A complete system for whole-child pediatric care
Little Spines is a complete system to evaluate, understand and care for the pediatric patients with the correct adjustment and beyond.
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 delayedÂ
- 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.
Why Little Spines was created
Hi, I'm Dr. Nancy Elwartowski, founder of LITTLE spines
I’ve spent decades caring for children in one of the busiest pediatric practices in Indiana.
I grew up in a chiropractic family.
We didn’t rely on medications or interventions.
We relied on the body’s ability to heal and chiropractic care was a big part of that.
Because of that, I’ve always believed deeply in the power of the adjustment.
And I still do.
But everything changed when I became a mother.
I struggled with my daughter from the very beginning.
I was adjusting her, doing everything I knew…
and she still wasn’t progressing the way I expected.
And I remember thinking:
There has to be more I’m missing.
That experience changed everything.
It pushed me to look deeper—to understand development, movement, biochemistry, and environment in a completely different way.
Because kids today are different.
And sometimes…
the adjustment is just one piece of the puzzle.Â
The LITTLEÂ spines 4-Pillar Framework
Because real pediatric care requires more than one approach.
Pediatric Chiropractic
Optimizing the nervous system and foundational function.
NeurodevelopmentÂ
Understanding movement, milestones, and reflexes
Pediatric Functional Medicine
Addressing gut health, inflammation, genetics and immune function
Wellness & Lifestyle
Supporting healthy development through 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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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.
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:
- Â confidently examine infants, toddlers, and children
-  identify what’s missing in difficult cases
- Â understand how development impacts health
- Â support families with clear recommendations
- Â integrate a whole-child approach into your practice
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Stop feeling stuck in pediatric cases
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Join the waitlistStart here.Â
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.
