When the adjustment isn’t the whole picture… what do you do next?
Little Spines helps chiropractors confidently evaluate and care for children using a complete, whole-child approach.
You’re doing everything you’ve been taught… but something isn’t adding up.
- 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
Hi, I’m Dr. Nancy Elwartowski, founder of Little Spines.
I grew up in a chiropractic family.
The power of the adjustment wasn’t just a theory—it was our way of life.
For decades, I’ve practiced that same philosophy, helping thousands of children through hands-on chiropractic care.
And I still believe in it deeply.
But everything changed when I became a mother.
I struggled with my daughter from the very beginning.
I was doing everything I knew…
adjusting, supporting, showing up the best way I could…
and she still wasn’t progressing the way I expected.
And I remember thinking:
👉 There has to be more I’m missing.
That moment changed everything.
It pushed me to look deeper—
into neurodevelopment, movement, functional medicine, and the real factors affecting children today.
Because kids today are different.
They’re dealing with more: stress, toxins, and developmental challenges
And while the adjustment is essential…
👉 it’s not always the whole picture.
Little Spines was created from that journey.
To give chiropractors the tools, clarity, and confidence to understand the whole child
so you don’t feel stuck wondering what to do next.
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A better way to approach pediatric care
Little Spines gives chiropractors a clear framework to understand the whole child—so you know what to look for, what to do next, and when to go deeper.
Stop guessing. Start knowing what to do next.
The LITTLEÂ spines 4-Pillar Framework
Because real pediatric care requires more than one approach.
Pillar 1:Â Chiropractic Techniques
Optimizing the nervous system and spinal function.
Pillar 2:Â Development and Biomechanics
Understanding movement, milestones, and reflexes
Pillar 3: Pediatric Functional Medicine
Addressing gut health, inflammation, genetics and immune function
Pillar 4: Wellness & Lifestyle
How to talk to parents about nutrition, environment, and lifestyle.
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.
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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
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