[estherderu]

dear phunfisio and fisiofriend, love your names!

Fisiofriend has a good and interesting point here.
Phunfisio, I didn´t find more literature concerning bonegrowth and Ritalin, only the two mentioned by you before.

Now a bit of old fashioned practiced based evidence from my side....
I have seen many (> 100) kids "diagnosed" with ADHD and using Ritalin or other medication...
In the past (Holland) teachers and parents will tend to diagnose on gut feeling, heresay and observation. It was fasionable to go to your GP and "get a prescription" for your childs´/ this problem.
Nowadays children will be diagnosed properly first by paediatricians or psychiatrists and put on medication if necessary.

Parents organisations are often well informed (sometimes more so than GP´s) and the Dutch Society called Balans has a network of health professionals and specialists giving up-to-date information.
This results in parents sometimes knowing more than their own healthprofessionals.

During these last 30 yrs I have been seeing more and more of these children. Many of them correctly diagnosed and maybe just as many not.
It goes without saying that proper physiotherapeutic assessment and proper treatment was initiated if necessary BUT.....
One of the most rewarding "therapies" was teaching the parents how to massage.....especially the feet. These children (with and without medication) often have difficulties in going to sleep. They love to play rough just before bedtime and watch TV etc. and that might not be that good for them.
I taught the parents to take a little time to talk with their child (go over the day, read a book, the Bible etc) and subsequently either massage their whole body, (back and legs), or their feet(the older child).

I have often heard parents tell me that they were really happy with this advice. They heard a lot more about what was going on in their childs life´and mind, the child would relax and go to sleep more easily. It made them especially happy because they got the feeling they were helping their child. It was Quality Time.

On a personal note: massaging my sons´feet was one of the only ways to hear anything from them at all at a certain age. They would actually ask me to do so.

I have hear parents tell me likewise.....

Now for your patient, I would strongly suggest you try massaging (classic) his back and not affected leg. We know this has a benificiary effect on the circulation. Connective tissue massage of his back only if you know the technique but be constantely very aware of the signals his body gives. They are your guideline and if he where my patient I would only use the superficial technique and for a few minutes only.

Hope this helps and if not I would certainly suggest he consult a good acupuncturist/chinese medice to try to find the reason behind the bad healing process.

kind regards
Esther