February 27, 2022
1:28 pm
The following is an article featured in Pathways Magazine, a publication by the International Chiropractic Pediatric Association. The advice given is based on the opinions of the author of this article, a writer who has no affilliation with Balance Atlanta. They do not replace an in-office visit to your pediatrician. Please consult with your doctor. For more information, you may refer to www.ICPA4Kids.org.
Pathways Issue 23
Ear Infections Causes and Holistic Care
Middle ear infections are on the rise. The ailment, also known as otitis media, has become far more prevalent in children throughout the twentieth century, increasing 150 percent between 1975 to 1990 alone. This dramatic increase illustrates the parameters of wise antibiotic use and its abuse, while at the same time revealing the effects of breastfeeding and formula.
The middle ear is the part of the ear that is enclosed behind the eardrum. A tiny tube, called the Eustachian tube, drains any fluids from the middle ear into the throat. Colds and episodes of allergic runny nose, due to airborne allergens or allergies to cow’s milk or other foods, block this Eustachian tube with mucus and inflammation. When this tiny mucous-membrane-lined canal is closed off, inflammatory fluids build up in the middle ear cavity (serous otitis media), sometimes referred to as effusion. Over time, passage of nasal and throat bacteria into this tube, from pacifier use or especially when a child is lying on his back, can seed the middle ear. Bacteria can then multiply to large numbers when finding a friendly fluid-filled middle ear environment, creating painful infection (acute otitis media).
The major source of these infections is threefold: the withholding of protective mother’s milk; antibiotic treatment for mild or non-bacterial ear conditions; and inflammatory reactions to certain foods, particularly cow’s milk.
The occurrence of otitis media is 19 percent lower in breastfed infants; with 80% fewer prolonged episodes. The risk of otitis remains at this reduced level for four months after weaning and then increases. By 12 months after weaning, the risk is the same as in those who were never breastfed. In addition to providing general immunities to the infant, breast milk also provides specific antibodies that prevent otitis-causing bacteria from attaching to the mucous walls of the middle ear.
Misguided Concerns about Infection
The presence of fluid in the middle ear from chronic or acute conditions reduces a child’s capacity to hear. This fluid muffles sounds but does not damage the hearing mechanism, so hearing returns once the fluid is gone. While permanent hearing damage does not occur from acute or chronic otitis, chronic interference with hearing can delay language development.
In some cases of acute infection, treated or not, the eardrum may rupture. While fear is generated around this possibility, the rupture allows the pus to drain and the middle ear to dry, most likely resolving the infection. The eardrum will then heal with some scar tissue, just as it would have after tube insertion. This scar tissue, found in many an eardrum, typically affects hearing very minimally or not at all. (Drainage from an ear can also be an outer ear infection. This is common after swimming, and the condition will respond to ear drops. Drainage from the ear for more than two days, especially when associated with hearing loss, requires prompt medical attention.)
The major concern with ear infections is that infection could develop in the mastoid air cells behind the ear. This rare condition is called mastoiditis, and is primarily of concern because of the proximity to the brain. Mastoiditis, seen as redness behind the ear and protrusion of the outer ear, can occasionally lead not only to permanent hearing loss, but to brain damage as well. Although claims are made that the incidence of mastoidits has been greatly reduced since the introduction of antibiotics, this is not clear from a review of the literature. After the advent of antibiotics and CT scans, however, it is apparent that serious complications of acute mastoiditis have been reduced, and that the number of mastoid removals (mastoidectomies) has been reduced as well. In fact, antibiotic therapy for cases of mastoiditis appears to be valuable for preventing surgery in 86 percent of cases.
Just over half of all mastoiditis cases occur following bouts of acute otitis media. While there are other causes of mastoidits, fewer than 4% of the rare deaths from mastoiditis complications occur in cases that originated as ear infections.
Some mastoiditis is blamed on poor antibiotic treatment of ear infections; other cases are blamed on antibiotic therapy itself. At the 1998 meeting of the American academy of Otolaryngology, it was reported that serious cases of mastoiditis are rising as a direct result of strongly resistant bacteria developed through the common use of antibiotic therapy for ear infections.
Additionally, “masked mastoiditis,” in which the clearing up of the visible symptoms of the middle ear infection mask the existence of the mastoiditis, is a highly worrisome, occasionally seen condition that is directly caused by antibiotic treatment of ear infections. The behavior of the bacteria that promote this condition makes it very difficult to discover, and the condition has a high rate of dangerous complications.
Antibiotic ills
The standard treatment for acute middle ear infections is antibiotic therapy. Alas, antibiotics are prescribed very often when simple fluid buildup is present without infection, as described earlier, or when the eardrum just appears red, suggesting inflammation. At times the eardrum can appear very red just from crying, allergies or a fever of other origin. It is impossible to accurately diagnose infection without puncturing the eardrum and taking a fluid sample. This leads doctors to suspect infection based upon the presence of symptoms, and prescribe antibiotics.
One-third of all ear infections are viral, and the distinction cannot be made upon examination. Antibiotics do not kill viruses, and can make viral infections worse by wiping out competing bacterial flora and encouraging secondary bacterial infections of resistant strains. Although seldom recognized, a number of chronic ear infections are actually fungal in nature (candida), produced when multiple courses of antibiotics disrupt the normal floral balance and encourage fungal growth.
