Stages of Chiropractic Care
information is directly quoted from chiro.org
that site for additional information.
The new terminology, established via a
scientific process through a Delphi consensus panel of
multidisciplinary experts, was published in the July/August 2010 issue
of the Journal of Manipulative Physiological Therapeutics (JMPT).
At Park Bench Chiropractic we feel it is important to stay up-to-date
on the latest research regarding chiropractic care. That is why our
Stages of Care are similar to those recommended by a panel of health
experts. This is the most efficient and accurate way to manage
Care of Acute
- Medically necessary care of acute conditions is care that
is reasonable and necessary for the diagnosis and treatment of a
patient with a health concern and for which there is a therapeutic care
plan and a goal of functional improvement and/or pain relief.
- The result of the care is expected to be an improvement,
arrest or retardation of the patient’s condition.
- Initially, the care may be more frequent, but as levels of
improvement are reached, a decrease in the frequency of care is to be
- A patient may experience exacerbations of an acute
injury/illness being treated that may clinically require an increased
frequency of care for short periods of time.
- A patient may also experience a recurrence of the
injury/illness after a quiescence of 30 days that may require a
reinstitution of care.
- Medically necessary care of recurrent/chronic conditions is
care that is provided when the injury/illness is not expected to
completely resolve after a treatment regimen but where continued care
can reasonably be expected to result in documentable improvement for
- When functional status has remained stable under care and
further improvement is not expected or withdrawal of care results in
documentable deterioration, additional care may be necessary for the
- supporting the patient’s
highest achievable level of function
- minimizing or controlling
- stabilizing injured or
- improving activities of
- reducing reliance on
- minimizing exacerbation
frequency or duration
- minimizing further
- keeping the patient
employed and/or active.
Chronic/recurrent care may be inappropriate when it interferes with
other appropriate primary care or when its benefits are outweighed by
its risks (psychological dependence on the physician or treatment,
illness behavior or secondary gain).
Care for Wellness
- Achieving wellness requires active patient participation.
- Wellness is a process of achieving the best health
possible, given one’s genetic makeup, by pursuing an optimal level of
- “Optimizing levels of function” may include a combination
of health care strategies such as:
- chiropractic adjustments
- manipulative therapy
- manual therapies
- diet/nutrition counseling
- lifestyle coaching.
Terminology for Stages of Care: Acute, Chronic, Recurrent and Wellness
J Manipulative Physiol Ther 2010 (Jul); 33 (6): 458–463