is drastically different than adults who were born vaginally (2).
The purpose of the female reproductive system is to reproduce and birth. Therefore, the best route will always be vaginal if it is safe for baby and mom. This being said, a cesarean is not a bad way to bring a child into the world. The child will just face more skin irritability and have a greater risk of developing health issues due to not receiving the same microbiomes as a child born vaginally. – Kenna Vaughn, Health Coach Insight
References:
(1) Aagaard, Kjersti, et al. �The Placenta Harbors a Unique Microbiome.� Science Translational Medicine, U.S. National Library of Medicine, 21 May 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4929217.
(2) Dunn, Alexis B, et al. �The Maternal Infant Microbiome: Considerations for Labor and Birth.� MCN. The American Journal of Maternal Child Nursing, U.S. National Library of Medicine, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5648605/.
Now in the heart of the school year � new shoes, haircuts, homework, and their bulging backpacks. Think about the backpack your child is carrying. Sure, they load them up with books, but did you know that wearing a heavy backpack for a long time can actually hurt your child? The American Academy of Pediatrics (AAP) has provided some helpful guidelines for choosing a backpack for your child and avoiding the injury that can result from one that is too heavy.
What are the health risks of a heavy backpack?
Wearing a heavy backpack can strain the shoulders, back, and neck. As the child�s body tries to compensate for the extra weight, such as leaning forward, it can adopt positions that put the spine out of alignment. It can also cause the muscles to fatigue and weaken. This results in poor posture and a misaligned spine.
The longer he or she carries the extra weight, the worse it gets. Over time, the child can experience pain, stiffness, and problems with flexibility and range of motion. This can significantly increase the child�s potential for injury. The effects may include backache, sore or stiff neck, sore shoulders, and headaches.
How heavy is too heavy for a child�s backpack?
According to the AAP, a child�s backpack should weigh less than 10 to 20 percent of his or her body weight � and no more. However, a Consumer Reports survey showed that the lower end of the range, around 10 percent or less, is preferable. In short, the lighter the backpack, the healthier it is for your child. A good rule of thumb is to observe your child wearing the backpack. If they are stooped or leaning forward, it is too heavy.
Children who are shorter, as well as girls, may be more prone to back pain caused by carrying heavy backpacks. This means that for these children you need to aim for even lighter weights. Children who are overweight may also be at risk for injury. The excess weight already puts a strain on their joints and muscles; the heavy backpack exacerbates the situation.
Children who wear their backpack over one shoulder also increase their risk of injury. This puts all the weight on one side, causing the child to bend or lean in an effort to compensate for the off-kilter weight. This can strain the shoulder and back, eventually causing injury and pain.
Helping your child avoid carrying a heavy backpack.
If you notice that your child cannot stand up straight while wearing the backpack, then it is too heavy. You should inspect your child�s backpack on a regular basis to test the heaviness. When purchasing a backpack, aim for wide, padded straps that are adjustable. It should fit the child well and to be too big. The straps should not be too loose. You want it to fit close to your child�s body and should come to just below the waist � but not too far. Don�t allow your child to carry the backpack on one shoulder, encourage them to wear it on both shoulders. This distributes the weight more evenly.
If your child is carrying a heavy backpack, you may need to talk to their teacher to see what is necessary for him or her to carry daily, and what can be left at home or at school. Work together to find ways to lighten the load and avoid injury. Also, keep in mind, your child may not bring your attention to the fact that their backpack is too heavy. It is up to you to observe and intervene for them.
Imagine a world where clothing feels like sandpaper, light is excruciating, or sounds make you feel like your ears are going to bleed. That is what it�s like for someone with sensory processing disorder�or SPD.
Approximately 1 in 6 children have SPD (some reports say 1 in 20, but this appears to be based on earlier research). It is unclear how many adults are affected; it is typically seen in children with autism and ADHD. There is very little research on adults with these issues at this time.
There are not many treatments for SPD or ways for people with it to get relief. Cutting tags out of clothing and laundering it multiple times before wearing (so it is soft) can help with tactile issues. Precision tinted lenses can help with photophobia, and earplugs can help with auditory issues. However, chiropractic has been found to help.
What is Sensory Processing Disorder?
SPD is a neurodevelopmental disorder that occurs because the brain is unable to process and integrate common sensory information that is received from one or several of the five senses (taste, touch, smell, vision, sound) as well as two other senses, the proprioceptive system,�and vestibular systems. The proprioceptive system extends throughout the spine and joints. When there is a problem with this system, it can cause problems with motor skills, learning, behavior, and emotional and social development.
The vestibular system is located in the cerebellum (base of the brain), the cervical spine, and inner ear. It regulates all sensory information that the body takes in and of the sensory systems in the body, is the most important.
