Neck and Back Pain rising in children and young adults.

Children and Sensory Processing Disorders

Why my child needs a chiropractor!

It is the Facebook generation and more and more children are sitting at home using the internet and not getting out and moving around. While there is more information and communication than ever before and this is great we must remember to keep our kids active and healthy. New studies have been conducted by the British Chiropractic Association have now found that 65 percent of people from the age of 16-34 now suffer from back and neck pain. This pain is attributed to sitting for long periods of time according to the study.

How to prevent #back_pain in My Child!

I have noticed this trend in my own practice. It is becoming more of a chronic problem in the cities of Wilkes-Barre and Kingston where I see most of my patients. So what is the solution. There are several steps that can be taken after all it is all about quality of life, we all want a pain free productive life. Enroll your children in activities that they love Like Boy Scouts, Swimming, Lacrosse or other great sports and activities. Make sure they get there and participate if they love the activity they will put down the tablet for a while and may even learn some great life skills in the process.

Next find a chiropractor who understands children and their health problems. Just like dentistry chiropractic is not just for when we are having problems but regular checkups can catch problems before they become painful and permanent. It can be used as true preventive care for back and neck problems as adults. A well trained chiropractor can detect and eliminate problems before you even know they’re there preventing the years of damage that can be caused from undetected problems.

Add a chiropractor to your health team today they are an important member and read the rest of the study on Chironexus.

Call us today for a no risk consultation (570) 283-1610.

Written By: Paul R. Mahler DC
Mahler Family Chiropractic Center
1144 Wyoming Ave
Kingston, Pa 18704

Flu and fever: Simple fevers are safe

Why simple fevers are safe

Fever: Simple Fevers up to 104 F

From Web MD: It is not just chiropractors and alternative health care providers who are saying it now it is the American Academy of Pediatrics and Web MD. I found this on web MD and have been encouraging people for years to let the fevers run there natural course unless there are complications. Here is part of the article from Web MD.


WebMD Health News

Reviewed by Laura J. Martin, MD

Feb. 28, 2011 — Fever may be beneficial when it comes to fighting infection, according to new advice from pediatricians.

New guidelines from the American Academy of Pediatrics urge parents to recognize fever as a sign that the body is working to fight infection and not something to be feared.

Instead, they say the main goal of treating fever in children should be to keep them comfortable while watching for any signs of serious illness rather than focusing on keeping their temperature within a “normal” range.

“Fever makes many parents do whatever they can to bring their child’s fever down into a normal range. Fever is not a danger itself; it usually is a benefit,” Henry Bernstein, MD, chief of general pediatrics at the Cohen Children’s Medical Center of New York, says in an email.

“Parents need to know that fever is not something to fear, but more of a friend that shows the body is fighting the infection.”

young girl in bed with fever

Information Brought to you by: Paul R. Mahler DC.

Backpack Misuse and Overloading

Backpack and chiropractic

Chiropractic: Carrying Backpacks Versus Pulling Them on Trolleys

Bags really are a common site in the present schools. Nearly every child appears to bring a bag of one type or another. And there is sufficient proof to link backpack misuse and overloading will lead to back and neck pain. More students are reporting pain and discomfort associated with their back packs. Recent studies have reported that as much as 64% of children suffer with back pain (Negrini, 1999). These numbers are alarming, but that number doesn’t really matter. What matters is when your son or daughter is one of these. So what are parents to do?

Studies from John Hopkins Children Hospital and numerous other childrenes institutions show that back packs are a primary cause of neck, back, and shoulder pain and are also responsible for poor posture in children. The common student reports a visible analog pain scale amount of 4.3 with some attaining an 8-9, as explained by Northeastern College in June of 2001. The American Academy of Orthopedics found 71% of wellness practitioners feel backpacks are a health-related problem, 58% of these doctors see kids with pain connected to backpacks, and 52% genuinely think this could be a significant problem. In these studies, 55% of pupils carried an overloaded back pack, as explained by Simmons University in February of 2001. The Consumer Product Safety Commission reported 3,300 cases of children between the ages of 5-14 were seen in the emergency rooms in 1997 for back pack related injuries. An Auburn University study verified that 67% of children experienced muscle tenderness, 51% back pain, 24% numbness and 15% neck pain associated with backpacks. 65% of teenagers’ doctor visits are due to backpack accidents and this was reported on National Public Radio in October of 1998.

