Store My Library
About Contact

Master the Pediatric Case: Move Beyond the Adjustment to Solve Complex Developmental Challenges

Little Spines is a complete system to evaluate, understand and care for the pediatric patients with the correct adjustment and beyond.

Join the Early Access List

You’re doing everything you’ve been taught… but something isn’t adding up.

You’re adjusting.
You’re doing your best.

But…

  • the baby isn’t progressing like you expected
  • the same issues keep coming back
  • milestones are delayed 
  • behavior or regulation isn’t improving
  • you feel like there’s something you’re missing

And no one ever really taught you what to look for next.

From the Adjustment to the Whole Child: The Story of Little Spines

Hi, I'm Dr. Nancy Elwartowski, founder of LITTLE spines

The Foundation

I grew up in a chiropractic family where the power of the adjustment wasn't just a theory—it was our way of life. For decades, I’ve operated one of the busiest pediatric practices in Indiana, witnessing thousands of miracles through the hands-on care of the spine.

The Turning Point

Even with years of clinical experience, my perspective shifted profoundly when I became a mother. I found myself in the same position many of you are in today: adjusting a child who wasn't progressing as expected. My daughter was struggling, and despite my best adjustments, the "gaps" in her development remained. That’s when I realized that for the modern child, the adjustment is often the catalyst, but the neurology, biochemistry, and environment are the fuel.

Why I Created Little Spines

I spent the next several years obsessively studying neurodevelopment, functional medicine, and primitive reflex integration to find the "missing pieces" for my daughter and my patients.

Little Spines is the result of that journey. It is a mentor-led roadmap designed for the chiropractor who:

  • Wants to move beyond "wait and see" for developmental delays.

  • Seeks a systematized way to evaluate the "Tough Cases" (colic, sensory processing, neuro-deficits).

  • Desires to lead their community as the definitive expert in pediatric wellness.

My Mission

My goal isn't just to teach you another technique. It’s to provide you with a 4-Pillar Framework—Pediatric Chiropractic, Neurodevelopment, Functional Medicine, and Lifestyle—so you can stop feeling stuck and start seeing the results your patients deserve.

The LITTLE spines 4-Pillar Framework

Because real pediatric care requires more than one approach.

Pillar 1: The Technique

Optimizing the nervous system and foundational function.

Learn more

Pillar 2: The Neurology

Understanding movement, milestones, and reflexes

Learn more

Pillar 3: The Biochemistry

Addressing gut health, inflammation, genetics and immune function

Learn more

Pillar 4: The Communication

How to talk to parents about nutrition, environment, and lifestyle.

Learn More

This isn’t just another course.

LITTLE spines is your starting point—and your roadmap.

You don’t need to know everything.

👉 You need to know what to look for—and where to go next.
 

Inside LITTLE spines, you’ll learn:

-how to evaluate pediatric patients with confidence

 -how to identify what’s actually driving the issue

 -how to build clear care plans

 -when to treat, support, or collaborate with other professionals

And you’ll be introduced to a curated faculty of experts who can help you go deeper in specific areas.

Form & Technique

You'll burn calories and learn fun dance techniques.

Diverse Classes

We’ll mix it up: different tools, different moves, a different pace each class.

Personalization

Every class can be personalized to fit your fitness needs and restrictions. 

Founder’s Special

$1297

Our most popular plan

  • Dance Drills
  • Cardio Beats
  • Yoga Pop
  • Unlimited access to every class on Kim Fit!
Start My Free Trial

Membership means unlimited access

 

See more than one class you’d like to try? Sign up for a membership, and enjoy unlimited classes. Any class, any time, you’ll get access to them all!  

Janet Johnson

"I feel so much stronger after taking Kim's class."

Aimee Right

"Kim's classes are so much fun, I can't wait for the next one!"

Jamie Sonet

"Kim's classes helped me build confidence."

John Block

"I've always dreaded the gym, but I look forward to every one of Kim's classes."

Bridget Blue

"I was worried I wouldn't get a great workout, but I can feel the burn!"

Angie Birman

"I never thought getting fit could be so fun! Kim is great at what she does."

After Little Spines, you’ll be able to:

  •  confidently examine infants, toddlers, and children
  •  identify what’s missing in difficult cases
  •  understand how development impacts health
  •  support families with clear recommendations
  •  integrate a whole-child approach into your practice

Stop feeling stuck in pediatric cases

 

Join the waitlist

Start Here

If you’ve ever felt like something was missing…

If you’ve ever questioned what to do next…

If you want to confidently care for kids at a deeper level…

Little Spines is where you begin.