Ian Shtulman, DC, DACCP, Colleena Collins, DC & Joel Alcantara, DC
Journal of Pediatric, Maternal & Family Health, Chiropractic ~ August 14, 2019 ~ Pages 95-99
Objective: To describe the positive health outcomes following chiropractic care of a child with adenotonsillar hypertrophy and associated sleep disordered breathing.
Clinical Features: A two-year old female presented with sleep disordered breathing along with medically diagnosed hypertrophy of her adenoids and tonsils. She was prescribed Fluticasone steroid spray and a surgical consult. The chiropractic examination revealed a subluxation at the atlas and right ilium.
Interventions and Outcomes: The infant received chiropractic care utilizing Toggle Recoil and Activator Methods. Within <2 weeks of care, the infant’s mother reported a 50% reduction in her presenting symptoms. After 15 visits over a 12-week period, the patient attended a follow-up with her pediatrician. There was no evidence of hypertrophy of adenoids/tonsils surgical intervention was not indicated.
Conclusion: This case report provides supporting evidence that a child with adenotonsillar hypertrophy and sleep disordered breathing may benefit from chiropractic care.
Key words: Adenotonsillar hypertrophy, sleep disordered breathing, obstructive sleep apnea, subluxation, chiropractic care, adenotonsilectomy, pediatric chiropractic, adjustment, spinal manipulation