Spinal Impairment
and Stages of Care
The typical patient will
encounter 3 stages of care. The first stage focuses on symptomatic relief
such as reduction of pain and other discomforts. The following stage
addresses tissue healing and function normalization. The final stage
consist of periodic spinal care to prevent the formation of new injuries,
minimize future flare-ups of old injuries, and prevent degenerative
spinal processes from occurring.
Relief Care
Relief care is the first
stage of care for most patients. The primary goal during this initial
stage is to provide the individual with symptomatic relief. Treatments
focus on those techniques and therapies which most quickly and effectively
reduce pain and other discomforts. This will allow the majority of individuals
to continue their activities of daily living. Patients are generally
recommended to "take it easy" but are encouraged to stay mobile
and functional so long as there is not a risk of further injury or tissue
damage. Therapies that reduce inflammation and muscle spasm are also
used during this sage when present.
Corrective Care
The second stage of care
consists of correcting the problems which caused and contributed to
the condition and healing and rehabilitating the injured tissues. Unless
these events take place, a factorable outcome is unlikely and future
recurrences of the problem are likely, it is extremely important that
the patient comply with and follow the instructions given by the doctor
during this stage of care. Tissues and structures that are not fully
healed and rehabilitated are prone to future problems. Sticking to appointments,
complying with home exercises and instructions and following all other
recommendations will help insure this occurs. Patients should also be
aware that once pain and discomfort have subsided, tissue healing and
functional correction is many times sill incomplete and will often require
additional treatments.
Wellness Care
Once the spinal tissues
are healed and spinal biomechanics have normalized the patient will
be recommended to continue with periodic spinal checkups. For some this
might mean once per year, for others this may mean once per month or
more. Chiropractic spinal checkups provide similar benefits to the spine
that dental checkups provide to the teeth. Namely, catching minor problems
and disturbances before they have the opportunity to cause pain, discomfort
and irreversible tissue changes. Just like with cavities and heart attacks,
irreversible tissue damage has generally occurred before the symptoms
of spinal pain and discomfort become apparent.