Many large studies have shown that antibiotic treatment provides only a small benefit over no treatment at all for short-term resolution of ear infections. A 1994 analysis reviewed 33 studies, covering 5,400 cases of acute otitis, and found that spontaneous recovery without medical treatment occurred in 81% of acute cases. Short-term recovery occurred 95% of the time when antibiotics were used.
At least one third of children on antibiotics experienced side effects. Although their rate of short-term resolution was slightly improved, there was no long-term benefit to antibiotic therapy: Medicated children demonstrate no less otitis four weeks after antibiotic treatment than those treated with placebos. In fact, there was a higher rate of returning acute ear infection seen in those who received antibiotic therapy, and the return of serous otitis was two to six times higher in those treated with antibiotics.
However, when language development is retarded due to prolonged middle ear fluid, the temporary hearing improvement provided by the tubes might be worth the risks.
Generally, fever or great localized pain accompany signs of drum inflammation (redness) and fluid buildup (bulging of drum) in a true acute infection. The most sensible modern recommendation regarding ear infection treatment is to use antibiotic therapy only in genuinely acute infections that do not resolve on their own within a few days. This regimen is currently followed in several European countries with positive results; it also reduces the development of bacterial strains resistant to antibiotics. A heating pad over the ear affords some relief, and many feel that recovery can be hastened by warm garlic or tea tree oil drops in the ear. Favorite antimicrobial supplements, such as goldenseal or grape-seed extract, may prove beneficial. Fever should not be reduced, as it is the body’s own powerful process for killing infecting microbes.
The value of surgical insertion of tubes through the eardrum to treat chronic ear conditions is widely debated. There are many risks involved, including a much greater return of infection once the tubes are gone.
In conclusion, medical treatments complicate the picture of middle ear infections without providing long-term benefits. Removing the chief causes of middle ear infections should be the preferred goal. This can be achieved by providing breast milk, avoiding overuse of antibiotics and recognizing, treating and avoiding exposure to allergens, especially food allergies.
Holistic Care of Middle Ear Problems in Children
Holistic care provides comprehensive treatment for the recurrent or persistent ear problems that are so common in young children. The symptoms of ear infections and fluid collection in the middle ear often begin in a baby’s first year, and they can persist into the toddler and preschool ages. Once children reach age 5 or 6, and their Eustachian tubes are more developed, some tend to grow out of these problems. The problems associated with fluid in the ears, including hearing loss, chronic swelling of mucous membranes, lowered resistance to infection and impaired Eustachian tube function can all be addressed using a combined approach of holistic methods.
Don’t expect fluid in the middle ear to resolve quickly, however. It takes at least two to three months to resolve the issues that contribute to the fluid buildup and facilitate drainage of the middle ear. The following treatments, when used in combination, should address the problems.
Lifestyle Changes
Eliminate dairy products from your child’s diet. Milk products are the most common reason for production and stagnation of phlegm in children, and some children are allergic to dairy products. This includes cheese, yogurt and butter.
Allergies, of course, can contribute to ear problems and chronic congestion. In older children environmental allergies may play a part, and at any age food sensitivities may be a subtle contributor to these problems. IgG allergy testing can be helpful to assess these sensitivities in children over 18 months.
Chinese Herbs
Fluid collection in the ears represents just one aspect of the phlegm dampness syndrome that plagues so many children. To address the important issue of mucus production, they often need Chinese herbal formulas as a part of their treatment program. Your herbalist will be able to design a specific individualized program of herbs to help your baby. These may include herbs to bolster immune function, herbs to combat the heat and pathogenic factors that contribute to recurrent or chronic ear infections and herbs to relieve phlegm.
One very important formula for this purpose is minor bupleurum (xiao chai hu tang). Blue Poppy Pediatric Formulas makes a modified version of this formula (Bupleurum & Angelica) to specifically target ear problems. The treatment addresses the digestive dysfunction that leads to dampness and phlegm production. According to Blue Poppy, the formula is intended “for treatment of pediatric food stagnation transforming into heat and ascending through internal branches of the large intestine channel to steam and fume in the region of the ear. The pattern is commonly seen in pediatric otitis media characterized by pain, fever, restlessness, ear tugging, but no purulent discharge”.
Other formulas, such as Grow & Thrive by Chinese Medicine Works, promote healthy digestive function and strong immune system. Specific formulas may be needed to address mucus production if it is a prominent factor in the child’s condition. There are many such formulas for your herbalist to prescribe. Other symptoms, such as coughing or accompanying allergies, may indicate the need for a staged program of herbal treatments that heal the various layers of a problem.
Nutritional Supplements
Mucus collection in the ears or sinuses signifies an inflammatory process; omega-3 supplements, in the form of fish oil, help to relieve this state. Since infection is commonly a component of the middle ear problem, a probiotic formula supplement can normalize the flora and prevent infections. Other immune system activators will also help prevent these infections. These include colostrum, whey protein (in the absence of dairy allergy) and mushroom formulas (reishi, shitaki, cordyceps). Chinese Medicine Works’ Resilience, a liquid extract of mushrooms, can be used for older babies. Additionally, vitamin D is essential for adequate immune system function. During the winter months when there is minimal sunlight, all babies should be given a 1000 IU vitamin D supplement. Older children should receive 2000 IU.
Homeopathy
Homeopathy provides a powerful tool for improving the constitutional health of babies with ear problems. It also has specific remedies for improving the function of the Eustachian tube. The most commonly indicated homeopathic remedies for middle ear effusion, according to nineteenth century homeopathic ear specialists (and confirmed by clinical experience since then), are Kali muriaticum and Mercurius dulcis.
