VISIT 1 – History + Assessment (≈50mins)
A history is taken and covers: the Patient’s Complaints and Concerns in detail, Pregnancy and Birth history, Trauma history, Medical history, Developmental milestones and a Review of Systems.
A physical examination follows and covers as standard: Posture, Spine/Shoulder/Hip Range of motion, Muscle Stretch and Infant Reflexes, spinal and peripheral Joint Motion Palpation and Soft tissue palpation. Additional items like Cranial nerve, and specific Neurological/Orthopaedic tests are performed as required. X-rays are not requested as standard.
Decisions are then made to determine the suitability of the patient for Chiropractic care and the likely outcomes with treatment. The need for any further investigations or referral is also considered.
VISIT 2 – Report of Findings + 1st Treatment
Parents will be informed of the likelihood and amount that chiropractic care may be able help. The time frame in which this is likely to occur and costs are explained. Care plans are kept short (typically 6 visits or less) before the case is formally reviewed.
Treatment consists of gentle age appropriate joint mobilisation, stretching and specific tissue massage to improve inter-vertebral motion and reduce muscular tension. The forces applied are low and as an example can typically be tolerated on a closed adult eyelid.
VISIT 3 – Self Care Advice + 2nd Treatment
Tailored advice is given to parents and older children where relevant to maximise their improvement. This important information is varied and may include (for babies) handling and positioning advice, proprioception and posture exercises, advice on tummy time, stretching and (for older children) stretching/strengthening exercises, sitting advice, ergonomic use of PC’s and tablets, school bags, pillows and mattress choices. We encourage patients to take care of their spines as much as possible at home (like they brush their teeth) so they can be responsible for much of their spinal health care in the long term.
Progress Examinations & Progress Reports
The subjective (symptom) and objective (exam findings) progress of each case is closely monitored during the course of care and formally assessed regularly. If positive progress is not seen in the early stages, further evaluation and management options are discussed including referral.
The above examples are given as a guide but are representative of the majority of cases. If you have any questions at all about what is described above or any other aspect of chiropractic care for babies and children please do not hesitate to call my office on 8272 2862 or email (see bottom of this page).