Antipsychotics Too Often Prescribed For Aggression In Children

Are There Alternatives for ADHD Besides Medications? Does Chiropractic Help ADHD? Are Antipsychotic Drugs Overprescribed?

The headline above comes from a July 1, 2015, news story on the National Public Radio website. The story is based on a study published in JAMA Psychiatry also on July 1st. The NPR article begins with the warning, “Powerful antipsychotic medications are being used to treat children and teenagers with ADHD, aggression and behavior problems, a study finds, even though safer treatments are available and should be used first.”

Antipsychotics Too Often Prescribed For Aggression In Children - Austin TX Pediatric ChiropractorThe rate of usage of these types of drugs has significantly increased over the years and there is a concern that many children are being needlessly medicated and subjected to serious side effects. Many antipsychotic drugs, which were created for use with serious mental disorder such as schizophrenia and bi-polar disorder, are being used for things not approved for such as ADHD and aggressive behavior.

Mark Olfson, a professor of psychiatry at Columbia University who led the JAMA study, commented in the NPR article, “There’s been concern that these medications have been overused, particularly in young children. Guidelines and clinical wisdom suggest that you really should be using a high degree of caution and only using them when other treatments have failed, as a last resort.”

One of the issues pointed out by Olfson in the study was that many of the prescriptions for these powerful drugs were given by general practitioners with little testing, and without considering other alternatives first. “The results suggest that greater access is needed for child and adolescent psychiatric services as well as psychosocial services for young people who present with disruptive behaviors that appear to be common clinical targets,” he said. “A number of effective psychosocial treatments exist for impulsive aggression including interventions that emphasize anger control management and problem solving skills, but few children and their families are receiving them.”

Christof Correll, a professor of psychiatry at Hofstra North Shore-Long Island Jewish School of Medicine, who wrote an editorial to accompany the JAMA article stated, “Behavior modification and family treatment is something that should always come first, but less than one quarter of children and teens are getting that.” He continued, “Physicians use these medications too fast.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.


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Seizures Gone, Behavior, and Cognitive Development Improved with Chiropractic

Does Chiropractic Care Help Seizures? Can Children See A Chiropractor?

On May 14, 2015, a study was published in the Journal of Upper Cervical Chiropractic Research documenting the case of a toddler suffering from seizures, behavioral disturbances, and developmental delay, being helped by chiropractic.

Seizures Gone, Behavior, and Cognitive Development Improved with Chiropractic - Austin TX ChiropractorIn this case, a 2-year-old boy suffering from seizures was brought to the chiropractor. The history noted that 1 year and 4 months prior, the boy fell about three feet hitting the back of his head on a wooden deck. The boy immediately started having a seizure and his parents took him to the emergency room. His head was treated for the laceration with 4 staples. X-rays were taken and no fracture was found. No neurological tests were performed at that time and the child was prescribed pain medication for his pain.

After a few days, the child’s seizures got worse. Because of this, his parents brought him in for a further medical evaluation where electroencephalogram (EEG) studies were performed both while he was sleeping and awake. The boy’s sleeping EEG did not show any problems but the one done while he was awake showed activity consistent with seizures. Next, an MRI and CT scan were performed, but neither of these found any medically detectable abnormality.

The boy was prescribed anti-seizure medication, which was ineffective. The child’s seizures continued to worsen over time. He worsened to the point where he was experiencing an average of 3 seizures per week and occasionally up to 3 seizures per day. As a result of his problems, his parents noticed that their son became overly aggressive, combative, angry and generally uncooperative. They also noticed developmental delays in their son’s language, including his ability to form sentences.

A chiropractic examination was performed which included palpation, thermal scans of the neck, and specific spinal x-rays. The authors stated that the purpose of the chiropractic examination was to see if a subluxation was present at the level of the first cervical vertebrae. Based on the examination, it was determined that a subluxation was present at the top of the boy’s neck and specific chiropractic adjustments were begun.

After the first adjustment, the boy’s parents reported an increase in their son’s seizures. However, after subsequent visits, the seizures began to decrease in frequency. The number of seizures continued to decrease until they were completely gone by 51 days after the initial chiropractic adjustment. At approximately 2.5 months after the beginning of care, the boy was taken off all anti-seizure medication.