Kali muriaticum (potassium chloride) is more often called for when children have a white or greenish yellow nasal discharge, enlarged tonsils and a stuffy sensation in the ear with hearing loss. Mercurius dulcis (mercury chloride), by contrast, should be used when the child has thickened, retracted eardrums with more scarring and a granular appearance to the tonsils. Merc-dulc shares similar symptomatology with other forms of homeopathic mercury, including diarrhea with greenish stools. A differentiating point in older children is that cold drinks ameliorate the conditions of Merc-dulc, but cold air and cold drinks aggravate the conditions of Kali-mur.
Kali-sulphuricum is another important remedy for consideration in middle ear effusion. Kali-sulph discharges tend to be thin, yellow and sticky, accompanied by hearing loss from the effusion. Noises in the ears are common in older children, with itching of the ears and evening pain.
It is often important to treat the underlying constitutional picture with a deep-acting homeopathic medicine that addresses the entire symptom complex of the child. This stimulates an adequate healing process and facilitates the cure of the underlying immune dysregulation that accompanies these symptoms.
Chiropractic Adjustment
Classical chiropractic theory recognizes that misalignment of the spine in babies can pull on the muscles of the neck, causing tension and dysfunction. Proper function of the Eustachian tube depends upon balanced head and neck musculature. Correcting an imbalance in these structures allows for healthy function of the Eustachian tube, draining fluid from the middle ear and distributing air to the middle ear cavity. Correcting any misalignment of the spine in the neck also improves immune system function, since the first and second spinal nerves have a direct effect on immune system responses.
The Eustachian tube resides in a bony canal of the skull and passes through the temporal and sphenoid bones. A misalignment of these bones in babies can put pressure on the Eustachian tube. Cranial adjustment and restoration of proper alignment of these bones and the cartilage of the Eustachian tube will take pressure off the tube and help restore normal function.
These spinal misalignments also impair normal nerve and immune system function, hampering a child’s innate capacity for health. As part of a complete holistic program, chiropractic care will work to normalize function of the structures in the ear and bolster the health of the child’s immune system.
Antibiotics and ear infections
In cases where the immune response lags behind infection that is ddangerously decimating the body, the 1950s advent of antibiotic medications saved the lives of millions of people who would have otherwise succumbed. However, the overzealous use of these wonder drugs has now created a new realm of powerful diseases we are unable to fight with existing antibiotics.
Once a resistant bacteria has been created in response to antibiotic therapy, it has the power to transfer its resistance to other microbes, developing new resistant strains. This has been an especially significant issue for the young, who have been chief targets for antibiotic misuse because they are more susceptible to infections and infections are more worrisome in them. Powerful, antibiotic-resistant strains spread easily around day care centers.
Tuberculosis and pneumonia were once conquered with antibiotics, but we are now threatened again by TB epidemics and increased pneumonia deaths.
The excitement over antibiotics has also led to reduced hygiene in hospitals. Hospital sanitation peaked decades ago, when its importance was first widely recognized. Now 10% of the patients in hospitals acquire infections, a large portion of which are resistant to antibiotics due to their expansive use in hospitals. Three percent of these patients die from their infections.
Antibiotics have many possible side effects, including diarrhea, malabsorption, cramping, yeast infections, agitation, rashes and blood disorders. By wiping out much of the normal flora throughout the body, antibiotics leave patients, especially children, far more vulnerable to other infections, such as thrush (oral yeast), and dangerous intestinal microbes that cause diarrheal illness. Infectious diarrhea follows antibiotic use at rates ranging from 5 to 39 percent, depending on the drug.
The most common intestinal infection caused by antibiotics is colitis from clostridium infection, which has a 3.5 percent mortality rate.
Significantly, antibiotics are generally inappropriate for treating ear infections. They have no effect on viruses and are certainly inappropriate for colds and flus, where they can lead to secondary infection. Yet the majority of children visiting physicians with these complaints will receive antibiotic prescriptions. This is unfortunate. Most of the time, children are better off left to fight illness with their own immune systems, while their parents and physician provide careful monitoring.
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Patient Stories & reviews
Dr. C and staff, without a doubt, offer the best chiropractic and health services in Atlanta. I have been going to Balance Atlanta for over 4 years, each visit has been phenomenal. Dr. C has worked wonders relieving my lower back pain and I am back to the adventures and activities I love… Thanks Dr. C!!
I came to Dr. Caroline early in my 2nd trimester with severe sciatica and lower back pain. I thought it was something that I’d have to deal with for the rest of my pregnancy, but she assured me that I wouldn’t–and she was right! She took the time to explain the causes of my pain and has helped me to eliminate it altogether through her adjustments. Maria S.
From near suicide to hope. At Balance Atlanta. A transformation in progress. With permission, I am sharing a piece of Marcelle’s story. As he said, “Hey, if it helps someone else get out of the hell I’ve been in most of my life, let others see it.” Thank you Marcelle for shining the light. For more information on healing challenging cases naturally, please visit www.balanceatlanta.com. Or, to schedule a complimentary phone consult, please text Balance Atlanta at 404 261 4848.
