Can a child with a misaligned cricoid joint be treated with Long’s orthopaedic manipulation?

   Patient: Description (onset time, main symptoms, hospital, etc.): A month or so ago, the child’s head can only turn 90 degrees, look to the right when you have to turn over, accompanied by pain The doctor recommended traction, but the child is too young, do a little time to lie down, it is difficult to persist, only more than 20 hours, also did not do, and then did massage, about a week or so, but there is no effect. I’ve been doing massage for a week or so, but I’ve had no effect. Now I just want to consult the doctor to see if there is any better way to cure the child, we are too anxious, please doctor.  Pan Guanghua, Department of Rehabilitation, The First Affiliated Hospital of Guangzhou Medical College: Thank you for your trust! After the atlantoaxial joint misalignment is diagnosed, the small joint has to be reset. In 2010 Guangzhou Asian Games, our department was in charge of the Asian Games Clinic, mainly helping athletes and officials from different countries to do acupuncture and tui-na repositioning. For the misalignment of the upper cervical vertebrae, we have to use the tilt and shake method to reset the spine, and after the reset, we have to use some physical therapy to loosen the muscles. Traction alone is not enough, and it is best to avoid traction until the joint is repositioned. Our good, treatment method is: first three steps to locate and diagnose, with cervical spine X-ray, using Long’s orthopedic manipulation to reset. Usually about three times can relieve the symptoms.