The boy had one minor seizure three months later, but with continued chiropractic check-ups, the child remained seizure free thereafter. His parents also reported that his behavioral issues and other problems were also resolved.

In their conclusion, the authors wrote, “This case is one example of how chiropractic care may be helpful in bringing balance back to a child’s nervous system. Though this is only one example, it adds to the ever growing number of case studies that have shown chiropractic care to be effective in helping to control seizures in children and in other non-musculoskeletal conditions.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.

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Daily Headaches Gone Under Chiropractic Care

Does Chiropractic Care Help Chronic Headaches? Can Children See A Chiropractor?

From the Journal of Pediatric, Maternal & Family Health comes a study published on May 25, 2015, documenting the case of a young boy with daily headaches being helped by chiropractic. The study begins by noting that between 10-20% of school age children suffer with headaches. This number increases to 27-32% at the age of 13-14 years for a headache within a given month.

Daily Headaches Gone Under Chiropractic Care - Austin TX ChiropractorThe authors report that chronic daily headaches affect 2-4% of adolescent females and 0.8-2% of adolescent males. A diagnosis of chronic daily headaches is made when headaches occur more than 4 hours per day, 15 headache days per month or more, over a period of 3 consecutive months, without an underlying (medical) pathology.

In this case, a 13-year-old boy was brought to the chiropractor by his parents for a consultation and possible care. It was reported that the boy was suffering from headaches every day for several years. There was no history of trauma or any physical injury prior to the onset of the boy’s headaches. The boy’s mother did report her son’s headaches to his MD, who said that they were probably sinus related. However, he did not recommend any treatment or further tests.

A chiropractic examination of the boy was conducted which included a postural inspection, palpation, and range of motion. Based on the examination findings, it was determined that the boy had multiple vertebral subluxations and chiropractic care was initiated.

The boy was initially seen two times per week for the first two weeks. Care was reduced thereafter as improvement was seen. The study reports that the boy’s response was immediate as his headaches stopped as soon as chiropractic care was started. This improvement made an immediate and profound impact on the boy’s quality of life and ability to function.

In their conclusion, the authors wrote, “This case report provides supporting evidence on the effectiveness of chiropractic adjustments characterized as high-velocity, low amplitude thrust to sites of vertebral subluxations. We encourage further research on the use of this type of care in children suffering from CH, (chronic headaches).”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.

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Chiropractic Adjustments Better Than Self-Manipulation: Study Shows

Is It Okay To “Crack” My Own Back? Can I Adjust Myself?

A common question from patients in a chiropractic office is, “Can I adjust myself?”  A study published on April 22, 2015, in the Annals of Vertebral Subluxation Research demonstrates that self-manipulation of the spine is not as effective as a specifically given chiropractic adjustment.

The study begins by pointing out that forms of spinal manipulation have been used in the treatment of lower back pain by many different types of practitioners. The study authors stated the purpose of the study by saying, “It is hypothesized that self-manipulation of the lumbar spine, without the utilization of an experienced practitioner, can result in therapeutic benefits but can also cause instability and chronic low back pain.”

Chiropractic Adjustments Better Than Self-Manipulation - Austin TX ChiropractorThe authors report that prior to this study there have been no scientific studies showing that self-manipulation is either beneficial or harmful. They note that there has been much research on the benefits of spinal manipulation for those suffering from back pain. The difficulty in a study of self-manipulation is that there is a wide variety of variables in self-rendered care of any kind.

In the specific case documented for this study, a 17-year-old boy came to the chiropractor suffering from chronic lower back pain that he had been experiencing for over a year. The boy was very active in sports and his problem may have coincided with a weightlifting injury he sustained near the time his problems started to appear.
The boy was treated with pain medications and injections, but these provided little help.  As a result, he resorted to self-manipulation of his lumbar spine. Multiple times per day, the boy would twist his body to create tension in his lumbar spine resulting in a popping sound in his lower back. This procedure seemed to create some relief and an increased range of motion. He would perform this self-manipulation as frequently as every 20-30 minutes every day in order to get relief.