Reports from John Hopkins Children Center and a number of other childrens’ institutions show that back packs lead to neck, back, and shoulder pain as well as bad posture in children. The typical student reports a visual analog pain scale level of 4.3 with some achieving an 8-9, as described by Northeastern University in June of 2001. The American Academy of Orthopedics found 71% of health practitioners feel backpacks are a medical problem, 58% of these physicians see children with pain linked to backpacks, and 52% genuinely believe that this can be a serious problem. An overloaded backpack is carried by 55% of students, as described by Simmons College in February of 2001. The Consumer Product Safety Commission reported 3,300 of school aged children 5-14 were treated in emergency rooms in 1997 for backpack associated injuries. An Auburn University study confirmed that 67% of children experienced muscle tenderness, 51% back pain, 24% numbness and 15% neck pain. 65% of teenagers’ physician visits are due to backpack accidents as reported by National Public Radio in October of 1998.

Here are a few methods to find a suitable backpack and the proper way to make use of it. The acceptable load in a backpack is related to the child’s weight. Do not overload. One of the main 55% of pupils for injuries due to back packs is over loading. and according to  American Chiropractic Association as well as the American Academy of Orthopedic Surgeons, the following weight limits are recommended.

    • A 60 lbs. child can carry a maximum backpack weight of 5 lbs.
    • 60-75 lbs. can carry 10 lbs.
    • 100 lbs. can carry 15 lbs.
    • 125 lbs. can carry 18 lbs.
    • 150 lbs. can carry 20 lbs.
    • 200 lbs. can carry 25 lbs.
  • Under no circumstances should a backpack weigh over 25 pounds, Carry only what is needed.
  • To transfer the weight to the hips pack heavier items on the bottom.
  • Use all of the compartments. Backpacks with multiple compartments help keep the load stable and keeps it from shifting.
  • Flat items should be kept closer to the back and bulky or pointy items should be packed away from the back..
  •  Always use both shoulder straps. Never carry a back pack on one shoulder.
  • Make sure the shoulder straps are tight and the backpack sits no more no more that 4 inche below the waist line (where the belly button is, not the hips) and just below the shoulders.
  • Use the waist and chest straps.
  • Only carry the backpack when necessary.

Other Options

  • Use handouts instead of textbooks or keep a second set of textbooks at home.
  • If possible use separate backpacks for separate classes or activities and don’t carry all of your after school gear to every class.
  • Use a different style of bag such as a saddle bag design that goes over the head with a bag on both the front and back is a good option.
  • Do not use a shoulder bag because it is all the weight with only half the support.
  • Do not use rolling bags. In a recent study using German primary school children. Researchers wanted to learn if giving the kids rolling luggage, to transport their school books,would reduce spinal pressure. The finding were that just because this works work well for Mom at the airport doesn’t mean that it works well for children. Hauling books across irregular sidewalks, and all the way to school can be a problem. This shows that school children should use bags in the place of trolleys but load the backpacks to the appropriate weight.

It’s well understood that heavy backpacks are taking a heavy toll on our childrens spines. The Department of Orthopedic Surgery, University of California,  recently conducted a weight barring (standing) magnetic resonance imaging study and found “Increasing backpack loads significantly compressed lumbar disc heights measured in the midline sagittal plane” and that: “student subjects reported significant increases in back pain, associated with increasing backpack loads from 4, to 8, and finally to 12 kgs of carried weight”.

In a recent study using German primary school children. Researchers wanted to learn if giving the kids rolling luggage, to transport their school books, would reduce spinal pressure. The finding were that just because this works work well for Mom at the airport doesn’t mean that it works well for children. Hauling books across irregular sidewalks, and all the way to school can be a problem. This shows that school children should use bags in the place of trolleys but load the backpacks to the appropriate weight.

It is important that parents and children follow the safety tips for backpack use. This will help children avoid back injuries early in life and produce a better quality of life in their twenties, thirties, and forties.

Reference: Negrini S, Carabalona R and Sibilla P (1999). Back pain as a daily load for school children. The Lancet 354: 1974.

By: Paul R. Mahler Dc Jr.

Chiropractic care and ADHD or ADD: Quick Tip

Attention Deficit Hyperactivity Disorder and Chiropractic

Attention Deficit Hyperactivity Disorder (ADD/ADHD) may be the most reported childhood behavioral issue, impacting between three percent and seven percent of the children in American. The diagnostic criteria are purely observationaland the diagnosis is obtained by subjective assessments. You will find there are no tests to ensure ADHA in a specific child.

The most frequent treatment with this is Methylphenidate (Ritalin) a Class II managed and addictive compound. The long-term aftereffects of this drug on children is as yet as yet not known, nevertheless the side-effects such as addiction are now recognized.

Conservative treatment of ADHD is possible. Vitamin deficiencies are common in ADD or ADHD. Supplementation with B vitamin complex, and the omega-6 and omega-3 efas show promising results. A holistic and integrative management system includes healthy change, supplementation, washing, and treatment of environmental toxic substances and toxic products and services from the home.

