
Our Role in Pediatrics
Sometimes parents ask me questions meant for a pediatrician. As a therapist, I just stay in my lane of how the restriction of your child’s craniosacral fascial system can possibly affect her or his health.
There are times when I need a pediatric evaluation. When therapy is not getting a positive response for an infant in a reasonable number of visits, underlying medical issues may require further investigation.
When I notice that an infant’s breathing sounds like stridor, I ask the parents to check back with their pediatrician. Sometimes the family presents with their Internet diagnosis of infant torticollis. It is good to have a pediatric opinion.
I am now working with a constipated baby with an inflamed anus. I am in the middle of working out a difficult pelvic fascial pattern into that orifice. Connecting the dots in feeling for strain, I am holding the thighs while dad is holding that area over his diaper.
If it does not improve soon, a pediatric visit will be needed for a possible medical issue like an anal fissure or a bacterial infection. Question: Does an anal fissure arise because of fascia straining fragile tissue?
We can offer effective therapy for infants with specific conditions. When birth trauma injures soft tissue, therapy generally corrects the resulting problem(s). But the Gillespie Approach cannot do it all. Complete pediatric care is not about us and them … it is both of us. Ideally, Gillespie Approach therapists will work as part of future pediatric teams.
Pediatricians need to understand that fascia is a big deal in their world. They need to step outside their technology, drug, and surgery box. They need to open to the structural healing aspects of infants and children. They need to accept that happy babies and children are the rule, not the exception.

