MD, PhD, MAE, FMedSci, FRSB, FRCP, FRCPEd.

In a recent comment, our resident chiro, ‘Dr.’ Dale Thompson (alias ‘DC’), in an attempt to provide a rationale for the approach, provided a link to a definition of MAINTENANCE CARE:

Maintenance care is care given to people with chronic illnesses to maintain or slow a decline in their health or function. For example, exercise and physical therapy can minimize abnormal or painful positioning of the joints and may prevent or delay curvature of the spine in a person with muscular dystrophy.

Let’s for the moment ignore that this definition is not necessarily related to CHIROPRACTIC maintenance care and assume it describes the approach adequately. In this case, chiropractic maintenance care would be:

care given to people with chronic illnesses to maintain or slow a decline in their health or function.

That sounds almost reasonable and is very different from what I recently implied it is, namely sly scare mongering of greedy chiros to fleece vulnerable individuals.

So, who is closer to the truth, Dale or Edzard?

How is chiropractic maintenance care employed in ‘real life’?

One way of finding out might be to look at social media and see how chiropractic maintenance care is being promoted or written about. Here are the texts of recent Tweets that I found on 23/6 informing us on this issue:

  • Chiropractic care encompasses three main phases:  1. Acute / Intensive Care  2. Healing / Corrective Care  3. Wellness / Maintenance Care
  • Maintenance is key! Once you’ve completed your care plan, routine chiropractic visits can help keep you feeling your best. Think of it as preventative maintenance for your body; you deserve it!
  • Chiropractic maintenance care now encompasses all sorts of patients; no matter their history, symptoms or reasons for seeking a chiropractor
  • Chiropractic care goes beyond back pain relief!  It’s all about proactive health maintenance, not just reactive illness treatment. Discover the pathway to a healthier, more balanced life
  • Understanding the proper documentation and coding of maintenance care in your office will help you sleep better at night knowing you are doing this correctly.
  • Staying well with chiropractic has never been easier! Researchers have discovered that people who receive maintenance chiropractic care have better long term outcomes and may even be able to prevent future episodes of back pain. Interested in learning more? Give us a call today.
  • Researchers have discovered that people who receive maintenance chiropractic care have better long term outcomes and may even be able to prevent future episodes of back pain. Interested in learning more? Give us a call today!
  • Many patients willingly choose to keep getting regular, maintenance Chiropractic care. Just like going to the dentist periodically, spinal hygiene and chiropractic adjustments are part of a healthy lifestyle.
  • Consider your body as a biological machine, just like a car needing maintenance. Chiropractic care at The Joint provides essential upkeep, not just alleviating existing pain but also preventing future discomfort.
  • We advocate regular maintenance Chiropractic care to keep your spine and posture in as great shape as possible. If you have not been to the clinic for a while, why not call our reception team
  • When you finally get that special car you always wanted; you don’t want to trust just anybody for care & maintenance. The same is true with your healthcare.
  • Around 22 million Americans turn to chiropractic care each year for pain relief, holistic healing, and preventive maintenance!  Experience natural, non-invasive solutions that keep you feeling your best. Discover the benefits today!
  • We believe in the beauty of regular maintenance care. Nurture your well-being & witness the transformative difference in your life
  • Chiropractic and Maintenance Care “Do I need to keep coming back for treatment to prevent this from happening again?” This method of chiropractic care is known as Maintenance care.
  • If you are wanting to improve your overall quality of life. Maintenance care is very important
  • Chiropractic “discharge” plans are always something else. “Patient has no pain or complaints and is released from regular chiropractic care. She is recommended to return 4x/mo for maintenance care“. I’m not sure there is a profession that I think less of.

I ought to stress that most of these Tweets were accompanied by pictures of patients receiving spinal manipulations.

Who then is correct, Dale or Edzard?

I let you decide.

5 Responses to Chiropractic maintenance care: sly scare mongering of greedy chiropractors to fleece vulnerable individuals.

  • Mr Thompson’s sock puppet ‘DC’ misdirected the readers by quoting from Medicare Interactive, Medicare Rights Center, a definition in the context of medicine, not chiropractic cosplay toy medicine.

    Medicare Benefit Policy Manual
    Chapter 15 – Covered Medical and Other Health Services

    Rev. 11865, 2023-02-16

    30.5 – Chiropractor’s Services
    B. Maintenance Therapy

    Under the Medicare program, Chiropractic maintenance therapy is not considered to be medically reasonable or necessary, and is therefore not payable.

  • I.e., to maintain a decline in their health or function, or slow it. !!
    Doesn’t sound very hopeful to me.

  • Actually, it is: who is correct, Medicare or some tweets?

  • After the initial course of care, clinicians should determine the necessity for further treatment based on the patient’s response to date. If the patient has resolved or reached a plateau, further care should be tapered or discontinued. If complete resolution has been reached (i.e., maximum therapeutic benefit or MTB), the chiropractor should perform a final evaluation following a trial of therapeutic withdrawal, followed by relevant patient education moving forward.

    At this point, those interested in wellness care (also referred to as “maintenance care”) should be given this option (despite a general lack of evidence for or against the efficacy of such an approach).

    Research Review: Clinical Practice Guideline: Chiropractic Care for Low Back Pain
    American Chiropractic Association
    https://www.acatoday.org/news-publications/research-review-clinical-practice-guideline-chiropractic-care-for-low-back-pain/

    despite a general lack of evidence for or against the efficacy of such an approach“ — chiropractic business as usual.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Subscribe via email

Enter your email address to receive notifications of new blog posts by email.

Recent Comments

Note that comments can be edited for up to five minutes after they are first submitted but you must tick the box: “Save my name, email, and website in this browser for the next time I comment.”

The most recent comments from all posts can be seen here.

Archives
Categories