How to conservatively treat pediatric myelomeningocele?

  Pediatric myotonic squint itself has a tendency to heal on its own, but aggressive treatment will facilitate this process and even cure some cases that do not heal on their own. As a rule, conservative treatment can be attempted in children with congenital myotonic neck until the age of 1-2 years.  1. Retraction therapy: It is more popular in the West. Step 1: Lateral flexion of the head to the opposite side so that the healthy earlobe approaches the shoulder; Step 2: Slow rotation of the jaw so that the jaw gradually approaches the shoulder on the affected side. The purpose of this method is to gradually pull the sternocleidomastoid muscle on the affected side, causing it to gradually lengthen and loosen. It is emphasized that the technique should be gentle and the child should be induced to cooperate with the treatment, avoiding violence. Each pulling 15-20 times, 4-6 times a day.  2. Induction therapy: The principle is the same as stretching therapy, except that the treatment is integrated into life. For example, the position of breastfeeding, more corrected position, if it is right myotonic squint, then the mother tries to breastfeed with the left breast and hold the child with the left arm to feed water. Another example: when the child is able to recognize sounds and colors, try to induce the child’s neck to turn with the familiar sounds and favorite colors to achieve the purpose of stretching treatment.  3.Orthopedic pillow: It is a special pillow with different sides of the sloping neck, with corresponding orthopedic pillows, which can be used when the child rests and sleeps.  4.Massage therapy: This is a unique treatment method of the motherland medicine for pediatric congenital myotonic squint, which is very popular and effective among parents. However, it needs to be done by professional therapists, and its technique is demanding, so parents should not massage their children by themselves. For one, parents do not have a good knowledge of anatomy, will press the wrong location, causing other injuries, and second, massage emphasizes the flicking technique, not just press, inappropriate pressure may cause muscle damage. Therefore, it is recommended that parents should take their children to a specialized hospital to find a professional therapist to do, usually a course of treatment a month, depending on the child’s condition, the time required for treatment varies.  However, not all children can be cured by conservative treatment. So far, it is not possible to accurately judge and predict in advance which children can be cured by conservative treatment and which children cannot be cured by conservative treatment, and which children can be cured by themselves and which children eventually need surgery, which requires parents’ understanding. This is because a child may go through a period of treatment, spend a lot of money, be unsatisfied with the results, and eventually need surgery.