The result is an inability to tolerate certain types of stimulation including being touched, eating certain foods, and hearing certain noises. It can also affect other seemingly unrelated issues like sleep problems, uncoordinated or clumsy, balance issues, and difficulty writing or reading in cursive. This can make life very difficult because the individual essentially lives in a world that they were not built to tolerate. They may feel depressed, anxious, frustrated, or afraid as a result. Parents may feel helpless because they don�t know how to help their child cope in a world that often feels scary and painful.
How is SPD treated?
There are several ways that treatment for SPD is approached. One very effective treatment is chiropractic for SPD.
Another popular treatment for SPD is therapy. Children work with a specially trained, licensed therapist in a sensory gym. The goal is to help them better adapt to their environment.
Diet is an important aspect of SPD treatment, particularly gut health. A clean diet (no processed foods, all natural and organic) is a very good start. Some doctors recommend a gluten-free diet.
Whatever the case, it must be well balanced and provide the necessary vitamins and minerals needed for good health. Magnesium and Omega 3 fatty acid supplements may also be advised. This works very well with chiropractic as it also addresses the root of the problem.
How does Chiropractic Help Sensory Processing Disorder?
It is the primary role of the spine to protect and contain the fragile nervous system. The nervous system is what controls how we process our environment. Its function is to respond and adapt to internal and external environments.
Structural shifts caused by injury, habits, even a forceps birth can affect the alignment of the spine. This creates neurological stress that hinders the processing and flow of information. By bringing the spine into alignment, chiropractic can help ease the neural stress, improve neural processing, and facilitate better flow of information and neural firing. This, in turn, helps to alleviate the symptoms of sensory processing disorder.
More than 80% of children will experience at least one ear infection before they turn three-years-old. Ear infection is one of the top reasons that parents seek medical treatment for their children, causing fever, irritability, and ear pain. Also known as otitis media, an ear infection is caused by fluid buildup behind the eardrum that results in inflammation. It is typically caused by bacteria. According to the Centers for Disease Control (CDC), antibiotics are not a recommended treatment for most ear infections.
Types of Childhood Ear Infections
There are three types of childhood ear infections. Each type has its own distinct set of symptoms that can aid in diagnosis and treatment.
Otitis Media with Effusion (OME) � This results from a fluid buildup that occurs in the middle ear although there are no symptoms or signs of infection. While it can happen when the fluid remains after an ear infection has run its course, other causes may include allergies, previous respiratory infections (like cold or flu), elevation changes, environmental irritants, air travel, and drinking while lying down (usually on the back). Antibiotics are not sufficient for this type of ear infection.
Acute Otitis Media (AOM) � This type of ear infection is the most common, affecting the middle ear, and is marked by infection, swelling, and trapped fluid behind the eardrum. Symptoms may include an earache and fever. It may be seasonal (most earaches occur in the winter and fall months), environmental pollutants (second-hand smoke), age (children under two years of age are more prone to earaches), and attendance at daycare. AOM may also be caused when the fluid from OME becomes infected. Antibiotics are sometimes prescribed for more acute cases.
Chronic Otitis Media with Effusion (COME) � This can be a serious condition if left untreated. It occurs when fluid in the middle ear continuously returns or remains trapped for a long time. Often infection is not present, and there are no symptoms. Children with COME have a more difficult time fighting new infections, and they may suffer from hearing damage or loss.
Risk Factors for Ear Infections
Children are more prone to ear infections than adults. This is because the eustachian tubes (connecting the middle ear to the upper part of the throat) are smaller in children and more level. This means that the fluid does not drain as easily and if a respiratory illness like a cold causes the eustachian tubes to become blocked or swollen, the fluid may become trapped because it can�t drain. Other risk factors include:
Drinking while laying on their back
Respiratory illness such as a cold
Allergies
Air travel (changes in air pressure)
Cigarette smoke and other environmental pollutants
Changes in elevation
Childhood Ear Infection Symptoms and Signs
Most of the time children get ear infections before they are old enough to verbalize their discomfort so parents must rely on telltale sure signs and symptoms.
Crying and fussiness
Fever (most prevalent in younger children and infants)
Pulling or tugging at the ears
Difficulty hearing or failure to respond to quiet sounds
Fluid draining from the ear
Difficulty sleeping
Balance problems or clumsiness
Chiropractic for Ear Infections
Several studies have shown Chiropractic for ear infections to be an effective, natural, antibiotic-free treatment. While full spine adjustments are commonly used, other techniques include occipital subluxation, atlas subluxation, and axis subluxations.
Chiropractic care not only treats ear infections, but it also improves their overall health and ability to function. It has a strong focus on whole-body wellness so the chiropractor may recommend diet and lifestyle adjustments in addition to treatment. Parents need to realize that they have a choice when it comes to the type of care their children receive for ear infections and other kinds of illnesses.
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