Just as addictions to unnecessary medications and surgery should be avoided, patients should not become addicted to frequent manipulations – no more than 6 per year on the same spinal bone. Spinal manipulation is an important but small part of a chiropractic neurologist’s treatment options. One of the most misunderstood realities with the chiropractic method is the number of follow-up sessions required after an initial adjustment. While each patient needs a different standard of care, there are some general rules that chiropractors can follow to inform the way they plan and arrange follow-up visits.
Mel, a chiropractor’s treatment recommendations often depend on which setting technique he uses. In many “full spine offices” across the country, 3X a week for 4 weeks is a common recommendation. Whether 3 adjustments per week are “better than 1-2 adjustments per week” or not is questionable. Some chiropractors may suspect that this is too common and that the body needs time to respond to an adjustment before subsequent treatments are performed.
But you’ll also find DCs who want you to come 5 times a week, as this is recommended in their treatment protocols. Chiropractic is often done more often at the beginning of the treatment process, and then clients have to leave less often. Palmer dedicated his life to transforming chiropractic care from a “family secret” into a worldwide medical profession. Chiropractic BioPhysics is a chiropractic method that you can use in your practice to improve patient outcomes.
When working with patients who are resistant to the idea of multiple appointments, remember to view chiropractic as a holistic approach that requires time, patience, and energy. A larger, higher quality paper (328 patients) published just this year found that patients who underwent chiropractic maintenance treatment had 13 days less bothersome back pain than in the control group.
- Chiropractic adjustment – Mayo Clinic
- Chiropractic Frequency: How Much is Too Much or Too Little? – Chiropractic BioPhysics