A 2010 study was conducted to analyze the results of chiropractic treatment of ADHA. in the research all patients were men, ranging in age from nine to 13 years. The scientists used a 15-item parent and teacher ADHD survey and the responses to chiropractic care were checked. In this study patients improved. ADHD symptoms were found to improve under chiropractic care. These signs include inattentiveness, and hyperactivity, impulsive actions, in addition to behavioral, social, or emotional difficulties. Evidence is given by this study on the potency of chiropractic in the treating kids with ADHD.

What might this mean for your child? If you’re not including a chiropractor within your child’s health team you’ll not be getting the best results for your child. Everyone must have their back checked sometimes but also for these children and children with autism it is even more important.

By:Dr. Paul R. Mahler Jr. DC

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You Have the Power in Your Pregnancy

It is important that women feel empowered during their pregnancy. There are several steps that can be taken to achieve this goal. the first step is to get informed and to surround yourself with a great health team.

After discover that you are pregnant you should start learning about the process and compiling a birth plan. Creating a birth plan is the best thing you can do to make sure your wishes are considered during your delivery. The birth plan should include basic decisions such as moving around during labor, when to start pushing, fetal monitoring decisions and  whether or not and when to induce labor induction. The plan should also contain contingouncy plans as well as contingency decisions, including whether to get an epidural, an episiotomy or a C-section. That is just the beginning. Your birth plan should also have special instructions for the nurse and staff regarding who should be with you during the delivery as well as who you want to stay with the baby  should there be complications.

The Do’s of Pregnancy to empower the mother:

  • DO consider having a doula: A doula is your advocate during your  delivery and there job is making sure that your wishes are considered this is their primary responsibility. A doula will stay with you throughout the entire labor and delivery. A doula will provide emotional support and see to your physical comfort. For more information about doulas or to find one near you, talk to your doctor and visit the Web site of the Doula Association of North America at
  • DO rely on your family chiropractor: Chiropractors only don’t only treats back and neck pain, but many more women have discovered the benefits chiropractors can provide in terms of prenatal care. Preconception and prenatal chiropractic care for you can mean less morning sickness, less lower back pain and a shorter, more quality labor and delivery. More than that, chiropractic care supports the integrity of your pelvic function, which includes the uterus, the associated muscles and ligaments, and the interfacing of the nervous and hormonal systems, which is important for you and your baby. Also Consider it a way to help your baby to be a healthier infant if chiropractic
  • DO know that you have a choice between hospital birth and a home birth: Choosing to give birth at home, in a birthing center or in a hospital is definitely a decision that you should make with the help of people you trust and who are close to you. Today more women are choosing a home birth over a hospital birth. Women are choosing to give birth in the comfort of their own home with family and friends nearby, this is often less invasive and leads to less medical intervention unless absolutely necessary. Studies have shown women with planned home births have significantly less obstetrical interventions or adverse maternal outcomes, and that newborns delivered at home vs. in a hospital are less likely to require resuscitation, oxygen therapy or meconium aspiration after birth.
  • DO recognize your right to make decisions: After all this is your pregnancy and your baby, and you have the right to ask questions or to get second opinions when you are unsure about anything. You are in control! You should make your decisions based on information provided by those you trust. Remember that at every turn, you control what you allow during your pregnancy and delivery, and that at any time it is alright to say, “No,” and expect your decisions to be honored.

This is not about choosing to ignore medical advice and put you or your baby at risk; it’s about making decisions in conjunction with your health care team to have a safe, natural pregnancy.

By: Paul R. Mahler Jr. DC

Mahler Family Chiropractic Center Kingston, PA

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Autistic spectrum disorders in children

Disorders related to the autistic spectrum are associated with changes in the physical, emotional, and chemical state of the patient. Autistic spectrum disorders in children and adults may have multiple causes. In this post I would like to address several questions about autistic spectrum disorders. Are autistic spectrum disorders a chiropractic condition? How can chiropractic help autistic spectrum disorders? Often chiropractic care is seen as a conservative treatment for musculoskeletal or neurological conditions. As we will see that is part of the reason the chiropractic may help with spectrum disorders.