As a follower of Christ I believe the Lord guided my family to Dr Caroline and Balance Atlanta. I was not looking for a Chiropractor but a homeopathic/naturopathic ENT for our 3 year old son who has ongoing difficult breathing due to enlarged adenoids (allergy). We wanted to stay away from the steroid and surgery prescriptions/recommendations of conventional medicine. From day 1 there was a personal touch from Dr Caroline that pleasantly surprised and drew me. I texted her office for details on whether BA treated toddlers and she actually personally returned my call within an hour or 2. Our first visit to her office was exceptional as she spent just about an hour getting to know us and our concerns for our son. Also all of what she was saying about nutrition reinforced what I have been learning on my journey of researching naturopathic and functional medicine. Basic things like eliminating sugar and dairy from my son’s diet all resonated with me as I had read up on the negative effects of these. It was so refreshing to finally meet in person a Doctor who was on the same path with me. I felt like she was a perfect fit. Dr. Caroline examined our son and explained how chiropractic has to do with the whole nervous system and that by making needed adjustments to his spine it would help his nasal system immune system and so much more. We’ve been visiting Dr Caroline for about a month now and so far I am very happy. Our son loves her and going for his regular adjustments. We love her. We are hoping and praying that with God’s help and direction that these adjustments Dr Caroline is making will help benefit our son’s overall health. Next step…Mommy and Daddy getting adjustments. – Lynne S. Like
Wow! I feel amazing!!!! And it’s just the first visit. Thank you so much for allowing me the privilege of being your patient. Dr. Caroline you are worth every penny plus much more. What an amazing experience and what a phenomenal Dr. but more importantly a phenomenal woman!! And behind you a great support in Holly your assistant. She is the sweetest and most professional! Can’t wait for my next and many more future visits. Looking forward to bringing the entire family!! May God bless you and Holly, your practice and everything that you touch! Most Sincerely Deidre
I recall how we, my son and I, met you. I had been in a serious auto head-on crash where the engine was pushed onto my feet. I had suffered for many years until Balance Atlanta. Doc, you gave me new life to be able to walk by gently manipulating my hips to align my spine and regain inches lost on my lower extremities. My son, was also in the same crash. With your expertise and kindness my son’s injuries, where other medical professionals had given up on either of us living without pain except to try to give us a life solution of pain meds, you gave us life! Thank you.
Dr. Caroline has been working with my infant daughter in effort to correct her torticollis. We began seeing Dr. C when my daughter was only two months old, so we intervened early. We saw significant improvement after only a few weeks and continue to see marked improvement a month later! Her toriticollis is not even recognizable anymore, but we continue to visit Dr. C so that she can work on balance and alignment as my daughter grows. I highly recommend Dr. C for your baby’s spinal health—she is extremely knowledgeable and experienced! It doesn’t hurt that she’s incredibly gracious and kind, as is Holly at the front desk!
We found Dr. C from our old Chiropractor when we moved here last year and she’s been fantastic. She is very knowledgable and provides a great adjustment. She sees myself and my two young children and they love seeing her too. On top of being a great doc she has a great personality and is a beautiful soul!
Dr.Caroline was an acquaintance when my doula called her to the hospital to help with my labor when having my daughter. It blew me away that she was so giving to show up on such short notice to be there for me. That was 9 yrs ago, fast forward to today and I desperately brought my daughter to her for brain core therapy. She treated us like family and took great care in explaining the process. Knowing that she is in good hands means everything to me and because of that I am thankful I don’t have to go anywhere else. The office is clean and professional and in a great location with plenty of parking. I also appreciate that she regularly volunteers.
I’ve been seeing Dr. C for a few months now. She is truly a one of a kind Doctor and person! I’m getting adjustment s and doing brain core therapy 3x a week and already seeing great results from the br ain core. She has an uplifting attitude and its always a pleasant environmen t inside the office. She’s a terrific chiropract or, but she also offers so much more than just helping relieve back pain. She’s been an amazing mentor and friend to me. I wish I could give more than just 5 stars.
From being really pregnant and almost unable to walk due to tweaking my back to post baby rebalancing, I highly recommend Dr. C!! She takes the time to share what she’s doing, and making sure you’re comfortable and in the know. I don’t feel rushed as I have with other chiropractors, and it’s an entirely different level of care. She has even helped my newborn (now 5 month old) with his tummy. I couldn’t recommend Dr. C more and Holly too!! She is her right hand woman and is always upbeat, organized and does her best to fit you in!
Dr. C is such an amazing person and chiropractor! She is helping change the dynamics of my body one adjustment at a time. Years of sports related injuries, a stressful career traveling all over the world, and most recently cancer, has created a lot of dis-ease (as she likes to say) to my body. Now, having Dr. C as part of my care team, we’re working together to balance my body as a whole. Just as it took a lot of hard work and commitment to beat cancer, it’s taking a lot of hard work and commitment to work the individualized program Dr. C has created for me. After one month, I’ve seen so much progress and a difference in how my body feels and moves! I’m looking forward to month two and beyond! Dr. C., THANK YOU for being a value added part of my healthcare team!
Dr.C is the absolute best! I have known her for forever and there is no one like her. She treats you like more than a patient. She treats you like family. She cares about your health and well-being and truly will do whatever it takes to get you better. I would recommend her to anyone!
