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Thursday, September 24, 2009

Ear Infections and Chiropractic Care

"My son has had 6 ear infections over the last 4 years and he is only four and a half years old. We have always given him the antibiotic that the doctor prescribed, but it seems that the ear infections just keep coming back. The doctor wants to put tubes in his ears now, but I am worried since he is so small. Maybe the doctor is right and we need to put the tubes in."

I have heard this same story over and over in my 10 years of practice. The only thing that changes is if it is a boy or girl and how many courses of antibiotics they go through before the ear tubes are recommended. It is such a difficult situation to hear about because you are presented with a parent that cares deeply for the health and welfare of their child, have done what they were told by their pediatrician and now are faced with a situation that may put their child at risk. Are there alternatives to antibiotics and surgery? Why do the ear infections keep coming back if they are getting the antibiotic? and What causes an ear infection in the first place?

I will answer these questions in the reverse order because if we start at the root cause of the ear infection the rest becomes easy to understand. An ear infection or otitis media becomes an infection when a bacteria or a virus grows rapidly within the middle ear. However those microorganisms will only grow in the ear when the conditions are right for them to do so. Every one of us has the very same bacteria and viruses in our ears that is causing the infection in the child's ear. The difference is that in a child that has an ear infection they have a build up of fluid within their middle ear. This fluid which naturally forms in the middle ear to continually wash out the unwanted microbes, will sometimes get backed up within the middle ear cavity. When this happens, the fluid that is present is ideal for the bacteria and viruses to grow in. The primary reason for the back up of fluid is inflammation causing a narrowing of the Eustachian tube. The Eustachian tube is the small passage way that drains that fluid out of the ear and into the nasal passage. The swelling and nervous system dysfunction associated with a spinal misalignment is a likely cause of that Eustachian tube narrowing. Here is a great visual slideshow demonstrating what I just spoke about. Ear infection slide show.

Why do the ear infections keep coming back if they are taking the antibiotic? If the ear infection is due to a bacterial infection the antibiotic will be able to kill the bacteria, but they will not be able to do anything for the fluid that is present. This means that it just takes another bacteria or perhaps a virus, to find its way into the middle ear and start to grow the way that the last one did. This leads to further antibiotic use and the cycle continues on. The next step then is the introduction of tubes in the ear drum to try to relieve the pressure of the backed up fluid.

Is there an alternative to the antibiotics and surgery? Absolutely! Chiropractic care does not directly treat the infection, but gets at the heart of the problem by restoring the proper function of the ear. When gentle chiropractic adjustments are applied to areas of misalignment of the baby's spine, it allows the the inflammation around the Eustachian tube to be removed and the backed up fluid in the ear to naturally drain out of the middle ear. When the fluid is once again washing out the area of the middle ear it no longer gives the microbes a place to grow and thrive.

Stop the cycle of pain and antibiotics, seek help with chiropractic care and get at the heart of the problem not the symptoms.

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