Newborns

At More Pathways we treat newborns to help with biomechanical strains to allow appropriate breast feeding and a more settled baby.

We understand the neonate anatomy, physiology, neurology and myofuntion of the whole body and how that relates to feeding and settling but also the implications on cranio-facial growth.

Sleep

Sleep patterns and thus sleep problems are developmental and infancy is a time this is consolidated. Left untreated, chronic sleep disorders may lead to impaired brain development, neuronal damage, and permanent loss of developmental potential. 

Given the symptom overlap between sleep problems and developmental disorders, early detection is critical, yet sleep and breathing problems are rarely addressed in routine paediatric care and are under-diagnosed, which is unfortunate, given the range of interventions at the right time are often effective. 

Feeding difficulties

Breastfeeding can be challenging for mother-infant dyads experiencing suckling and latch difficulties

Our osteopath at More Pathways has extensive post graduate study of the neonate anatomy and biomechanics of suckling from birth to weaning. 

We work closely with local experienced IBLCs to mutually support and address dysfunctions that contribute to suckling and latch dysfunctions. 

These contributing factors may include cranial strains, torticollis (neck strain), cranial nerve dysfunction, pain or a sensitive system,

Tongue tie can also be a contributing factor when there is pain or difficulty with breast feeding. It can be a contentious issue and some health professionals express a lack of support for the diagnosis. 

However, there is a growing body of evidence from studies and trials as well as anatomical insights which indicate that tongue tie does in fact affect breastfeeding.

It can be a good idea to check in with our osteopath in the case of a suspected or already diagnosed tongue tie for a few reasons: 

  1. There are biomechanical factors of the jaw and neck that, when restricted themselves, restrict the movement of the tongue which may give the impression of a tongue tie upon functional assessment. It is important to assess these contributing factors and have them treated so that the tongue assessment is only regarding the frenum restriction rather than muscle tension.

  2. Optimal timing of release is important. Clinical observation and anecdotal feedback is that appropriate preparation and aftercare is vital for the best outcomes.

  3. Some people aren’t sure if releasing a tongue tie is worth it. We can discuss the latest research and the consequences of a untreated tongue tie which range from structural development of the face and teeth as well as functional such as speech and eating.

Read more about Tongue Ties here

Congenital Muscular Torticollis


There is varying degrees to this condition but it is when a baby favours turning their head to one side due to tight muscles in their neck, specifically a muscle called the sterno-cleido-mastoid. 

If this condition persists it can lead to a flat spot on the back of the head and altered movement patterns during development. 

It can also have an affect on the jaw and therefore affect feeding and latch biomechanics. 

Osteopathic treatment aims to help loosen these tight muscles, freeing the important ribs and upper back attachments as well as prescribing gentle stretches and exercises to enhance the treatment outcomes. 

Birthing strains 

At birth, the skull bones are still developing and the bones are quite soft. Due to the significant process of birth both for mother and baby, certain strains in the musculoskeletal system can result. These strains can be in the head itself, especially if there has been intervention with forceps or ventouse, a long labour, shoulder dystocia, a particularly difficult labour, a posterior presentation, if baby was breach and sometimes, just from the process itself.

Respiratory infections 

Colic

  • ((Bonuck, K. A. , Hyden, C. , Ury, G. , Barnett, J. , Ashkinaze, H. & Briggs, R. D. (2011). Screening for Sleep Problems in Early Intervention and Early Childhood Special Education. Infants & Young Children, 24 (4), 295-308. doi: 10.1097/IYC.0b013e3182234444.)

    Herzhaft-Le Roy J, Xhignesse M, Gaboury I. Efficacy of an Osteopathic Treatment Coupled With Lactation Consultations for Infants' Biomechanical Sucking Difficulties. J Hum Lact. 2017 Feb;33(1):165-172. doi: 10.1177/0890334416679620. Epub 2016 Dec 27. PMID: 28027445.

    Olivi, Genovese, M. D., Olivi, M., Yue, W. C., Hand, P., Marigo, L., & Cordaro, M. (2021). Short lingual frenum in infants, children and adolescents. Part 2: Lingual frenum release. Functional surgical approach. European Journal of Paediatric Dentistry, 22(1), 47–54. https://doi.org/10.23804/ejpd.2021.22.01.09