Enhancing the health of Canadians by fostering excellence in chiropractic care

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.

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Based on shared decision-making, any one of the following therapeutic interventions is recommended:

 

• Low-level laser therapy for short-term pain reduction​

• Strengthening and stretching exercises​

• Usual care (information, recommendation, and pain-contingent medical or pharmaceutical therapy)

• Spinal manipulation and mobilization as an adjunct to usual care for shoulder pain associated with cervico-thoracic spine pain or restricted movement

• Supervised combined strengthening and stretching exercises​

• Multimodal care that includes the combination of (if not previously given in 1st 3-months of care):

  • Heat/Cold

  • Joint mobilization

  • Range of motion exercise​

 

Interventions that are NOT recommended include:

• Diacutaneous fibrolysis

• Shock-wave therapy

• Cervical mobilizations (alone)

• Multimodal care that includes the combination of exercise, mobilization, taping, psychological interventions and massage

• Ultrasound

• Interferential current therapy 

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Discuss the risks and benefits of the care plan with the patients.