The primary goals of clinical care are to promote recovery by reducing symptoms and return patients to their normal activities of daily living. Encourage patients to participate in their program of care by remaining active.
Based on shared decision-making, any one of the following therapeutic interventions is recommended:
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Usual care (information, recommendation, and pain-contingent medical or pharmaceutical therapy)
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Spinal manipulation and mobilization as an adjunct to usual care for shoulder pain associated with cervico-thoracic spine pain or restricted movement
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Multimodal care that includes the combination of (if not previously given in 1st 3-months of care):
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Heat/Cold
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Joint mobilization
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Range of motion exercise
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Interventions that are NOT recommended include:
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Cervical mobilizations (alone)
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Multimodal care that includes the combination of exercise, mobilization, taping, psychological interventions and massage
Discuss the risks and benefits of the care plan with the patients.
No
No
Yes
Are symptoms ≤3 months?
Yes
Yes
No
Yes
Yes
No
No
Discharge
Are symptoms >3 months?
Based on shared decision making between the patient and provider, any one of the following therapeutic interventions is recommended:
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Yes
Discharge
Yes
No