First do you know the symptoms of spectrum disorders. Children that are on the spectrum are experiencing neural-behavioral disorder. Some of the common diagnoses include ADD, ADHD, autism, Tourette’s syndrome, OCD, ODD, pervasive developmental delay, or any sub-class of developmental delay which can be modifying the emotional, motor or behavioral development. Parents often describe the typically signs of this group of children as incapable of concentrating, hyperactive, poor sleeping patterns, inability to attend and pay attention at school or at home. The parents often must repeat phrases or commands, or the child may often use phrases like huh or what. The parents may report that the child has trouble with fine motor skills like handwriting, cutting with scissors or even buttoning buttons. This is often due to apraxia, or dyspraxia. Many times, these children will use both hand for many tasks and may be referred to as ambidextrous. So, the parents might struggle to determine whether a child id left or right-handed. They might comment that their child writes using their left-hand and eats with their right hand. These children will sometimes have tremors, they will often find it difficult to tie their shoes or do fine manipulative things make use of their hands. Parents also often report that the child has difficulty with gross motor skills and may fall allot or have trouble throwing or catching.  The patients who respond best to chiropractic care are between the ages 6 to 16 but children and adults can usually be treated at ages young and old. The earlier chiropractors start the greater the number of developmental windows that may be opened for the child.

One of the most important concepts when addressing Autistic Spectrum Disorders in kids is to realize they are also behavioral disorders. Due to different symptoms and the severity of the symptoms the child can lead to very different differential diagnoses. To help complicate the problem, an autistic child who displays ADHD behaviors, could also exhibit OCD behaviors, Tourette’s or Asperger’s behaviors simultaneously. That’s the reason these conditions are called spectrum disorders, they are co-morbid and overlapping syndromes. No matter if it’s Attention Deficient Disorder (ADD), Add and Hyperactivity Disorder (ADHD,) Excessive Compulsive Disorder (OCD), Pervasive Development Delay (PDD), Tourette’s Syndrome, or autism, each are caused by an imbalance in the neurological and sensory systems. This imbalance makes it impossible for the child to block certain sensory inputs and as a result a disconnect is created. The ability of the brain to process certain sensory input becomes impaired.  That is where chiropractic comes in when chiropractors adjust the spine they are directly affecting the nervous system, in most case the brain can be retrained to process sensory input in a different or improved way, this is the same basic premise behind brain gym but chiropractors have been doing this for decades.

A chiropractic neurologist Dr. Robert J. Melillo, has spent the last half of a 17-year career studying and treating these imbalances.  Dr. Melillo is international known and renown. He has determined that some of the cause may be due to an absence of stimulation as well as musculoskeletal imbalance in the body. The imbalances resulted in brain emphasizing and using the more active side while ignoring the under-stimulated hemisphere of the brain. It is important to treat the central nervous system by addressing imbalances in the spine. At the same time the sensory systems must also be addressed  Sensory processing disorders are often caused by the sensory systems that were paused at some point in development (start to see the article on sensory processing disorders) or developmental delays. These delays must be addressed and improved to the best of the child’s ability to maximize the child’s potential.

The art and science of Chiropractic Neurology is the diagnostic examination, where chiropractors use current concepts in neurology, neurophysiology and neuroscience to first perform very detailed history concerning the emotional and cognitive abilities of the patient. The history provides clues about which areas of their brain are functioning well, and which areas under or over performing.

Most youngsters treated for behavioral problems are very intelligent. The truth is, the majority are very smart and have many gifts that allow them to adapt and function well in society. It is the goal of chiropractic to support these gifts while treating any perceived deficits that cause the child difficulties. Common symptoms include the inability to focus, hyperactivity, inattentiveness, or extremely poor organization skills, among numerous other symptoms. It is very important start early to enhance the child’s quality of life at the earliest opportunity.

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By: Paul R. Mahler DC
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Chiropractic and pregnancy it is for more than low back pain!

Adjusting women through pregnancy is probably the most rewarding aspects of chiropractic care. Chiropractic treatment leads to a healthier pregnancy means a simpler labor and delivery, along with a better transition for the baby into this life.

Chiropractic through pregnancy is not only safe, it is vital. We could go through the implications of subluxation from the biomechanical, hormonal and neurological standpoint. It’s easy for everyone to find out postural changes, through pregnancy, lead to changes in the center of gravity, the body weight of the fetus causes increased pressure about the spine and pelvis, and in the end of the pregnancy, changes have emerged in gait pattern, the waddle of pregnancy. What we can’t see, are the millions of different hormonal changes and chemical reactions occurring in mom as well as the developing baby. These changes are controlled and coordinated with the nervous system. This is where chiropractic care comes in. It is not just for back pain in pregnancy.

Adjustments result in an easier pregnancy, significantly decreased average labor time, and assists new mothers in returning to per-pregnancy health. In one study, women receiving Chiropractic care through their first pregnancy had 24% shorter labor times than the group failing to get enough Chiropractic, and on subsequent pregnancies subjects reported 39% shorter labor times. Thirty-nine percent-this is a massive difference. Moreover, 84% of women report relief of low back and hip pain when receiving care from a chiropractor. Because the sacroiliac joints and pelvis function better, there exists significant less probability of back labor when receiving chiropractic care through out the pregnancy.

