For patients that complete a SPINAL CORRECTIVE CARE program, as described in the link above within my website, a SUPPORTIVE care program is available to provide ongoing supportive chiropractic adjustments for those patients that need such a program. This may be one of the most valuable and least expensive programs available for patients, since it helps to prolong and protect the benefits of the chiropractic treatment received and helps preserve health.
Young patients with mild, new spinal injuries can often experience complete correction of their spinal problems without the need for ongoing supportive care. However, by the time many adults show up for chiropractic care, the amount of degenerative joint disease that has developed due to abnormal spinal mechanics is often improved, but not completely correctable. A very well-respected orthopedic surgeon and author, Dr. Kirkaldy-Willis, very wisely recognized the need for the management of chronic spinal patients, when a cure was not possible with chronic conditions.
This SUPPORTIVE CARE program could be looked at somewhat like using retainers on your teeth after you have received orthodontic care to straighten them. It provides ongoing support to help prevent further accelerated degeneration and help prevent recurrences of the condition. When indicated, these one-year supportive care programs are very cost-effective and help promote continued good health.
This SUPPORTIVE CARE program includes:
1. Continued spinal check-ups with necessary adjustment when required. The necessary frequency of these visits varies among individuals and your specific needs will be determined based on your examination findings. There is substantial scientific evidence for supportive care, and published guidelines (CCGPP, published in the Journal of Manipulative and Physiologic Therapeutics) further support the appropriateness of these programs. The abstract from these published articles is pasted below.
2. A continuation of the comprehensive nutritional supplement provided as part of the SPINAL CORRECTION program is highly recommended. There is a great deal of evidence showing the benefits of the ingredients found within this supplement combination.
3. A progressive exercise program will be provided, continuing to increase in intensity as your fitness improves. Emphasis on spinal stabilization exercises is offered within the program.
4. For those not requiring regularly scheduled supportive care, or until that treatment frequency has been determined, discounted packages of 6 and 12 visits, with or without therapies (i.e. massage) depending on your specific needs, are available.
Management of Chronic Spine-Related Conditions: Consensus Recommendations of a Multidisciplinary Panel
Ronald J. Farabaugh, DC, Mark D. Dehen, DC, and Cheryl Hawk, DC, PhD
Objective: Chronic spine-related conditions are very problematic n terms and indemnity costs, diagnostic complexity, and appropriate case management. Currently no chiropractic-directed guiseline exists related to chropractic management of the chronic spine patient. The purpose of thise project was to develop a broad-based multidisciplinary consensus od medical and chiropractic practice to produce a document designed to provide standardized parameters of care and documentation.
Methods: Background materials were provided to the panelists prior to the consensus process and served as the basis for thr 29 seed statements. Delphi roundswere conducted electronically, and the Nominal Group Panel was conducted via conference call. The RAND/UCLA methodology was used to reach consensus, which was considered present if both the median rating was 7 or higher and at least 80% of the panelists rated the statement 7 or higher. Consensus was reached through combination of Delphi rounds and Nominal Group Panel. Of 29 panelists, 5 were non-doctors of chiropractic.
Results: Specific recommentations regarding treatment, frequency and duration, as well as outcome assessment and contraindications for manipulation, were agreed upon by the panel.
Conclusions: A multidisciplinary panel of experienced practitioners was able to reach a high level (80%) of consensus regarding specific aspects of the chiropractic approach to care for complex patients with chronic spine-related conitions, based on both the scientific evidence and their clinical experience. (J manipulative Physiol Ther 2010;33;484-492)
Key Indexing Terms: Chiropractic; Chronic Spine Pain; Manipulation