Since Alexandra was 18 years old, she’d been diagnosed as having treatment-resistant depression. She’d tried 27 different medications, each with unwelcome side effects and many with little to no help. She’d been to at least three psychiatrists or therapists who made some progress, but it wasn’t sustainable. We tried ECT and TMS, but neither of those worked, either. When she came to you, she had trouble sleeping, had anger issues, couldn’t keep a job, and was often anxious and unable to control her emotions. She was drowning and unable to keep her head above water. It’s been 7 months of working with you, and she’s a different person. She is calmer, is less angry, laughs more, is able to manage daily disruptions and difficulties better, and is more like her own self. She just started a new job with more responsibility, and it seems to be going well. We give you all the credit for this healing, because of what you provided for her: A trusting, supportive, healing, and nurturing environment. The neurofeedback has been a major help in healing her, but your kind chiropractic work also helped immensely. Before she came to you, she wouldn’t let any physical therapist touch her body, because she’d had painful encounters before. After three back surgeries and spinal fusions, she was in constant pain, but she wouldn’t trust a therapist. Now, she’s in less pain, and completely trusts you to adjust her….that trust is huge! Sandy and I thank you for giving us back our daughter.”
Coming to Balance Atlanta for BrainCore Therapy has made a world of difference for my family. My son spent the majority of the last two years in and out of doctor’s offices without much success. We would treat one issue but never seemingly got to the root cause. Chiropractic care appeared to be the next thing to try. We contacted Dr. Caroline, discussed our issues and she accepted our case. She has been more than wonderful since we’ve been under her care. My son has been able to go back to school this year, and so far, has not had ANY issues – this is a drastic difference from last year. We are only at the beginning of our program and still have along way to go in order to ger him back to optimal health, but I will take the progress that we have made any day. Thank you Balance Atlanta and Dr. Caroline… from the bottom of our hearts.
When I first came here, I even get off the table that I’m on right now. If you’ve met Dr. C, she’s kinda petite and she had to actually help me get off the table. I couldn’t get off the table myself. Now, because of her and her insight, I can get up off the table myself. I can do a lot more things that I couldn’t do before. She’s fixed a serious problem that I had with my back that I had for years that I didn’t even know I had. I’ve known her for over 7 years. I did the make-up for her wedding, which I was very proud to do and be a part of the experience for her. Now she’s a part of an experience of my life of self-healing, which I greatly appreciate. It’s made me feel better. She’s a small business, so I know times are hard, but you still need to come out and support your small businesses out there. This is a great way with all the stress that’s going on right now to come out and have a relaxing time with her and get that stress out of your body. She knows how to balance your body right now for self-healing. So, if you’ve got the time, just come see her. Come see her at Balance Atlanta right away!
Dr C has been taking care of me and my 2 sons since May 2019, right now we have been going for 2 months 3X a week driving 30+ minutes to Buckhead because it has made a significant change in the way I walk, sleep, and sit. At first I came in to treat my neck and hip pain but turns out my whole spine needed some attention! My younger son was constantly getting ear infections also and my older son was having congestion. Ever since starting out adjustments we have been overall happier and balanced! Love you “Dr Crayola” and thank you Alex for always greeting us with a smile.
Over the last 15 years or more, I have experienced insomnia, acid reflux, mood swings and weight gain. I have tried to address these symptoms with the help of traditional medical practioners including general physicians, a sleep clinic, gastroenterologist, several medications, honestly, I’ve lost count. A couple of years ago, a friend of mine shared her experiences with Alcat testing. The nutritional recommendations she was given changed her life and she lost 40 pounds as a result. I felt ready to undergo testing and follow the recommended diet so I researched local medical practioners, including nutritionists, chiropractors, obgyns etc. I spoke with a couple but when I left a message for Dr. Caroline Fluegge, she returned the call herself. She asked various questions to discern my reason for requesting the Alcat. She was interested in the other issues I was dealing with besides weight gain. I immediately felt that she meant to dig below the surface. She asked me to complete several questionnaires that addressed general health far beyond weight. I did not expect her to address all the issues because no one ever had done so. I met with her and found her approach to be so holistic, touching on the physical, emotional, and perceptual issues affecting my health and wellbeing. It’s an approach I’ve never seen anyone take with my medical history. I honestly did not expect her to have answers for this broad assessment but sure enough, she had a plan. I am receiving brain function therapy for my insomnia. I am adjusted through chiropractic medicine each week. After blood tests showed imbalances, I was given a detox/supplement regimen to stabilize levels of numerous indicators which could lead to life altering health conditions. Many MDs would not have been concerned with these levels until they reached detrimental levels but I did not want that to happen. I wanted to prevent those situations without prescription drugs. My sleeping has improved, my weight loss has accelerated and my hope for a more fulfilling second half of life has returned. I’m not there yet but Dr. C has promised to stay the course until I become the best version of me possible. I refer everyone I meet who is dealing with health issues to her. She has opened my eyes to the benefits of functional medicine. I think people are searching for health experts who will look at the big picture of their lives rather than one piece of their life apiece which results in the patient having lots of tiny pieces of information which they may not know how to make sense of alone. Dr. C took that burden off of me and made sense of it for me.
Dr. Caroline will be the only Chiro I go to for the rest of my life. She’s personable, actually cares and does tremendous work. Worth every second going to see her!
I have suffered from back pain and acute scoliosis my whole life, and it finally got to the point where I could no longer ignore the pain. Honestly, I had been skeptical about chiropractic work, but decided to give it a try. I did my research, decided to visit Doctor Caroline, and never looked back! This is SO much more than just a “quick fix” – I loved the fact that Dr. Caroline took x-rays to find the root cause of the pain before she did any adjusting and really explained to me where things needed help. Her holistic perspective is something that I really appreciate, as well. With regular adjustments, my back pain is almost completely gone, and I feel so much more aligned. I am so thankful I decided to visit Balance Atlanta when I did, Dr. Caroline’s dedication of getting to know each patient on such a personal level is something that I am so glad to have in my life!