 

Upon going to the chiropractor, the boy was instructed to discontinue the self-manipulation. A chiropractic examination with x-rays was performed to evaluate the boy’s condition. The examination did show that several segments of the boy’s lower spine was less movable than normal, while the entire area of the spine was more movable than normal. This was probably the result of the self-manipulation.

Chiropractic care was begun at the rate of 3 visits per week for 3 months. Adjustments were given to the areas of the boy’s spine that were less movable. The results reported in the study showed that the boy improved significantly from the chiropractic care with a reduction in his back pain. Additionally, there was an increased  stability of his spine due to the chiropractic care without the self-manipulation.

In their conclusion the authors wrote that specific chiropractic adjustments are different from self-manipulation in several ways including safety, specificity, and effectiveness. They note that while self-manipulation can produce similar popping sounds in the spine, the effects of a specific, “…chiropractic adjustment cannot be reproduced without the expertise of a skilled practitioner.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.

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Trigeminal Neuralgia Helped with Chiropractic: Case Study

Can Chiropractic Help Trigeminal Neuralgia? What About Glossopharyngeal Neuralgia?

A study in the Journal of Upper Cervical Chiropractic Research published on February 23, 2015, documents the case of a boy suffering trigeminal and glossopharyngeal neuralgia being helped with chiropractic care. The Mayo Clinic website defines this condition by writting, “Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, which carries sensation from your face to your brain.”

Trigeminal Neuralgia Helped with Chiropractic | Austin TX ChiropractorThe study reports that both  trigeminal and glossopharyngeal neuralgia are characterized by episodes of sharp and sometimes extreme pain in the face. They also note that approximately 4-5 per 100,000 people suffer with this condition per year. That number increases with age, rising to 20 per 100,000 people per year after the age of 60.  Trigeminal neuralgia is the more common of the two conditions and can be triggered by a very slight stimulus. Attacks can be started by such normal activities as swallowing, chewing, coughing, sneezing, speaking, yawning, touching the neck or ear, and certain tastes, as well.

In this case, a 10-year-old boy was brought to the chiropractor with a diagnosis of trigeminal neuralgia. He had been suffering with spontaneous episodes of extreme facial, ear, neck, and chest pain which began 4 months prior to his chiropractic visit. In addition, the boy was also suffering from headaches, constipation, ear, neck, and chest pain, and a specific learning disability that affected his ability to write. It was reported that things as slight as wind or changes in elevation could trigger his pain. Under medical care, he had been prescribed a number of different medications, all of which did not offer any relief.

A chiropractic examination was conducted which included palpation of the spine, a leg length analysis, postural analysis, surface electromyography, and specific neck spinal x-rays. The results showed postural abnormalities consistent with spinal subluxations. Additionally, tender areas were found in the boy’s neck on palpation, and the x-rays were positive for malpositioning of the upper bones in the neck.

Based on the findings, a specific chiropractic adjustment was given to the boy. A post-adjustment x-ray was performed and confirmed an immediate positive change in the positioning of the upper neck bones. Chiropractic care was continued to address the boy’s subluxations.

The results were dramatic. The study noted that five days after the initial chiropractic adjustment, the boy was pain free and no longer experienced any of his previous symptoms. The boy’s mother was so pleased that she started and published a blog documenting her son’s recovery. Additionally, the objective analytical exam procedures verified the boy’s improvement from correction of his subluxations. The boy remained symptom-free for several years which continued through the writing of this case report.

In their conclusion, the study authors summed up the results by saying, “This was a case where the patient, who was diagnosed with both trigeminal and glossopharyngeal neuralgia, reported initial relief of symptoms associated with the disease, and soon after, complete remission.”

If you or someone you know is suffering with trigeminal and/or glossopharyngeal neuralgia, please call 512-452-2525 to schedule a consultation with Dr. Swanson.

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Bedwetting Helped with Chiropractic – A Case Report

Can Chiropractic Help With Bedwetting? What Is Nocturnal Enuresis?

