Enhancing the health of Canadians by fostering excellence in chiropractic care

Guideline
Scope & Purpose
Outcomes
Care Pathways

Go to appropriate clinical care pathways and co-manage

Patients who also have other conditions/multiple injuries should be managed using all appropriate care pathways.

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Adults with shoulder pain

Conduct an appropriate clinical evaluation

Risk factors for serious pathologies?

No

Other conditions?

No

Offer information on nature, management, course of shoulder pain as a framework for initiation of a program of care

Is treatment required?

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:

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Is the person recovered after 3 months?

Yes

No

  1. Incomplete recovery: Initiate persistent protocol

  2. Major symptom change (new or worsening physical, mental or psychological symptoms): refer to physician

Yes

Yes

No

No

Refer to appropriate services

Go to appropriate clinical care pathways and

co-manage

Discharge

Are symptoms >3 months?

Management of Symptoms

 

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

Is the person recovered?

Yes

No

  1. Incomplete recovery: Refer to physician

  2. Major symptom change (new or worsening physical, mental or psychological symptoms): refer to physician

Literature search updated April 2015