Resolution of Pediatric Encopresis Following Chiropractic Care to Reduce Vertebral Subluxation: A Case Study & Review of the Literature.

This article focuses on the resolution of pediatric encopresis, defined by the DSM-5 as repeated involuntary or intentional fecal soiling in children aged four years or older, through chiropractic care aimed at reducing vertebral subluxation. It presents a case study of an 8-year-old female with fecal incontinence and pelvic unleveling who experienced complete symptom resolution after approximately six weeks of subluxation-based chiropractic adjustments using the Thompson terminal point technique. The article reviews related literature indicating limited but promising evidence that chiropractic interventions may improve bowel function in children with encopresis, potentially by modulating autonomic nervous system activity through correction of musculoskeletal dysfunction. While acknowledging limitations such as concurrent use of stool softeners and the possibility of spontaneous remission, the study suggests chiropractic care as a potential co-management option for pediatric fecal incontinence, highlighting the need for further research in this area.