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Algorithms for the Chiropractic Management of Acute and Chronic Spine-Related Pain

By |March 26, 2013|Algorithm, Chiropractic Care, Chronic Pain, Evidence-based Medicine, Spinal Manipulation|

Algorithms for the Chiropractic Management of
Acute and Chronic Spine-Related Pain

The Chiro.Org Blog


SOURCE:   Top Integrative Health Care 2012 (Dec 31); 3 (4)

Gregory A. Baker, DC, Ronald J. Farabaugh, DC,
Thomas J. Augat, DC, MS, CCSP, FASA,
Cheryl Hawk, DC, PhD, CHES



The complexity of clinical documentation and case management for health care providers has increased along with the rise of managed care. Keeping up with the policies of different insurers and third party administrators can be a daunting task. To address these issues for doctors of chiropractic (DCs) and policymakers, the Council for Chiropractic Guidelines and Practice Parameters (CCGPP) developed three consensus documents. Each of these documents was the outcome of a formal consensus process in which a multidisciplinary Delphi panel consisting of experts in chiropractic and low back pain treatment came to agreement on terminology and treatment parameters for the chiropractic management of spine-related musculoskeletal pain. [1-3]


Introduction:

The complexity of clinical documentation and case management for health care providers has increased along with the rise of managed care. Keeping up with the policies of different insurers and third party administrators can be a daunting task. To address these issues for doctors of chiropractic (DCs) and policymakers, the Council for Chiropractic Guidelines and Practice Parameters (CCGPP) developed three consensus documents. Each of these documents was the outcome of a formal consensus process in which a multidisciplinary Delphi panel consisting of experts in chiropractic and low back pain treatment came to agreement on terminology and treatment parameters for the chiropractic management of spine-related musculoskeletal pain. [1-3] Their recommendations were based on a combination of consideration of the current evidence and their clinical judgment. In addition, another consensus document related to care rendered by doctors of chiropractic for the purpose of health promotion, disease prevention, and wellness, developed through a project funded by the NCMIC Foundation, was also referenced to clarify terminology used in the algorithms. [4] (See Table 1.)

There are more articles like this @ the:

Clinical Model for the Diagnosis and Management Page and the:

Chronic Neck Pain and Chiropractic Page and the:

Low Back Pain and Chiropractic Page

Table 1.
Definition of terms related to acute and chronic care

The terms “supportive care” and “maintenance care,” which are frequently used within the chiropractic health care arena, are not consistent with general healthcare industry lexicon. Instead of “supportive care,” we use the more descriptive term, “ongoing/recurrent” care.

Chronic pain management can be divided into three categories:

  1. those who can home manage;
  2. those who can be managed with episodic care; and
  3. those who need “scheduled” ongoing care, which is a very small proportion of chronic pain sufferers. Those patients require proper documentation of responses to care and procedures, including therapeutic withdrawal response, multi-modal, multi-disciplinary consideration, patient education, etc.


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