R. O. F.  - REPORT OF FINDINGS OUTLINE

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DrBackman.com Chiropractic San Luis Obispo, CA 805.544.0237 Facebook

I.  Spinal - Neuro Anatomy
  • 31 pairs of spinal nerves 

  • 6 Ranges of motion.

  • Demo. 2 vertebral model, nerve & disc (93% H2O by weight), disc nutrition via motion.

  • The weight of a quarter on a nerve will begin to cause dysfunction within 72 hours.

  • Demo. Traction, Torque, Compression by taking the patient's finger & doing the same.

  • Ask: " What if this nerve went to the heart?

II. Explain the Patient's X-Rays

  • Show a normal x-ray of the same view.

  • Point and or touch the patient, the area of concern.

  • Hold up the 2 vertebral model up to the patient's x-ray.

III. That was the bad news,

  • "The good news is, This is what chiropractors do best!"

  • Unethical to guarantee results.

  • This didn't get this way over night.  [Or in the case of an auto accidents, the A.M.A. with its research, has determined that in a mild to moderate whiplash injury will take 6-12 months for the healing/remodeling of soft tissue to finish.]
    Contrast the time  & hard work needed to correct/rehab.
    (The Chiropractic Model) VS. the Quick fix (The Medical Model). Explain the "memory" of the connective tissue and what it takes to create a new and proper position/memory of the joints, muscles, tendons, ligaments, joint capsules.

  • This will take time; reintroduce what normal range of motion is.

  • Treatment Plan; Often in the beginning, then gradually wean the patient off care, giving them tools (exercises, stretches etc.) The 3 Phases of care, Corrective, Strengthening, Maintenance  (keeping your body tuned up) 

  • Ask the patient; "Do you have any problem with the "x" treatments over the next "x" months needed to improve your condition?" If there is a problem, then discuss it.

IV. Discuss Cost/Payment polices.

note:

  • have vertebral models

  • normal x-rays of the area of concern.

  • best if the spouse or partner is present, especially the person who is paying for treatment, if it is not the patient.

  • talk slow and calm, educating rather than sales. Avoid being condescending. if you use medical terminology then translate it into layman's terms.

(adapted from Gary Vitullo D.C..)     
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