The Child Athlete

Chiropractic Care for the Child Athlete

There are some negative opinions in chiropractic regarding contact sports like boxing and football. Some of our colleagues feel these sports should be avoided. Whatever your particular opinion, these sports (pee-wee football, boxing and the like) have been around for decades and are here to stay.

Injuries to children's spines are not unique to contact sports like football or martial arts. They are also seen in non-contact sports like gymnastics and competitive cheerleading. Injuries to the pediatric spine vary according to the specific mechanism of injury. Therefore, the pediatric sports chiropractors knowledge of particular sports is helpful in assessing the care he or she will render.

Development of the normal spinal curves will assist in dissipating compressive forces or loads. However, athletics may induce concussive forces the body cannot adapt to thus resulting in vertebral subluxation complexes.

The common area of injury from a head impact is the mid to lower cervical (C4-C6). The common area of injury from a forces from below, as in falling on the feet or buttocks, is T-9 - L2. Flexion injuries of the spine commonly affect the C4-C6, T5-6 and L1-L2. And one should always check the upper cervical spine.

T. K. Videman, M.D.1 from the University of Helsinki in 1987 found that the slightest hypomobility in diarthrodial joints (facet joints) would cause joint degeneration in 5-7 days, which becomes irreversible in 2-3 weeks. Following 5 weeks of joint fixation, 18 months of care was required for optimal healing which was almost always incomplete.

The sooner we as chiropractors can care for the child athlete, and correct his or her subluxation, the less likely they are to have life long patterns of ill health and who better than the chiropractor to care for these little athletes.

When evaluating a child either on or off the field before applying a chiropractic adjustment, one should be able to objectively evaluate as many components of the vertebral subluxation complex as possible.

The sports chiropractor needs to be aware of the functional uniqueness of the child's spine when doing so. For example, the normal range of motion in a child's spine is greater than that of an adult. This is important to know when assessing a child's spine.

As chiropractors, we must focus on the vertebral subluxations and the dangers of such especially those arising out of sports injuries. We also educate the players, parents and coaches. I also do a chiropractic health orientation and educate coaches and trainers on the cause and the harmful effects of subluxations.

In my presentation, I use the Emmett Smith quote "playing in a football game is like being in 30-40 care accidents" and then I multiply that by the 10 games the kids have each season. I also use this opportunity to show them the benefit of chiropractic care for the athletes, both pre and post game. This clinic is held in my office so the coaches, parents and players have the opportunity to see it first hand.

Whether the children are participating in contact or non-contact sports, a proper chiropractic evaluation by a qualified pediatric chiropractor can keep them in the game and help to minimize if not prevent injuries leading to vertebral subluxations.