I am new to Chiropractic care because I’ve never met a chiropractor like Dr. Caroline! She was very thorough in her explanation of what I was experiencing with my hips. She asked me what my goals were and made sure that I felt heard. Dr. C is focused on solving my problems which is a new experience for me, and is succeeding in helping me achieve my athletic goals. I look forward to my abilities as I continue under her care.
We just wanted to say thank you for your assistance and support with Janna’s health over the last 4 months. She just told us a week or so ago, that she is happier personally and physically and feels better than she has in years. We celebrated her 22nd birthday yesterday and she is doing great. Janna first came to see you four in February of 2013 for assistance in managing tension along with joint pain that we and she believed were associated with Rheumatoid Arthritis and fibromyalgia. This was because she had been diagnosed by other Doctors with Rheumatoid Arthritis as well as Fibromyalgia. Her treatments basically were through prescription medication for RA, fibro, sleep assistance, anxiety and depression. She was taking 8 prescription medications, with 4 of those having warnings of very dangerous and serious side effects. This has always been concerning for us with Janna being only 21 years old and having to take so much medication. You took time unlike all of her other doctors to spend time and effort in understanding and diagnosing what Janna’s problems really were vs the traditional doctors plan of prescribing medicines. Through your sessions with her, you assisted her in how she looked at things and how she should manage her health. Everything from what she put in her body, to exercise and her outlook on life. This change assisted her in reaching the conclusion that she did not want to be on all these medications as it was impossible to tell if one was helping or not. We are so happy to now have her off of all these prescribed medications and that she is healthier and happier than she had been in years. She no longer is suffering from symptoms of RA or fibro and is living the life that a 21 year old should be living. Thank you for your help in assisting her through your chiropractic care, brain core assessment, and wellness management. Thank you for taking time, unlike most any other doctor to dig into finding out what is really the issue vs a medical plan that is through prescription medication.
Balance Atlanta is great! Happy with my progress, easy to schedule, and always enjoy coming in.
Well good morning Dr. C! It’s Tom. I just wanted to speak on behalf of our family. We’ve been coming to you for almost 10 years. When I say almost, our dogs, our kids, and of course my wife, Julie. Our son Anthony, who is 16, our daughter Annalise is 12, she started coming here when she was 3, and of course our 4-year-old dog Connor. He’s been coming for a couple of years and you have helped him with his hips. You have also helped with my father in law’s dog who is 13, Ella. She just came last week. Thank you for everything you have done! God bless you!
I have been going to Dr. C for around 8 months now. I started when I was in my last trimester of pregnancy when my back was in its peak stiffness and ached all the time. I also had really bad sciatic nerve pain. I started going to Dr. C pretty frequently in the beginning, and I would limp in and skip out whistling! One day I had a very severe migraine with aura and couldn’t see anything. My husband drove me to see Dr. C and helped me into the building. After a couple of quick neck adjustments my vision was back to normal and the headache was almost gone! I even went to work 20 minutes after the adjustment! So now that my baby is 5 months old and my back doesn’t have another human to tug on it, I find myself still wanting to go see Dr. C all the time. I carry my stress in my shoulders, neck and of course my back, too. Every time I leave her office I feel like I’m prepared to take on whatever the world throws at me. My mind can focus better on what’s important versus the pains in my neck, shoulders, and back. I’ll never underestimate my tiredness and soreness because sometimes it’s just telling me that I need to go see Dr. C!
Dr. Caroline is an amazingly gifted chiropractor. She does not limit herself when it comes to your healing. She wants to get to know the real you and help you achieve all that you desire for your health and well-being. She has an affinity for kids of all ages especially teens and young adults. If you and/or your child are looking for a place to be welcomed with open arms, a place to feel safe, a place where true healing of the body, mind and spirit takes place, then call Dr. Caroline today.
Dr Caroline and Staff are amazing! My kids and I moved from chicago last year and it took us a minute to find the right chiropractor out here. When we met Dr Caroline we felt her warmth and dedication to treating us (not just adjusting us) and felt right at home! Highly recommend for MORE than just an amazing adjustment experience!
I’ve been seeing Dr. C for weekly maintenance since 2004. When I was in a car accident a few years ago I had to see an orthopedic spine specialist for insurance purposes. After he reviewed my xray he was literally amazed at how healthy my spine was. He said people in their 50s usually have a lot of degeneration, but I don’t. The specialist recommended physically therapy, which I coupled with increased adjustments from Dr. C. Within three months my neck pain was gone. Thanks Dr. C!
I originally came to Balance Atlanta in 2002 because I had been told that my hip was out of alignment. Dr. C acknowledged that, but also found that my back and shoulders needed adjustment even more because of the amount of time I spent hunched over my desk. I have been seeing Dr. C for 13 years now and find the adjustments just as valuable now as I did then. Each week I sit at my desk and try to keep good posture, but by the end of a seven hour day period, my neck and shoulders hurt. After an adjustment the aches and pains in my neck and shoulder go away. I wish I had met Dr. C while I was pregnant. I had sciatica with both pregnancies, and I think her adjustments would have relieved some of that pressure. I bring my children in as often as possible. The backpack my daughter carries in middle school is half her weight! Dr. C has seen my children grow from toddlers to teenagers. She’s more like Aunt Caroline than a doctor. If you are looking for a family chiropractor, Dr. C will treat your family like her own
I was very pleased with the care I received at Balance Atlanta. Dr. Caroline is very friendly and she makes it a point to get to know her patients as actual people, not merely manilla case folders and insurance files. I could tell the atmosphere in her office caters to families – very warm and inviting. I used to have excruciating migraines years ago and chiropractic helped tremendously. Now that I live in Buckhead, I wanted to go to a chiropractor who offers wellness plans and where I have the flexibility to call up spur of the moment to make an appointment. The adjustments are gentle and specific, I feel great, and I appreciate how committed Dr. Caroline is to chiropractic and her patients’ health. Great choice!