The Journal of Pediatric, Maternal & Family Health published a case study on January 8, 2015, documenting the case of a young girl with chronic bedwetting being helped by chiropractic. Nocturnal enuresis, more commonly known as bedwetting, is diagnosed when a child wets the bed three times or more per week.

Nocturnal enuresis is common in younger children, occurring in about 10% of children up to age seven. Bedwetting affects about 5 to 7 million children in the US, and 200,000 in Canada. Some sources believe that the underlying cause is related to the central nervous system.  Common medical treatment is a drug called Desmopressin, which can carry certain side effects including headache, belly pain, nausea, slight rise in blood pressure, vomiting, hives, trouble breathing, and swelling of the face, lips, tongue, or throat.

Bedwetting Helped with Chiropractic | Austin TX ChiropractorIn this case, a 10-year-old girl was brought to the chiropractor after recurrent right ankle sprains and primary nocturnal enuresis. The young girl started having the bedwetting issue after a number of urinary tract infections that she had at age four. She had received several rounds of antibiotic treatments at that time. Her mother noted that the bedwetting started immediately after her daughter started taking antibiotics.  At the time of her initial visit to the chiropractor, the young girl was wetting her bed about 5 times per week.

A chiropractic examination was performed which included postural observation, range of motion tests, static palpation, paraspinal surface electromyography (sEMG) and rolling paraspinal thermography scans. Based on the findings, and with the mother’s consent, chiropractic care was begun.

Following the girl’s first adjustment, her mother reported that her daughter only experienced one night of bedwetting. Her mother also reported that her daughter felt the urgent need to urinate on the car ride home from the chiropractor to the point where the mother had to make a quick stop for her daughter to find a restroom.

Following the girl’s second visit, her mother reported that her daughter did not have any more wet nights and no more increased urgency to urinate. The study records that after her second chiropractic adjustment, the girl had all dry nights. Given the success of chiropractic in addressing their daughter’s bedwetting issues, her parents decided to continue their daughter on a wellness chiropractic care program.

Citing the results of this study, the authors make the point in their discussion that chiropractic should be included in cases of bedwetting. “When left unresolved in childhood, adolescents may continue night time bedwetting and can be very difficult to manage,” state the study authors. “Given the effect of compromising the quality of life and risk for psychological and physical abuse in these children, there is a need for an integrative approach [chiropractic] to their care.”

To see if chiropractic care can help with your child’s bedwetting, call 512-452-2525 to schedule a consultation with Dr. Swanson today.

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Resolution of Chronic Cervicogenic Headaches with Chiropractic

Can Chiropractic Care Help Children With Chronic Headaches?

In the Journal of Pediatric, Maternal & Family Health is a study published on December 12, 2014, describing the case of a boy who was suffering with chronic headaches being helped by chiropractic care. The authors begin by clarifying that in order for headaches to be classified as chronic they must occur for a duration of more than 15 days per month, and for 3 months or greater than 180 days in a year. They note that approximately 3 to 4% of the general population suffer from chronic headaches.

Resolution of Chronic Cervicogenic Headaches with Chiropractic | Austin TX ChiropractorIn this case, a 6-year-old boy was brought by his mother to the chiropractor for consultation and possible care for the boy’s chronic headaches.  According to his mother, the boy went to the MD two years prior complaining of headaches that were occurring either daily or every other day. The MD told the boy’s mother to give him ibuprofen for his headaches.  This was ineffective and subsequently the boy was sent to a Children’s Hospital for further medical work-up.

MRIs and computer tomography were performed on the boy but failed to show any medical reason for the child’s chronic headaches.  The boy was also seen by a concussion specialist and a neurologist without any help.  The patient and his mother returned to his pediatrician who made the suggestion of chiropractic care.

A chiropractic examination was performed and revealed areas of spinal irregularity on palpation. X-rays also confirmed malpositioning in the boy’s neck. From the examination, it was determined that the boy had subluxations in his cervical spine. Chiropractic care was begun with the boy being seen two times per week.

On the third visit to the chiropractor, the boy reported that he had not had any headaches since his prior visit. On the fourth visit, he did report having another headache.  However, from the fifth visit forward, the boy did not suffer any additional headaches.