Body position during delivery can also be critical. Any late second stage labor position that denies postural sacral rotation denies mom and the baby critical pelvic outlet diameter and jams the top off the sacrum as much as 4cm into the pelvic outlet. Put simply, the typical delivery position used in hospitals with the mother on her back in the stir-ups reduces the size of the pelvic opening, which closes off the vital space essential for the infant to move through the pelvic outlet.

This delivery position is a common reason why numerous births are traumatic, labor is stalled, mother becomes fatigued and in pain, so making use of epidurals, forceps, episiotomy, vacuum extraction and cesarean increases. This is why squatting should be the preferred position. In this position gravity helps and the pelvic outlet can open to a greater degree. Squatting during delivery leads to decreased utilization of forceps plus a shorter second stage labor as opposed to semi-recumbent position.

Greater complications during delivery lead to greater neurological damage to the newborn as a result of injury to the head and neck. Even with vaginal births, 4.6% of full term neonates suffer unexplained brain bleeds and 10% suffer neonatal encephalopathy. Because so many children have been injured with forceps deliveries, (facial nerve palsy, tearing of cervical spine musculature) vacuum extraction originated. Suction cups they fit around the newborn’s head, and the baby generally is sucked from the mother.

When utilized, 120 pounds of pressure goes through the baby’s head and neck. Decapitation occurs at 140 pounds of pressure, to offer you a perception of the forces involved. Remember when you were just a little girl or boy and there was a new baby present, our parents always said, “Watch his head-you don’t want to hurt him.” We’re careful for the reason that fontanel’s with the skull are very pliable, and also the neck and brain are fragile and unprotected. This is why numerous babies sustain injuries with their heads and neck during vacuum extraction. The force of vacuum extraction is far greater than a newborn’s little bodies can tolerate.

Adjustments to newborns contain only ounces of force, on average 6-12 onces. This is the same weight approximately as a bottle of food. The force of the adjustment is directed into the spine to facilitate health by removing subluxations. We adjust babies just after birth, to correct subluxations brought on by in-utero constraint as well as the journey down with the birth canal and delivery.

It is also important to note that chiropractic is not a cure it only frees up the optimal potential of the nervous system and allowed us to express the best us we can be. It isn’t relief from ear infections, for colic, for allergies, for asthma, for frequent colds, nor for ADD/ADHD, but it can help the body deal with and heal all of these conditions.

Whenever we listen to mothers’ stories with their pregnancy, labor and delivery, the children that suffer the best from these complaints, are the ones who’ve had the best challenge with their births. Even relatively easy deliveries may result in subluxations. That is why every child should be checked, before difficulties with their health ever develop. That’s maintenance within the truest sense-preventing subluxations in mothers to stop subluxations in their babies during childbirth. For this reason all women needs Chiropractic through pregnancy so that the arrival of the baby is really a miraculus experience.

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By: Paul R. Mahler DC
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Quick Tip Babies and Launguage

Just another reason to help keep your babies nervous system healthy! Don’t miss this window of opportunity.

Today Fox News reported that “University of Pennsylvania researchers found that infants aged

 © Mary Katherine Wynn |

© Mary Katherine Wynn |

between six and nine months can grasp the meaning of common words months before they can speak them.” In healthy infants the first subluxation often happens during child birth and a lot happens in the first 6 months. Doesn’t your child deserve the best chance to meet these milestones. Consult a family chiropractor today about getting your babies spine checked.

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By: Paul R. Mahler DC
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Quick Tip Children and Migraine Headaches

Migraine headaches yes children get them too!

Today on Fox News Dr. Manny Alvarez disused children and migraines. He is quoted as saying “I have an 8 year old son who is suffering from migraines. One time, his migraine was so intense, he cried all the way to the ER, after we tried unsuccessfully to treat it at home. I have been told that there are adult medications for migraines that can be used on children in a smaller dosage. However, according to my pediatrician, they have not been tested on children”.

So where dose that leave you. You can try untested adult medications or consult a chiropractor. Chiropractors treat migraines by identifying and treating the triggers that cause the migraines. I have been very successful treating these conditions in all ages. See my blog post on migraines hear for more information.

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By: Paul R. Mahler DC
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What is Scoliosis? Treatment for scoliosis.

Scoliosis and chiropracticScoliosis is not a disease it is a descriptive term that refers to an abnormal spinal curve. All spines have curves these are normal in the neck, upper back and lower back it is normal to find anterior to posterior curves. Humans need these spinal curves to help the upper body maintain proper balance and alignment over the pelvis. Scoliotic curves are a right to left translation not an anterior to posterior translation and this leads to weakness and instability in the spine.

