Infantile GERD

Presenter

Dr. Mike Marinus MsC (Paeds), M.Tech (Chiro)

Dr Marinus is a registered chiropractor with an Masters in Paediatrics from AECC as well as M.Tech in Chiropractic from University of Johannesburg, South Africa. He is currently in practice in Southampton & Godalming, UK and registered with the AHPCSA in South Africa as well as with the GCC in UK. He currently holds the position of Fellow and Chair of the Royal College of Chiropractors’ Specialist Faculty for Pregnancy and Paediatrics.  He is a founder member of Paediatric Chiropractic South Africa (PCSA) and the founder of Pediatric Network which is an evidence based resource for MSK clinicians operating in the paediatric space.  He has also teamed up with Dr Christian Fludder on a brand new Chiropractic Paediatric Podcast called 2 Paed Chiros which discusses topics around chiropractic paediatric literature, conditions, assessments and techniques.

Course Objective:

This online seminar is designed to give the delegate an in-depth understanding of the mechanics,  pathophysiology and mainstream management strategies of reflux in infants. We review the evidence around manual therapy in the management of reflux and give practical examples of techniques to use in practice.

The aim is to allow you to communicate confidently and effectively to parents/carers on the subject of their child’s reflux, give evidence based advice and employ strategies that are based on research findings.

We have added a Telehealth module which will give pointers as to how to deal with reflux infants remotely.

Course Description:

Definitions:

Understanding the differences between physiological gastro-esophageal reflux and gastro-esophageal reflux disease.

Incidence:

At what ages do reflux symptoms worsen and improve, which children are more prone to reflux and what are the trends seen worldwide

Pathogenesis:

What is the Anatomy and Physiology involved in preventing GER/GERD and what goes wrong when esophageal mucosa gets attacked by stomach contents

Diagnostics:

History taking and special tests required to diagnose GER/GERD. What do each of the special tests mean, what are their sensitivities and specificities as well as what meaningful information can we take from them to use in our management plan.

Red Flags:

Knowledge of GERD Red Flags allows you to refer these cases in a timely manner and to the correct service providers.

Management:

We cover both Non-Pharmacological and Pharmacological management and when each should be implemented. We cover the current research into the benefits of each

Evolutionary Biology:

We follow the evolutionary track followed by the newborn human infant. What is the environment in which they evolved and how different is that environment to todays western caregiving. This gives us insight into why western society deals with many more reflux cases than traditional societies do.

Advice:

What is the evidence based advice we can give parents of reflux infants. As health care providers we can give them as much efficacy as possible by equipping them with the knowledge they need to understand and manage their reflux infants.

The Role of the Manual Therapist:

What does the literature say about the potential role of the manual therapist in dealing with reflux cases. We expand on manual therapy techniques you can use in practice to manage these infants