I was very pleased with the care I received at Balance Atlanta. Dr. Caroline is very friendly and she makes it a point to get to know her patients as actual people, not merely manilla case folders and insurance files. I could tell the atmosphere in her office caters to families – very warm and inviting. I used to have excruciating migraines years ago and chiropractic helped tremendously. Now that I live in Buckhead, I wanted to go to a chiropractor who offers wellness plans and where I have the flexibility to call up spur of the moment to make an appointment. The adjustments are gentle and specific, I feel great, and I appreciate how committed Dr. Caroline is to chiropractic and her patients’ health. Great choice!
I initially made the appointment for functional medicine because I was having some gut health issues. Dr. Caroline was able to educate me and really dig into what was going on with my body. She was able to help me with the stomach pains, bloating, fatigue and a number of other issues. I also decided to get chiropractic services and this was life changing! I literally have had headaches for years stemming from sitting at the computer for so long. I would wake up with a headache about 5 days a week. By the 3rd week of going to Dr. C I started to notice the headaches were a bit less intense and frequent. Now after being put on a plan and sticking to it, I honestly can say I rarely wake up with a headache. This makes me want to get up and conquer the world!!
Balance Atlanta Chiropractic is fantastic, When I came in to the office I was welcomed with open arms and really felt like I belonged in that office. Dr. Caroline really took the time to explain and go over everything that what was going on with me, and for being a chiropractic kid my entire life she did a great job of going into detail with things and made sure I understood the type of care I was going to be under. She really changed my life and helped me a ton. I would recommend anyone to go to her, because she is that fabulous and will turn your power on!
I have seen many chiropractors through the last decade and in more than one country. I’ve been working with Dr. Caroline for a couple months and am very pleased with her work and with her as a caring person. I value that she will not do piecemeal work with her patients but rather insists on a realistic treatment plan. I have experienced real and continued relief with her treatments. She knows the field very well and is a gifted practitioner who is continually improving her practice. If you value yourself, it is worth sticking to the plan with Dr. Caroline and following her guidance and advice.
I am a patient at Balance Atlanta. I‘ve been a patient here for about a year. I’ve been having neurofeedback and I finally sleep better. I also had debilitating headaches and they’re gone too! I found out about BrainCore Therapy through coming here to Dr. Caroline’s office at Balance Atlanta for Chiropractic. I was also in the Brain Injury Support group and Dr. Caroline came and talked about BrainCore Therapy and talked a little bit about the musculoskeletal system and everything. I was very intrigued. So my mom and I then perused a patient relationship with Dr. Caroline. I was in a really bad car accident. My friend, Chris was killed instantly and I suffered a severe brain injury. I was in a coma for several months and in several different rehab programs for the better part of a year. I was having debilitating headaches. I had neck problem because I broke my neck. I was in a lot of pain. I held my neck pretty crooked. My skeleton was all messed up. Dr. Caroline’s work has been able to give me some motion in my neck and also my spine seems straighter. Basically, I would get like two or three hours of sleep a night, and I couldn’t sleep. Now I get 8-10 hours of sleep! With a brain injury you need more sleep than a regular person. Since BrainCore Therapy I am able to get sleep, my headaches are gone, and everything is just going wonderfully! I got a job! I am very excited about all of this! I would absolutely recommend BrainCore Therapy to other people! Other people with disabilities or any kind of brain trauma or whatever BrainCore seems to really really help! It seems to be the answer to all my problems! Well, maybe not all my problems, but close!
Stacey is part of the Balance Atlanta family. As an actress, she has appeared in numerous Hollywood films, including Mother’s Day most recently. Stacey is a wife, a mother of two and a casting agent for a modeling company specializing in infants and children. Mind-body fitness is essential for her career and busy lifestyle.
I could not be in better hands, Dr. Caroline you are not only highly trained and prepared as a chiropractor but the way you give to your patients goes beyond anything I’ve ever seen. Thank you for all your love!
Here’s a picture of my husband and little girl. A couple of years ago I was backed into the C-Section by my OB/GYN because my daughter was presenting as breech just weeks before my due date. Unwilling to accept it as the only viable option, I conducted some independent research. I found all kinds of ideas from sitting up-side-down to manual turning; not for me. Finally, I discovered Balance Atlanta whose website described using the Webster Technique to encourage the baby to turn on her own. Apprehensively, I made an appointment. Dr. C was very kind and laid out a treatment plan that included 2-3 visits a week for 3 weeks. I was stunned- mostly because I resided 45 minutes away. After I finished sharing all of my excuses for why the plan would not work, Dr. C explained to me that treatment was a commitment on the part of both parties for the benefit of the client. She flat out told me that if I was unable to commit to the treatment plan that she was unable to guarantee it’s success and, in turn her preference was not to even start. I thought about it and decided to go with the good doctor. BEST decision I’ve ever made for my health and the health of my family! After the second visit, my daughter turned as I lay in bed. I continued to see her and experienced other benefits like no swollen feet or ankles, no back pain, increased energy and faster postpartum recovery. I also began bringing the rest of my family in for adjustments. The adjustments resulted in overall decrease in pain and inflammation in joints, increased metabolism, more productive decision making and the gaining a true friend and supporter in wellness. Dr. C is much more than just someone we visit when in pain. She is like family. She is always warm and connected when we see each other. I love her and Balance Atlanta for what they have done for my family. If you are looking for more than a quick fix, if you want a Chiropractor who is committed to your physical wellbeing, Balance Atlanta is where you want to be.