Who is at risk?

Scoliosis affects 2% of women and 0.5% of men in the general population. Scoliosis may be caused through several mechanisms, including congenital spine deformities, genetic conditions, neuromuscular problems and limb length inequality. Additional causes of scoliosis include cerebral palsy, spina bifida, muscular dystrophy, spinal muscular atrophy and tumors. Over 80% of scoliosis cases are idiopathic, which meaning we do not know the cause. Most idiopathic scoliosis cases are found in otherwise healthy people.

Idiopathic scoliosis is found in three categories based on age. The first is infantile found in children ages 3 and under. The next type is juvenile scoliosis found in 3-9 years old. Finally we have adolescent scoliosis found in10-18 years old. Not often but in very rare case scoliosis can occur in adult hood due to trauma. The most common form of scoliosis, representing approximately 80% of idiopathic scoliosis cases, is Adolescent Idiopathic Scoliosis (AIS), which develops in young adults around the onset of puberty. Adolescent scoliosis is often due to a rapid growth cycle in which the bones grow faster than the soft connective tissue, tendons and ligaments, and leads to an imbalance from one side to another.

People with a family history of spinal deformity are at greater risk for developing scoliosis and early detection is essential. If a scolioses curve is discovered before the growth plates close in a persons early twenties there is high likely hood of partial or complete correction.

About Scoliosis: Symptoms

The warning signs of scoliosis are shoulders are different heights, one shoulder-blade is more prominent than the other, head is not centered directly above the pelvis, appearance of a raised, prominent hip, rib cages are at different heights, uneven waist, changes in look or texture of skin overlying the spine, and leaning of entire body to one side. These can all be signs but don mean you have scoliosis you should see your chiropractor for a complete evaluation and remember that x-ray is the best way to diagnose scoliosis.

A standard exam that is often used by chiropractor is called the Adam’s Forward Bend Test. Most children should be tested in the fifth or sixth grade. For this test, the patient is asked to lean forward with his or her feet together and bend 90 degrees at the waist. The examiner can then easily view from this angle any asymmetry of the trunk or any abnormal spinal curvatures. It should be noted that this is a simple screening test scoliosis is usually confirmed with an x-ray of the spine. The curve is then measured by the Cobb Method and is discussed in terms of degrees. Generally speaking, a curve is considered significant if it is greater than 25 to 30 degrees. Curves exceeding 45 to 50 degrees are considered severe and often require more aggressive treatment or surgical intervention. The chiropractor may also conduct exams to test reflexes, motor and sensory functions, and breathing ability. After a diagnosis is made, your doctor will suggest a treatment plan.

Once scoliosis has been diagnosed there are several factors to take into account when discussing treatment. Spinal maturity, is the patient’s spine still growing and changing? Degree and extent of curvature, how severe is the curve and how does it affect the patient’s lifestyle? Location of curve, according to the Scoliosis Research Society, thoracic (upper spine) curves are more likely to progress than thoracolumbar (middle spine) or lumbar (lower spine) curves. Potential for progression, patients who have large curves prior to their adolescent growth spurts are more likely to experience curve progression.

After all the test and exams are assessed there are four treatment options for scoliosis: (1) observation, (2) orthopedic bracing, (3) surgery, (4) chiropractic care

Chiropractic Care:Spine Treatment

Chiropractic care is non-invasive Treatment for scoliosis. This means that when undergoing treatment you do not have to take any prescription drugs or go through a surgical procedure. The process is all natural and drug free. This is because the main principle of chiropractic is to focus on the body’s own natural healing abilities. Chiropractic treatment deals with the adjustment of the spine and according to the research conducted by the National Scoliosis Foundation, chiropractic adjustment has been found to be a good alternative treatment for those who suffering from scoliosis. Chiropractic treatment for scoliosis may involve several procedures depending on the severity of the condition. These treatments may include spinal manipulation, active exercise methods, and postural counseling.

So how can chiropractic treatment help you with your scoliosis? Chiropractic care does not only treat the current problems that are associated with scoliosis but it can also help in alleviating and controlling the symptoms that comes with it. Scoliosis patients who have been treated with chiropractic care have reported to have reduction in the size of the curves, measured using the Cobb Method. This does not happen overnight. Chiropractic care for scoliosis requires multiple visits in order for the patient to experience its full benefits. A chiropractor can also monitor your progress to ensure that you are doing the right thing and to see if the treatment yields favorable results. A chiropractor will recommend you to check with another medical specialist if he or she thinks that is the best course of action for you regarding your condition.

