title: Chiropractic care of a 6-year-old girl with neck pain; headaches; hand, leg, and foot pain; and other nonmusculoskeletal symptoms.
abstract: OBJECTIVE
  The purpose of this case report is to describe the response to chiropractic care of a pediatric patient with complaints of neck pain; headaches; and hand, leg, and foot pain after head trauma and the reports of changes in the patient's history of chronic fatigue, vomiting, and coughing.
  
  
  METHODS
  A 6-year-old girl was pushed into a playground slide, hitting her head and resulting in acute complaints of her "neck and brain hurting" and hand, foot, and occasional leg pain. In addition, the patient had a several-year history of unexplained fatigue, vomiting, and coughing spells. She had a neck pain disability index of 17.8%; left lateral and rotational head tilt; cervical antalgic lean; loss of cervical range of motion; anterior cervical translation; and spasm, tenderness, trigger points, and edema along the cervical and thoracic spine.
  
  
  RESULTS
  The patient was cared for using Activator Methods protocol. After the fifth treatment, all the patient's symptoms dissipated, with a complete return to normal activity and spinal stability after 9 treatments. At 19 weeks, her spine continued to be asymptomatic; and her neck disability index was 0%.
  
  
  CONCLUSIONS
  This case demonstrated that the Activator Method of chiropractic care had a beneficial effect for this pediatric patient.
authors.affiliation: HealthQuest Chiropractic, Farmington, ME 04938.
authors.forename: Jan
authors.initials: J
authors.lastname: Roberts
authors.forename: Tristy
authors.initials: T
authors.lastname: Wolfe
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