Enhancing the health of Canadians by fostering excellence in chiropractic care
Care Pathway for the Management of Lumbar Disc Herniation with Radiculopathy
Referrals and Collaborations
Incomplete recovery:
-
Patients who have not significantly improved or recovered within the first 3 months after injury should enter the care pathway for persistent lumbar disc herniation with radiculopathy
Major symptom change (new or worsening physical, mental or psychological symptoms):
-
Refer patients for further evaluation at any time point during their care if they develop worsening symptoms, or new physical, mental or psychological symptoms
No
No
No
Yes
Are symptoms ≤3 months?
Yes
Management of Symptoms
Based on shared decision making between the patient and provider, any one of the following therapeutic interventions is recommended:
Yes
Yes
No
No
Discharge
Are symptoms >3 months?
Yes
Yes
Yes
Discharge
No