By: Paul R. Mahler Jr. DC
Mahler Family Chiropractic Center
1144 wyoming Ave.
Kingston, PA. 18704
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We can treat scoliosis and back pain  including sciatica, disc, herniation,  slipped disc, stenosis, and much more.

Children and Chiropractic

By Dr. Paul Mahler

www.mahlKids and

Is chiropractic care appropriate for my child? This s a question asked by many parents I the US. And often the short answer is yes. Chiropractic care for children has been found to be both safe and affective when administered by a trained doctor of chiropractic. Lets tackle the first question. How safe is chiropractic for my child? Chiropractic is one of the safest forms of health care. A baby’s spine is very supple during the first few months of life and there are Chiropractic techniques that apply only a slight pressure, up to 6 oz. Of pressure, to make spinal adjustments. Under normal circumstances, chiropractic adjustments are painless and will not hurt your child. Chiropractors do not perform any invasive procedures (such as surgery). These are some of the reasons why malpractice insurance rates for chiropractors are only a fraction of what other physicians pay and why more than 30 million Americans choose chiropractic care for their children and themselves. Chiropractic treatments have been shown to be Safe for Children. In a literature research study conducted the International Chiropractic Pediatric Association (ICPA) concluded the risk of injury as a result of chiropractic adjustments was low for adults and even lower for the pediatric patient. After reviewing 31 years of medical literature only one questionable report of injury to a child following chiropractic care was found. This ICPA study concluded “the potential risk to children is so low it can not be accurately estimated”. The above safety rate of chiropractic care for children should be compared to the adverse reaction rate of medicines. The next question to be answered is, how can chiropractic care benefit my child? To answer that question we will look at just three of the most common reasons chiropractors see children. It is important to remember that there are many other issues that may be addressed by a chiropractor. This is due to the fact that the chiropractor is not only affecting the musculoskeletal system but also the nervous system. The nervous system in turn affects every system in the body from digestion to the immune system. Chiropractors Treat the musculoskeletal system and the nervous system and by improving their function they improve the function of many of the related systems. This is an indirect effect. Lets look at three of these conditions. In the January 2003 issue of the Journal of Manipulative and Physiological Therapeutics (JMPT), the results of a study on lower back pain in children was conducted. The journal article notes that about 50% of children suffer from lower back pain at one time or another. It also notes that about 15% of children experience frequent or continual pain. The study was conducted on 54 children between the ages of 4 and 18 in the cities of Calgary, Alberta, and Toronto, Ontario, Canada. In the study the children with lower back pain received chiropractic care from a variety of volunteer chiropractors in Canada. The children were tracked regularly during the study to monitor their progress. Results were obtained in several ways including responses from the patients themselves on how they felt their progress was coming. Results of the study showed improvement over the follow-up period was observed in 46% to 92% of the children for various criteria. In a period of 30 days 82% of the children reported that they were “much improved.”

The researchers conclusions were, “Patients responded favorably to chiropractic management, and there were no reported complications.”

Another common area where parents seek chiropractic care for the children is in cases of asthma. One-third of Asthmatic Children In Canadian Province Use Non-Medical Care. Reuters Health Information printed an article in the Journal of the AMA. It was a report of a survey that showed many children with asthma were seeking complementary medicine for their asthma. The parents of 117 pediatric asthma patients were surveyed by Dr. Sheldon Spier, of Alberta Children’s Hospital in Calgary and thirty percent reported using complementary medicine to help manage their children’s symptoms. Among these the most commonly used were herbal medications, chiropractic care, and homeopathy.

Several studies are listed on the ICPA web site ( ) discussing the benefits of chiropractic for children with asthma. In summary these studies showed 76.5% of patients with bronchial asthma said they benefited from chiropractic treatment, peak flow rate and vital capacity increased after the third treatment, and significantly lower quality of life impairment rating scores were reported for 90.1% of children after 60 days of chiropractic care. During this 60 day period the average number of asthma attacks decreased an average of 44.9%, and asthma medication usage was decreased an average of 66.5%. Among parents of asthmatic children who had received chiropractic treatment, 92% considered this treatment beneficial.

Finally lets look at Chiropractic Adjustments for Children with Acute Otitis Media. A study published in the March 29, 2004 edition of The Journal of Vertebral Subluxation Research, (JVSR), showed chiropractic adjustments had a positive effect on children with acute ear infections. In the study 21 children were examined and all of these children showed acute inflammation in the inner ear with a red and bulging tympanic membrane and a mean oral temperature of over 100 degrees F.

The study noted that after chiropractic adjustments, tympanic membrane returned to normal in 95% of the children and was accompanied by a normal oral temperature.

