Ear Infections Chiropractic Studies


Chiropractic Helps in Prevention of Recurring Ear Infections.

In the October 1998 issue of the Ladies Home Journal appeared an article entitled, “Chiropractic Adjustments for Chronic Ear Infections.” This article reviewed several studies showing the effectiveness of chiropractic care for preventing re-occurring ear infections known as Otitis Media or OM.

According to the article, reoccurring ear infections account for over 35% of all pediatrician visits in the United States.  Sometimes these infections are due to bacteria and sometimes these are due to a virus. The most common medical care for this situation has been antibiotics, even though antibiotics have no effect on viruses. While the article mentions that the antibiotic may be effective in an acute bacterial infection, they often have limited success in stopping repeat infections. Research and statistics show that repeated use of antibiotics is contributing to future infections by creating drug-resistant infections. The surgical approach has met with little long term results as the “tubes” placed in children’s ears often come out and usually require a child to be put under general anesthesia to do the surgery.

little girl with ear ache

The article in the Ladies Home Journal states, “Chiropractic care is thought to prevent recurrent infections by correcting misalignments (called subluxations) and allowing normal fluid drainage from the middle ear.” What the article took special note of was that 6 months after the chiropractic care was given to the children in the study, 80 percent had not suffered a recurrence of ear infections.

In closing the article did make a profound statement. They made a recommendation to parents on this subject. “If your child is between ear infections and his doctor suggests ear-tube surgery, ask if you can try chiropractic treatment first.” While we agree with that sentiment, we suggest you not wait for a period between episodes. 

“Chiropractic Care of 401 Children with Otitis Media: A Pilot Study”. Found in the March 1998 edition of Alternative Therapies and authored by Fallon and Edelman.

“There is a strong correlation between chiropractic adjustment and the resolution of otitis media for the children in this study, which can serve as a starting point from which those in the chiropractic profession can examine their role.”

By the age of three, over two thirds of all children have had one or more episodes of otitis media or middle ear infection. There are numerous problems with antibiotic usage for children with ear infections such as: allergic reactions, GI upset, destruction of the gut’s intestinal flora leading to yeast proliferation and antibiotic resistance. Tubes in the ears have a 98% recurrence of infection within two months while 25% of those with tubes suffer from hearing loss years later.

The use of osteopathic manipulative treatment as adjuvant therapy in children with recurrent acute otitis media, Mills, MV; Henley, CE, Barnes, LLB et al. Arch Pediatr Adolesc Med. 2003;157:861-866.

57 patients 6 months to 6 years old with 3 episodes of acute otitis media (AOM) in the previous 6 months, or 4 in the previous year were placed randomly into 2 groups: one receiving routine pediatric care (32), the other receiving routine care plus osteopathic manipulative treatment (25).

The osteopathic patients had fewer episodes of AOM, fewer surgical procedures, and more surgery-free months and more normal tympanograms. No adverse reactions were reported.

This study suggest osteopathic manipulations may prevent or decrease surgical intervention or antibiotic overuse with children with AOM.

Chronic recurrent otitis media: a common pediatric malady. Fysh PN. The philosophy, art and science of chiropractic. Lisbon 2000 Symposium proceedings. Pp. 64-68. Pub by the Foundation for the advancement of chiropractic tenets and science, ICA, Arlington, Virginia.

It is the author’s experience that none of the children in his study needed tympanostomy tubes inserted. Within 4 to 7 days of the commencement of the spinal adjusting program, the fluid level behind the tympanic membrane was most often resolved.

The effect of the correction of the vertebral subluxation on chronic otitis media in children. Heagy, DT Chiropractic Pediatrics, 1996; 2/2:6-7.

Four patients (from 14 months to 7 years of age) who had all had multiple antibiotic regimens responded to adjustments.

Chiropractic care of 401 children with otitis media: a pilot study. Fallon and Edelman. Alternative Therapies March 1998 4(2):93

There is a strong correlation between chiropractic adjustments and the resolution of otitis media for the children in this study.

Case study: chiropractic results with a child with recurring otitis media accompanied by effusion. Peet, JB Chiropractic Pediatrics, 1996;2:8-10.

This is the study of a 5 year-old male who had recurring ear infections every three to six weeks for the previous two years. He had been on antibiotic therapy. The child began chiropractic care and for the next six month period had only one infection.

Irritable child with chronic ear effusion/infections responds to chiropractic care. Thomas D. Chiropractic Pediatrics 1997; 3(2) 13-14.