For more information about how chiropractic care can help with headaches, please read this very informative Health Research Reports – Children, Headaches and Chiropractic.

If you know of a child suffering with chronic headaches, call 512-452-2525 to schedule an appointment with Dr. Swanson today.

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Violent Outbursts Reduced in a 10-Year-Old Boy with Chiropractic Care

Do Chiropractors See Kids? Can Chiropractic Care Help With My Child’s Behavior?

In the November 2014 issue of the Journal of Clinical Chiropractic Pediatrics is a case report documenting behavioral improvement in a boy after chiropractic care.  The authors note that although there have been numerous studies on children who were diagnosed with a variety of conditions that are associated with behavioral issues, this is the only study of its kind where the subject did not have such a prior diagnosis.

Violent Outbursts Reduced in a 10-Year-Old Boy with Chiropractic Care | Austin TX ChiropractorIn this case, a 10-year-old boy was brought to the chiropractor because of behavioral issues. It was reported that the boy would go from  being calm and relaxed to sudden outbreaks of violence. His mother also reported that he suffered from frequent panic attacks and periods of anxiety. The boy had been suspended from several schools, and was only allowed to attend his present school for 50 minutes each day.  Due to being out of school so much, he was not given an evaluation that may have led to a diagnosis.  He was also having difficulty sleeping and was unable to sleep by himself in a room.

The history showed that he had a difficult birth and had suffered from multiple ear infections and tubes placed in his ears as a small child. He also had a history of bowel issues suffering with both constipation and diarrhea.  He was given medication for his behavior, but that was discontinued as it caused weight gain.

The boy’s mother was given a questionnaire to rate and document her son’s condition and any changes from chiropractic care. This questionnaire was repeated regularly during care to evaluate any changes. Initially, she rated her son’s issues at the highest level of severity.  Chiropractic care was then begun with specific chiropractic spinal adjustments being administered.

By the fourth visit, the mother reported that she started to notice a significant change in her son’s behavior. By the ninth visit, her son had improved by over 80% as rated by the questionnaire. At the time of this report, the boy still had some violent outbursts. However, these were fewer and easier to get him out of than before his chiropractic care.  The boy’s mother also reported that her son was sleeping better and was able to sleep in his own bed.  He had no panic attacks, and his eating and bowel issues had improved.

The study authors concluded by writing: “This case report demonstrates that chiropractic spinal adjustments, the only treatment being rendered, were effective in improving the child’s behavior. This study suggests that chiropractic care helped to reduce violent outbreaks as well as to improve the patient’s sleep, with additional improvements to satiety and frequency of panic attacks.”

To see if chiropractic care can help with your child’s behavior or if you or someone you know suffers with similar issues, call (512) 452-2525 to schedule a consultation with Dr. Swanson today.

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Fussy Baby with Abnormal Head Shape, Torticollis, and Sleeping Issues Helped by Chiropractic

What Is Plagiocephaly? Can Chiropractic Help Plagiocephaly? What About Torticollis?

In the November 2014 issue of the Journal of Clinical Chiropractic Pediatrics is a documented case study of a baby with multiple issues, including an irregular head shape, being helped with chiropractic. Abnormal head shape is known as plagiocephaly, and can come from the pressure of being on one side excessively.

The study authors report that plagiocephaly may have become more common since the introduction of the back to sleep program in 1992, where it was recommended that infants be put to sleep only lying on their backs. They also note that one study from Canada reports the incidence of plagiocephaly at 45.6% with  21.7% being a more severe form.

Fussy Baby with Abnormal Head Shape, Torticollis, and Sleeping Issues Helped by ChiropracticIn this case, a 6-month-old baby girl was brought to the chiropractor by her mother. The mother was concerned that her baby seemed to persistently favor turning her head to the left, and that her skull was deformed in shape. The baby had a pediatric check-up just three months earlier where everything checked out fine.  One week after that examination, the baby’s issues started. The baby was also experiencing difficulty in breast feeding and problems with sleeping.

