Far too often patients in today’s healthcare system are being let down by their healthcare providers. You deserve to be guided back to health appropriately and efficiently. Too many injured and ailing people are not being thoroughly evaluated, not receiving appropriate conservative care, and are not given a game plan to prevent the pain or injury from returning in the future. There are many types of ailments and illnesses, but for the purpose of this article we will be discussing pain and injuries to muscles, ligaments and joints.
There are 3 fundamental aspects of care you deserve as the patient
- Comprehensive Evaluation and Assessment
- Conservative Treatment Options
- Prevention Training
Comprehensive Evaluation and Assessment
Too often when a patient comes into their primary care physician or specialist they are given a proper history and consultation, but a very low-level musculoskeletal exam. Many times, the doctor doesn’t even assess the muscle tissue, joint function and/or the movement of the patient. In many cases they perform a few orthopedic tests, may refer for x-rays or even an MRI, before concluding that you must rest for 6 weeks and finally prescribe you some medication to help “manage” your condition.
As a patient, it is important to understand what you should expect from a comprehensive evaluation and assessment. Your evaluation and assessment should provide you with a working diagnosis and the potential indirect causes of the pain or injury. The diagnosis should be specific and clearly communicated.
An appropriate comprehensive evaluation should definitely include:
- A thorough History & Consultation
- Functional Assessment: Assessing weakness, tightness, faulty movement patterns.
- Orthopedic Exams, Range Of Motion, Neurological testing as needed.
- Muscle and Joint Palpation/Testing.
When a thorough evaluation and assessment is performed it provides us with the information required to determine the appropriate course of care. This allows us to make the best decision, together, about which conservative treatment options would be best suited for you.
Conservative Treatment Options
In my opinion, you deserve to have a comprehensive hands-on approach to your pain or injury. Most patient presentations respond best to a specific combination of therapies. This may include muscle work (ex. ART, massage, vibration/percussion), chiropractic adjustments, rehab exercises, and advice on how to train and prevent further exacerbations of the injury. You may not need both the muscle work and chiropractic adjustment for all pain or injuries, but many will optimally benefit from all four approaches above, in different combinations.
Conservative treatment should not be a “one size fits all” approach. With multiple therapies available, with each targeting different tissues, it is important for your care plan to be individualized based on the findings from your comprehensive assessment.
There are few things more frustrating than the return of pain or injury. Many potential factors can contribute to recurring injuries or symptoms. These include over-use strain from work, life or sport, not following the prescribed exercises, or the lack of injury prevention training from your healthcare provider. In this office, you can expect some of these as prevention options.
- Activities of Daily Living Training: Many activities we do in our daily life cause physical strain when performed improperly.
- Return to Work/Sport Advice: Proper time frame for return and potential modifications.
- Body Awareness and Preparation: Proper lifting, bending, posture, etc.
- Corrective Exercises: Core stability exercises.
- Desk Ergonomics Tips: If desk sitting is causing many of your conditions.
- Proper Equipment recommendations: Proper running shoes for a runner.
- Skills/Technique Training: Golf swing technique from a teaching professional.
There are many potential shortcomings that you may experience when you see any healthcare provider for your pain or injury. The first step is being informed, and understanding what quality care entails. I have outlined some key points that you as an informed patient should come to expect from your provider when you seek treatment for any musculoskeletal condition.
- A comprehensive assessment including but not limited to a thorough history, a functional movement assessment, palpation (assessing by hand) of the joints, muscles, tendons, and ligaments
- An exam that assesses the body as a whole to determine the root cause, and does not only focus on the point of pain. For example, many times a patient with low back pain has hip range-of-motion and mid-back mobility issues that have led to the low back being over-worked.
- A specific working diagnosis based on the comprehensive exam.
- All of the conservative treatment options should be explained and discussed, offering you a chance to ask any questions you might have and provide clarity regarding our plan.
- You should expect to receive advice regarding preventative care for your injury, so once you are out of pain, you can avoid re-injury or aggravations.