Chronic otitis media and recurrent otitis media with effusion are two of the most frequent illnesses of early childhood, commonly referred to as Glue Ear. It is second only to the common cold as a reason parents seek the help of a GP on behalf of their child

This paediatric problem is commonly seen by osteopaths and other complimentary therapists, and in recent years there has been a notable increase in the number of children diagnosed by osteopaths with otitis media.


Otitis media is an inflammation of the middle ear, and may occur with or without effusion. Otits media with effusion refers to the presence of fluid within the middle ear. The effusion may be thin and serous, thick, mucoid or purulent. The character of the fluid provides the clinician with clues concerning its cause and duration. It can range from acute to chronic and be present with or without systemic signs such as fever, malaise, appetite changes, ear pain or other signs of illness that generally accompany acute infection.



There are many articles written about the treatment of Glue Ear in children. They refer to the importance of effective lymphatic and venous drainage and the need to assess the neck, breathing and associated soft tissue. In addition there might be the need for dietary changes such as specifying a reduction in diary products, refined flour and sugar. All of which an osteopath can help with.

Treatment of breathing and encouraging rib movement may offer a longer lasting improvement in lymphatic flow. Treatment of temporal bone (on the side of the head) can allow for normal exit of the auditory tube from that bone. Recognising causes of auditory tube problems may be critical to the treatment and prevention of otitis media.

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Glue Ear