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THE
GOAL & PURPOSE OF OUR
TREATMENT PLAN
Our treatment
plan goals of management are to reduce
sympathetic arousal and restriction of
blood flow and to change pain perception. Our
chiropractic care is “active
mobilization” even though there is pain
in restricted joint segments,
mobilization, even in the face of some
residual pain or stiffness, should be
encouraged, and it should be increased as
the healing process progresses.
The
focus of the pain management plan is
“coping” and “adaptation” in order
to gradually restore function.
The
purpose of my treatment plan is
reconditioning as a precursor to
reintegration into activities of daily
living, work, and social groups.
It is an exercise program
consisting of graduated increases in range
of motion, muscular conditioning, and
weight-bearing tolerance to gain tolerance
for activities required at home or at
work.
The goal of this program is to
build activity tolerance and overcome
individual limitations due to persistent
symptoms.
Care
can be divided into 5 phases:
1)
Acute; Alleviate pain, reduce swelling,
reduce muscle spasm and promote anatomical
rest.
Care is typically passive at this
phase as in electric muscle stimulation,
cold-pack, ultra-sound and chiropractic
manipulative therapy.
2)
Sub-acute; The same factors as acute care
except that the patient would be
transitioned to some level of active care,
because activity should be promoted as
soon as the patient can tolerate it.
This phase would add non-weight
bearing exercise in isometrics and
isokenitics, pool therapy or Tai-chi
stretches.
3)
Remobilization; To increase the range of
pain free motion and minimize
de-conditioning.
Care in this phase is active as in
range of motion stretches, weight bearing
activities, thera-band, thera-ball
activities, neuromuscular re-education,
proprioceptive neuro-muscular
facilitation, possible traction and
therapeutic exercises.
4)
Rehabilitation; Restoration of strength
and endurance.
Increase physical work capacity.
This phase would consist of
treatment one to two days per week with an
independent exercise program to build
smaller support muscles primarily of the
shoulder and pelvic girdle.
5)
Activities of Daily Living (ADL’s);
This phase would be to modify
social and recreational activity, diminish
work and environmental risk factors, adapt
psychological and coping factors affecting
or altered by the injury.
SPECIFIC
TECHNIQUES AND MODALITIES
¨
Advanced techniques in pain
relief with Horizontal Hakomed Therapy
www.hakomed.com/htherapy.html
¨
Non-invasive Electromyography
(EMG) www.ndanerve.com/abstracts-colorado.htm
¨
Infratronic sound/Ultra
sound www.chiexplorer.com/user_reports/ur_h_005.html
¨
Spinal decompression
traction www.orthopedictechreview.com/issues/novdec03/pg36.htm
¨ Proprioceptive
neuro-muscular facilitation www.pponline.co.uk/encyc/warm-up-exercises.html
¨
Customized sport stretching www.brianmac.demon.co.uk/stretch.htm
¨
Pettibon, Diversified,
Activator, Sacral Occipital adjusting
techniques
¨
Traditional Chinese custom
herbal formulas for pain relief and female
disorders. www.paindr.net |