I have been coming to Balance Atlanta regularly. I would recommend services here. Real friendly. Also, I want to see how to be healthy and how to handle weight the problems sooner, as well as pains. I am happy about the people who work here. They are passionate about their work. They improve their services constantly. I highly recommend coming here!
Hi, my name is Shanolla Franklin. I am here at my chiropractor, Dr. Caroline, and I’ve been coming here for about 35 visits. When I first came here, I had a lot of problems with my back. I couldn’t sit comfortably and I would always feel very nauseous. Today, speaking with Dr. Caroline, I noticed that for the last 3 months, I was able to sit properly, I don’t feel nauseous at all and I’m super excited. So, if you guys are looking for a great chiropractor, come to Balance Atlanta. She is AWESOME!
First visit with Dr. Caroline, and I already feel like I have a brand new back. Thoughtful and experienced care combined to deliver life changing results in just a few minutes. It was noticeable before I even left the office that several years of athletics and weight lifting damage had been treated, as a fair amount of persistent and lingering pain had been lifted. I would absolutely recommend Dr. Caroline and Balance Atlanta to anyone, whether for maintenance, or general treatment. Quite simply, the best!
Doctor Caroline is someone who genuinely cares about her patients and is truly passionate about what she is doing. She sees the bigger picture, and genuinely wants to help people as much as she possibly can whether it be in the form of a mentor, doctor, or even advice-giving friend. To ensure timely improvement, she holds not only the patient (whether it be an at home exercise or stretch) but also herself accountable to make sure the patient is feeling better. She is one of those people who really sees how everything fits together, can easily pinpoint what needs to affect what or what changes should be employed to make the whole system running better, whether it be a change in diet, posture, habits, or attitude. The day is yet to come before I meet somebody who knows this much about a healthy body and lifestyle. I have been seeing her for several months now for corrective care and will continue to do so, because with each appointment I feel better.
I’ve really enjoyed working with Dr. Caroline. I had frequent back pain that would last 1-2 weeks at a time and could not find a long-term solution. I went to Dr. Caroline, and she started with a comprehensive physical assessment. I had weekly adjustments, and she consistently provided additional information on stretches, exercises, and other holistic health pointers, all of which were extremely valuable. I have now been pain-free for almost a year.
I’ve been bringing my 4 year old daughter to Balance Atlanta for several months now. What I love about Dr. C is her personalized attention to each client. She took so much time with me to discuss a holistic approach for my daughter beyond just chiropractic care, including nutrition. Dr. C is so dedicated and committed to the health and wellness of her patients, and it shows during each visit. Holly is also amazing and so friendly, as well. It’s a wonderful clinic and so great for the whole family. I highly recommend it!
I’m so happy to have met Dr. Caroline! She’s one of the most trustworthy chiropractors I’ve ever met and I’ve met a lot of them. Not only is she exceptionally knowledgeable, she also has a heart of gold. She’s not afraid to tell if like it is, especially when it comes to her patients’ health. I’ve recommended others to see her and I endorse her wholeheartedly for anyone looking for the highest level of chiropractic care. Thank you, Dr. Caroline!
I’m so happy to have met Dr. Caroline! She’s one of the most trustworthy chiropractors I’ve ever met and I’ve met a lot of them. Not only is she exceptionally knowledgeable, she also has a heart of gold. She’s not afraid to tell if like it is, especially when it comes to her patients’ health. I’ve recommended others to see her and I endorse her wholeheartedly for anyone looking for the highest level of chiropractic care. Thank you, Dr. Caroline!
Dr. Caroline is awesome! She has positively changed the way I feel and move, I wish I had gone to her much sooner.
I want to tell you this amazing story about Dr. Caroline. She is wonderful! I came in about a couple months ago. I had my pelvic totally misaligned. But over time, slowly, I am back aligned again! I am so grateful and so very happy! She’s the most amazing person and the most amazing Doctor EVER! I love the sweet surprises. You never know if you’re going to walk out with a pocket full of candies or just a big hug. Overall, the mental and physical treatment here is amazing. You are going to love it! I received her wonderful card with all the wonderful words. You know, she is the one who deserves the admiration. I think she set a new high standard for doctors. Dr. C took such good care of me in Atlanta. I am continuing with treatments here in Michigan under Dr. ED. I can’t even tell you the gains that has been made. I will have to WALK into Dr. C’s office for her to see. Did you get the WALKING part? Yes at times l can walk without a cane!!!
I have only been seeing Dr. Caroline von Fluegge-Chen for a month and she is not only dedicated to helping my fix my back issues but opened my mind up to so much. It is obvious she is extremely dedicated to create true balance in a persons life and lives up to their brand name. People go their entire life without finding a doctor that truly cares about your entire wellbeing. I am one of the luck few that found one. If I could give Balance more than 5-stars I would! You won’t retreat going.