In conclusion there is scientific based evidence to suggest that chiropractic care for children is both safe and effective for children. Chiropractic care is both less invasive and safe. For more information contact your local chiropractor or visit our website at

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Chiropractic: Sensory Processing Disorders in Children (SPD)


Often it is asked, how can chiropractic help my special needs child? Chiropractic Kids and chiropracticdirectly influences the functioning of the nervous system, and it is this connection that often helps children with special needs.The central nervous system acts as the master control system for the entire body, but this is a simplistic and basic answer. Since the central nervous system connects the brain to the rest of the body it is partially responsible for the way we interpret the world and what information we take in. We will see why this is so important later in the article. Due to recent developments in the fields of chiropractic and chiropractic neurology are leading to better explanations to this link and this is creating better implement it in a clinical stetting. With modern instrumentation and research techniques there is new information coming out on a regular basis.

What is this new information? First we must understand Sensory Processing Disorders or SPD. What are Sensory Processing Disorders? Sensory Processing Disorders are “a neurodevelopmental disorder resulting from the brain’s inability to integrate everyday sensory information revived from the five senses: touch, vision, sound, smell and taste.” (Buerger, Monika DC, Pathways, Issue 19, pg 19) SPD is also includes the two lesser known senses, the vestibular and proprioception systems. The vestibular system located in the lower part of the brain called the cerebellum and the upper spinal-cord called the cervical spine and is the master regulator of all incoming sensory information ( Buerger, Monika DC, Pathways, Issue 19, pg 19). It is at this point that we start to see the development of the link between chiropractic care and SPD and it is through these links that individualized treatment can be developed thorough testing of all of these sensory systems. Once the sensory systems involved determined they can then be addressed directly and indirectly.

Sensory deficient are defined as ether hypo or hyper sensitive. Children who are hypersensitive are bombarded by sensory information and will often appear withdrawn from society because the constant bombardment of sensory input makes their brains uncomfortable (Buerger, Monika DC, Pathways, Issue 19, pg 19). This is due to the fact that the brain is unable to filter out much of the incoming information from that set of senses. The Brain will usually only let a fraction of the sensory information enter the conscious mind while the rest of the input is processed by the subconscious mind or disregarded all together. A child who is hyposensitive will seek out sensory experiences to stimulate their brains due to lack of sensory input (Buerger, Monika DC, Pathways, Issue 19, pg 19). There are many other symptoms depending on which sensory pathways are involved and to which degree but this can be sorted out using a  complete history and a thorough examination. After the information from the exam and history is obtained it is possible to implement a treatment protocol which customized to that child’s needs.

Sensory Processing Disorders is often misdiagnosed in children as ADD, ADHD, and other neuro-developmental disorders (Buerger, Monika DC, Pathways, Issue 19, pg 19). To complicate maters Sensory Processing Disorders can also co-exist with many of these conditions including Autism Spectrum Disorder, Obsessive Compulsive Disorder, Anxiety Disorders, and Traumatic Brain Injury as well as others and can persist if untreated into adult hood and follow the child for the rest of there lives. The medical approach is to diagnose these children with conditions such as ADHD and then prescribe psychotropic drugs such as Ritalin (Buerger, Monika DC, Pathways, winter 2005, pg 3). It is important that parents educate themselves on the side effects of these medications and realize that if the child is misdiagnosed many of these medications may have the opposite effect.

So how is the chiropractic approach different? “In 2004, Dr. Melillo published a textbook titled Neuro-behavioral Disorders of Childhood – An Evolutionary Perspective, which describes what he believes to be the primary neuro-physiologic mechanism that produces many of the most common neuro-behavioral disorders. Applying this neuro-physiologic mechanism to chiropractic, he focuses on three main areas: sensory/motor systems, biomechanical/nutritional, and neuropsychological, with the main concept revolving around hemispheric balance.” (Claudia Anrig, DC. From the chiropractic perspective postural imbalances caused by vertebral misalignment and nervous system involvement (subluxations) are sought out and treated. This treatment removes the effect on the neurological system from a structural stand point allowing for improved neurological function. This is accomplished trough standard chiropractic modes of treatment. The nervous system if further address through addressing the sensory deficiency and directly retraining these systems to mature and function correctly. Finally some of the nutritional components are considered such as hypo or hyper glycemia and the effects that sugar and other allergens may have on the system.

This is by no means a complete understanding of how chiropractic may affect sensory processing disorders and the treatments are often very individualized for each set of circumstances. After reading this article it should start to become obvious way a chiropractor might be a great addition to the team used to treat and improve the quality of life for your child. This is a brief understanding of how the chiropractic field can bring a novel new approach to children with SPD as well as other nuro-sensory disorders such as ADD, ADHD, and Autism Spectrum Disorder.

By: Paul R. Mahler Jr. DC

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