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Malvern Pediatric Chiropractic Doctor | Dr. Mariano

Board Certified Diplomate in Chiropractic Pediatrics.

He has the privilege of being one of the first 100 chiropractic Pediatric Diplomate doctors to earn this degree from the International Chiropractic Association (ICA) Council on Chiropractic Pediatrics.

Dr. Mariano was awarded his DICCP

2002 Graduation (New Orleans) cropped

Pediatric Diplomate Graduation 2002

We have been able to help a variety of conditions in our office since 1992. Our goal is not to suppress symptoms but to address the underlying cause of the condition. Some of the issues we have had success with are:

  • Chronic Recurrent Ear Infections
  • Digestive Disorders
  • Chronic Illness
  • Pediatric sports injuries
  • Attention Deficit
  • Behavioral Disorders
  • Anxiety disorders
  • Constipation
  • Colic
  • Chronic health issues non-responsive to traditional treatments

About the DICCP Program

The DICCP program takes about 3 years to complete. It includes 360 academic hours focusing on the child from conception to adolescent as well as the pregnant woman from prenatal to post-partum. The syllabus is broad-based but comprehensive and covers all phases of a child’s development including both normal and abnormal evaluated through chiropractic, orthopedic, neurologic, radiographic and functional testing. Clinical correlation is supported through case presentations, diagnostic interpretation, nutritional considerations, treatment planning and advanced and/or modified chiropractic techniques.

Management of sports injuries, soft tissue problems, emergency procedures, management of the special needs child and co-management with other health care professionals are also part of the curriculum. The goal of the program is to balance academic learning with clinical applications and to ensure that anyone with the DICCP credential has the clinical competency expected of a chiropractor board certified in chiropractic pediatrics.

Details about the Diplomate in Chiropractic Pediatrics

Diplomate in Chiropractic Pediatrics

The Diplomate in Clinical Chiropractic Pediatrics (DICCP) is a Board Certified credential in pediatrics for doctors of chiropractic.

Doctors with the DICCP credential are doctors who have completed this post-graduate specialist level training co-sponsored by a CCE-accredited (or equivalent internationally) chiropractic institution and demonstrated competency in both the written and oral examinations administered by the International College of Chiropractic Pediatrics.

The program is currently co-sponsored by the New York Chiropractic College, Palmer College of Chiropractic and the New Zealand College of Chiropractic.

The diplomate syllabus is a 30 module, 360+ classroom hour course. All 30 modules are structured and well-defined. The subject areas covered in the syllabus include all aspects of pediatrics —from pregnancy, birth, infancy to adolescence.

Each stage of pregnancy and of a child’s development are covered in-depth so the practicing doctor of chiropractic acquires greater skills and competencies in a wide range of evaluative, diagnostic and assessment procedures, as well as corrective and adjustment skills for different stages of pre-natal care, neonatal and at different ages to adolescence.

Also included are expanded modules on radiology, nutrition, functional medicine and immunology, sports injuries, orthopedics, neurology, PDD and autism and special needs. A unique feature of the curriculum is a mandatory observational/training weekend at a chiropractic center for special needs children under multi-disciplinary care.

The syllabus is broad-based and comprehensive in content so that the doctor of chiropractor develops the expertise to understand and apply appropriate clinical protocols in all situations and provides care that is safe, appropriate and always of a high professional standard.

Research projects/papers are mandatory. Research writing is included so doctors may increase their analytical skills and become competent in designing, conducting and publishing their findings.

Candidates must complete the full 3-year program, all assignments/projects, and pass the final internal exam to be eligible to sit for the DICCP Board Examination.

This Board examination is conducted once a year by the International College of Chiropractic Pediatrics and consists of two parts — written and oral.

Testing is conducted by several examiners. All candidates who successfully pass the Board examination are awarded the DICCP (Diplomate in Clinical Chiropractic Pediatrics) credential.

Ongoing Education: Diplomates must complete 24 hours of continuing education in chiropractic pediatrics every three years in order to maintain their diplomate status.

Fellowship: Diplomates who have been in practice for a certain number of years, present and publish research papers, teach at the postgraduate level, and contribute in any significant way to advancing chiropractic care for children and improving patient care, may achieve the distinction of a Fellow in Clinical Chiropractic Pediatrics (FICCP).

Fellowship is not automatic and is decided by a panel of Fellows on the Board.

Click here for a listing of the Fellows/Diplomates

Details on the Diplomate in Clinical Chiropractic Pediatrics




MODULE 1 Pregnancy – Prenatal care

MODULE 2 Pregnancy complications, birth considerations

MODULE 3 Post partum period/exercises

MODULE 4 Normal neonate – newborn spinal adjusting

MODULE 5 Problems of the neonate — cranial therapy

MODULE 6 Normal infant and toddler

MODULE 7 Problems of the infant and toddler

MODULE 8 School-age to adolescent

MODULE 9 The pediatrics practice

MODULE 10 Year 1 Exam


MODULE 11 Sports Injuries

MODULE 12 Research / Writing

MODULE 13 Neurology

MODULE 14 Cranial I

MODULE 15 Orthopedics

MODULE 16 Radiology

MODULE 17 Advanced pediatric adjusting

MODULE 18 Nutrition

MODULE 19 Myofascial techniques

MODULE 20 Research review II/Case presentations


MODULE 21 Orthopedics II

MODULE 22 Functional medicine approach to nutrition and autoimmune challenges

MODULE 23 Sacro Occipital techniques

MODULE 24 Developmental disorders

MODULE 25 Advanced cranial and myofascial techniques

MODULE 26 Activator technique

MODULE 27 Children with special needs/challenges
Observation/training at Kentuckiana Children’s Center

MODULE 28 Algorithms and protocols for common childhood disorders

MODULE 29 Case correlations and examination review

Written and Orals
(Exit exam, pre-requisite determining eligibility to sit for the
Board Certification Examination)


Click here for more information and to visit the Journal of Clinical Chiropractic Pediatrics

Contact our Malvern Chiropractic office to learn how your child can benefit from chiropractic care.  (610) 640-4673

Mariano Holistic Life Center, Inc. | (610) 640-4673