The mother brought her baby to the chiropractor to try to avoid medical care for her head shape problem. Typically, medical intervention used in these cases is helmet therapy, which involves having a baby wear a helmet for a lengthy period of time. Other medical approaches include head repositioning, botox injections into the neck muscles, or even surgery in the more extreme treatments.

A pediatric chiropractic examination was performed where it was determined that the child had multiple subluxations in the neck. To correct these subluxations, specific light force adjustments were performed over the next several weeks. Advice was also given to the mother to entice the infant to turn her head toward the opposite side.

The study reports that immediately following the first adjustment, the chiropractor and mother noticed that the infant exhibited a more willing and active motion towards her less favored side of rotation.  By the second visit, the mother reported  that her baby girl now had regular sleep patterns and was not having any episodes of regurgitation or fussiness with breast feeding.  By the age of nine months, the infant had no cranial shape abnormality detectable, and all of her other problems had completely resolved.

In their conclusion, the authors of the study wrote, “The chiropractic care of newborns could potentially be a key component in addressing the integrity of an infant’s nervous system, in a safe and conservative way.”

To understand more of how chiropractic helps neurologically with child development, please read this informative health research report entitled Strengthening Your Child’s Immune System.

If you know of a child that could benefit from seeing a chiropractor, please call 512-452-2525 to schedule a consultation with Dr. Swanson.

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Autism Spectrum Disorder and Language Skills Improved with Chiropractic

Can Chiropractic Care Help Autistic Children? Is The Incidence Rate Of Autism Spectrum Disorder Increasing?

A case series study published in the Nov. 3, 2014, issue of the Journal of Pediatric, Maternal & Family Health documents chiropractic care helping language skills in two cases of diagnosed Autism Spectrum Disorder. The authors begin by explaining, “Autism is defined as a disorder beginning in childhood marked by the presence of significantly abnormal or impaired development in social interaction and communication and a distinctly restricted repertoire of activity and interest.”

Autism Spectrum Disorder and Language Skills Improved with Chiropractic - Austin TX ChiropractorThe study notes that the number of diagnosed cases of autism in the U.S. continues to increase and is now considered at epidemic proportions. The Center for Disease Control (CDC) estimates that 1 in 110 children in the U.S. are diagnosed with autism.  In California alone, the rate of autism increased 633% between 1987 and 2007. According to the study authors the current rate of diagnosis of autism equates to one new case being diagnosed every two hours.

In this case series, two children who were diagnosed with autism participated in the study. Each of the two children were diagnosed independently by clinical psychologists. The first of the two children was a boy at the age of a 3 years, 8 months. He was diagnosed at the age of 2 years with moderate autism. With this diagnosis, the boy was suffering with severe language and speech difficulties. Additionally, the boy had a history of allergies, ear infections, digestive problems, social interaction difficulties, behavioral problems, teeth grinding, and sleep problems.

The second child was a girl at the age of 3 years, 5 months, who was diagnosed with autism 2 months earlier. Her autism was characterized by severely delayed expressive and a moderate delay in receptive language skills. In addition to autism, she was also suffering from chronic colds, digestive problems, social interaction difficulties, behavioral problems, and sleep problems.

In these two cases, a test known as the Preschool Language Scale-4 (PLS-4) was administered every three months to rate any progress in the children’s language skills. Using these tests, the young boy was measured at over one year delayed in language while the girl was even worse and was considered severely language delayed.

Chiropractic care was initiated on both children for correction of subluxations. At the first testing interval, both children showed measurable improvement in the language skills. By the fourth test both children showed significant improvement. The boy actually improved to the point where his language skills were 5 months above the average child his age.  The girl, whose speech was worse at the onset of chiropractic care, improved enough to be only 8 months behind her chronological age.

The improvements in these children were observed and appreciated by their families. At three months into care the young boy said “I love you Daddy” for the first time in his life. The mother of the girl reported that her daughter was doing well in pre-school and was even seen helping other children with their tasks.

Click here for more research papers on Autism, Subluxation & Chiropractic.

To see if chiropractic care can help with your child’s autism, learning disability, or social behavior or if you or someone you know suffers with these, call (512) 452-2525 to schedule today.

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