This child had chronic ear effusion infections since birth which continued regularly until 12 months of age. He was adjusted at 11 months for an atlas subluxation. After 8 weeks of care the child had not experienced an ear infection for one month and had not had any drugs or antibiotics since chiropractic care. Improvements in personality and behavior were also noted by the mother, babysitters and the chiropractor.

Allergy airway disease and otitis media in children. Todd NW, Feldman CM, Int J Pediatr Otorhinolaryngol 1985: 10(1):27-35.

Musculoskeletal eustachian tube dysfunction is an important etiological factor for otitis media. The eustachian tube dysfunction manifests primarily by poor ventilation from the nasopharynx to the middle ear, by allowing negative pressure in the middle ear.

The role of the chiropractic adjustment in the care and treatment of 332 children with otitis media. Fallon, JM. Journal of Clinical Chiropractic Pediatrics Oct 1997, 2(2):167-183.

311 of the 332 had a history of prior antibiotic use. 53.7% of the children had their first bout of otitis media between the ages of 6 months and 1 year and a total of 69.9% of the subjects in the study had their first bout of OM under a year of age. This is consistent with the findings of others.

The children were 27-days-old to five-years-old. The average number of adjustments administered by types of otitis media were as follows: acute otitis media (127 children) 4 adjustments; chronic/serous otitis media (104 children) 5 adjustments; for mixed type of bilateral otitis media (10 children) 5.3 adjustments; where no otitis was initially detected (74 children) 5.88 adjustments. The number of days it took to normalize the otoscopic examination was for acute 6.67, chronic/serous 8.57 and mixed 8.3. The number of days it took to normalize the tympanographic examination was acute 8.35, chronic/serous 10.18 and mixed 10.9 days. The overall recurrence rate over a six month period from initial presentation in the office was for acute 11.02%, chronic/serous 16.34%, for mixed 30% and for none present 17.56%.

Chiropractic results with a child with recurring otitis media accompanied by effusion. Peet, JB Chiropractic Pediatrics, 1996;2:8-10.

This is a case study of a five year old male with recurring otitis media. During the six months of adjustments, the child had only one middle ear infection with mild effusion. In the previous year, the child had recurring middle ear infections with effusion approximately every three to six weeks.

Ear infection: a retrospective study examining improvement from chiropractic care and analyzing influencing factors. Froehle RM J Manipulative Physiol Ther 19 (3): 169-177 (Mar 1996).

This was a study of forty-six children aged 5 years and under in a private practice in a Minneapolis suburb. Sacral Occipital Technique-style pelvic blocking and the doctor’s own modified applied kinesiology was employed. Typical care consisted of three adjustments per week for one week, then two adjustments per week for one week, then one adjustment per week. Interestingly, children with a history of antibiotic use were associated with a less favorable outcome.

93% of all episodes improved, 75% in 10 days or fewer and 43% with only one or two treatments. Young age, no history of antibiotic use, initial episode (vs. recurrent) and designation of an episode as discomfort rather than ear infection were factors associated with improvement with the fewest number of adjustments.

Chronic recurrent otitis media: case series of five patients with recommendations for case management. Fysh PN, Journal of Clinical Chiropractic Pediatrics 1996 1(2):66-78.

The author presents a case series of five patients (ages 0 to 5) with chronic otitis media who had previously been under regular medical pediatric care for this condition for at least six months without resolution. These children all underwent a program of chiropractic case management, including specific spinal adjustments, and responded to care from 3 days to 8 weeks.

All patients had excellent outcomes with no residual morbidity or complications. All had five adjustments to the spine. Of the five, 3 had an atlas subluxation, one had an occipital subluxation and one had an atlas and axis subluxations. These children were adjusted full spine as well.

The response of a patient with otitis media to chiropractic care. Thill L, Curtis J, Magallances S, Neuray P. Life Work 1995; 3: 23-28.

A 19 month old female with a chronic history of acute episodes of suppurative otitis media was on antibiotics over a six month period with no improvement. Antibiotics were stopped and the patient then began a four week course of intensive chiropractic care, with complete resolution at two weeks.

