Objective: The purpose of this case report is to describe the response to chiropractic care of a pediatric patient with complaints of neck pain; headaches; and hand, leg, and foot pain after head trauma and the reports of changes in the patient's history of chronic fatigue, vomiting, and coughing. Clinical Features: A 6-year-old girl was pushed into a playground slide, hitting her head and resulting in acute complaints of her "neck and brain hurting" and hand, foot, and occasional leg pain. In addition, the patient had a several-year history of unexplained fatigue, vomiting, and coughing spells. She had a neck pain disability index of 17.8%; left lateral and rotational head tilt; cervical antalgic lean; loss of cervical range of motion; anterior cervical translation; and spasm, tenderness, trigger points, and edema along the cervical and thoracic spine. Intervention and Outcome: The patient was cared for using Activator Methods protocol. After the fifth treatment, all the patient's symptoms dissipated, with a complete return to normal activity and spinal stability after 9 treatments. At 19 weeks, her spine continued to be asymptomatic; and her neck disability index was 0%. Conclusion: This case demonstrated that the Activator Method of chiropractic care had a beneficial effect for this pediatric patient.

Objective: The purpose of this report is to describe the response of a geriatric patient with low back pain and a history of leukemia, multiple compression fractures, osteoporosis, and degenerative joint disease using Activator chiropractic technique. Case Report: An 83-year-old man who is the primary caretaker for his disabled wife had low back pain after lifting her into a truck. The patient had a history of leukemia, multiple compression fractures, osteoporosis, and degenerative joint disease. His Revised Oswestry Low Back Pain Disability Questionnaire was 26%, with a 10/10 pain rating at its worst on the Numeric Pain Scale. The patient presented with a left head tilt, right high shoulder, and right high ilium with anterior translation and flexion of the torso and spasm and tenderness from the lower thoracic spine to lumbar spine. Intervention and Outcome: The patient was cared for using Activator Methods protocol. After 8 treatments, the patient was stable and remained stable for 4 months without spasm or tenderness in his spine. His Revised Oswestry score dropped to 6%, with a 4/10 Numeric Pain Scale pain rating when at its worst; and the patient reported being able to take care of his wife. Conclusion: The findings of this case suggest that Activator-assisted spinal manipulative therapy had a positive effect on low back pain and function in an elderly patient with a complex clinical history.

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This chapter discusses the idea of do-it-yourself (DIY) heritage, that is, heritage as it is produced through people's actions, conversations, and relationships. The chapter looks at the Do-It-Yourself Heritage Day event and how it worked to create moments of connection — what the Ceramic City Stories team call the ‘Stoke Ping’. It draws on wider DIY traditions ‘to describe an ethos of horizontal community action, of mutual aid and of making alternatives now’. DIY approaches challenge models of exponential growth that often exist in funding, policy, and activism, and instead favour the magic of small moments and connections. Yet, they also show — through a recent innovative Heritage Lottery Fund initiative — how funding can be deployed to enable rather than constrain DIY horizontal, small-scale, and action-led approaches.

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