Vertebral subluxations and otitis media: a case study. Phillips, NJ. Chiropractic: The Journal of Chiropractic Research and Clinical Investigation. Jul 1992, Vol: 8(2), pp.38-9. Author’s abstract:

A 23-month-old female with chronic otitis media had orthodox medical treatment with no relief of symptoms. Conventional medical treatment included numerous regimens of broad-spectrum antibiotics and bilateral myringotomies with tympanostomy tube placement. The tubes were still in place on presentation. Three days after initial adjustment (at C-1) the patient’s ear drainage and pain were noticeably reduced. Child was soon free of all symptoms.

Sore throat, difficulty in swallowing, nausea, vomiting, poor appetite, and alternating diarrhea and constipation Neurological Fitness Vol. V, No. 2 Jan 1996:

This is the case of a patient presented with a history of sore throat, difficulty in swallowing, nausea, vomiting, poor appetite, and alternating diarrhea and constipation. She was also suffering from ear pain and ear discharge related to chronic otitis media of 17 months duration. This condition had resisted several regimens of antibiotics as well as surgery to insert tympanostomy tubes.

Three days after the first adjustment, the ear pain and discharge were substantially reduced. Continued correction of C1 eventually resulted in both ears being clear of exudate. At the time of this report, the patient has been symptom-free for approximately four years.

Diagnosis and treatment of TMJ, head, neck and asthmatic symptoms in children. Gillespie BR, Barnes JF, J of Craniomandibular Practice. Oct. 1990, Vol 8, No. 4.

The authors note that pathologic strain patterns in the soft tissues can be a primary cause of headaches, neck aches, throat infections, ear infections, sinus congestion, and asthma.

Structural normalization in infants and children with particular reference to disturbances of the CNS. Woods RH Journal Of The American Osteopathic Association, May 1973,72: pp.903-908.

Post-traumatic epilepsy, allergic problems, otitis media and dizziness have been relieved by cranial manipulation.

Blocked atlantal nerve syndrome in babies and infants. Gutman G. Manuelle Medizin (1987) 25:5-10.

Three case reports are reviewed to illustrate a syndrome caused and perpetuated in babies and infants by blocked nerve impulses at the atlas. Included in the clinical picture are lowered resistance to infections, especially to ear-nose-, and throat infections.

From Neurological Fitness Vol. V, No. 2 Jan 1996:

A 33-year-old male patient presented with a feeling of fullness in his ears, hearing loss, and tinnitus. The patient had a history of eustachian tube blockage since childhood. His problems were not relieved by a course of antihistamines.

Following diversified adjusting (primarily C2, C5), audiometry and tympanometry findings normalized and his subjective complaints were alleviated.

Chronic ear infections, strep throat, 50% right ear hearing loss, adenoiditis and asthma. Case history by G. Thomas Kovacs, D.C. International Chiropractic Pediatric Association newsletter. July 1995.

This is the case of a 4 1⁄2 year old female suffering from chronic ear infections, strep throat, (on and off for 4 years) 50% right ear hearing loss, adenoiditis and asthma.

She had been on antibiotics (CeclorT ), developed pneumonia, was on bronchodilators and anti-inflammatory for asthma and given steroids. ENT diagnosed child with enlarged adenoids and scheduled surgery to remove child’s adenoids and to put tubes in her ears.

Chiropractic history revealed cervical (C2), thoracic (T3) and right sacroiliac subluxation. She was adjusted 2x/week for 6 weeks. After 3 or 4 adjustments, the mother noticed “a changed child, she has life in her body again…acting like a little girl again for the first time in 4 years.” After 6 weeks, pediatrician and ENT noticed no sign of ear infection or inflammation. “Her adenoids, which were the worst the ENT has ever seen, were perfectly normal and healthy. Hearing tests revealed no hearing loss.

The family finally told the child’s M.D.s that “all medication was stopped 6 weeks ago when chiropractic care started.” The family was told to continue chiropractic care because it had “obviously worked.”

Sinus Infections
Case report # 1589. International Chiropractic Pediatric Association Newsletter May/June 1998. From the office of Paul Zell, D.C., F.I.C.P.A.

A 12 year old boy, since the age of three, had “non-stop sinus infections every 2-3 months.” Antibiotics were used to control the infections and previous surgeries included removal of the tonsils and adenoids at age 3.

Chiropractor found decreased cervical range of motion at C-2, C-7, T-3, T-5, T-8 and right ileum fixations. By the second visit, antibiotics were stopped and patient was asymptomatic of sinus infection. By the third week of care posture corrected and child was able to carry his head in an upright position. “Both patient and parents are aware of the quality of life that is returning as an apparent result of chiropractic care."

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