I, the undersigned, have voluntarily requested that the Doctors and/or other providers at Well Set assist me in the management of my health concerns. I understand and agree to all policies and terms provided in the office policies and producers.
Chiropractic / PT
Chiropractic/PT healthcare is predominantly concerned with the relationship between structure (primarily of the spine) and function (primarily of the nervous system). The Doctor of Chiropractic/PT evaluates the patient using standard examination and testing procedures (such as orthopedic and neurologic evaluation and possibly x-rays) along with specialized chiropractic/PT evaluation including observation, inspection, auscultation, and palpation. The chiropractic examination focuses on structural or functional abnormalities called “segmental dysfunction”. Segmental dysfunction exists when one or more vertebrae in the spine or bones in the extremity are fixated sufficiently to result in damage or irritation to either nearby nerves, joints, and/or tissues such as muscles and ligaments. The primary goal of chiropractic treatment is to remove the fixation. This is accomplished by performing a procedure unique to chiropractic, called an adjustment. An adjustment involves the application of a quick, precise force directed over a very short distance to a specific vertebra or bone. Adjustments are usually performed by hand, but may include a hand-guided instrument. Additionally, other treatments used by chiropractors/PT include physiotherapy modalities (ice, heat, soft tissue manipulation), nutritional recommendations and rehabilitative procedures.
As is the case with all health care interventions, the benefits of care must be weighed against the inherent risks and limitations of receiving treatment. Chiropractic treatments are one of the safest interventions available to the public as evidenced by malpractice statistics. While there are risks involved with treatment, these are seldom great enough to contraindicate.
A large part of our treatment involves manual therapy performed by hand or using instruments. Manual therapy is generally performed to increase range of motion, reduce scar tissue and/or treat sprains and strains. Some common side effects of manual therapy include soreness and bruising, and in rare cases exacerbation of the current complaint.
Results from Treatment
I understand that there are beneficial effects associated with these treatment procedures including decreased pain, improved mobility and function, and reduced muscle spasm. However, I understand there is no certainty that I will achieve these benefits. I realize that the practice of medicine, as well as chiropractic/PT/massage, has limitations and I acknowledge that no guarantee has been made to me regarding the outcome of these procedures. I agree to the procedures by my doctor/provider and such other persons of the doctor’s choosing.
Possible Risks & Side Effects from Treatment:
One research study indicated that within the first 2 months of care, approximately half of the patients reported some “reaction” to treatment. Of those who reported a reaction, the following were the most commonly reported reactions to initial chiropractic care:
- Local Discomfort (53%)
- Headache (12%)
- Tiredness (11%)
- Radiating Discomfort (10%)
*Most appeared within 4 hours of treatment and resolved within 24 hours.
Rare, Yet Possible Side-Effects / Complications:
Stretching & Exercise Disclaimer:
- Additional risks are present with stretching and exercise. These risks are increased if you have had surgery, have had a surgical implant or device, or have a history of dislocations. Please consult your treating and/or operating physician prior to engaging in any stretching or exercise program.
Alternative Treatments Available:
Reasonable alternatives to these procedures include but are not limited to:
- Medications: I am aware that long-term use or overuse of medication is always a cause for concern. Drugs may mask pathology, produce inadequate or short-term relief, undesirable side-effects, physical or psychological dependence, and may have to be continued indefinitely. Some medications may involve serious risks that I should discuss with my medical doctor.
- Rest / Exercise: Simple rest is not likely to reverse pathology, although it may temporarily reduce inflammation and pain. The same is true of ice, heat, or other home therapy. Prolonged bed rest contributes to weakened bones and joint stiffness. Exercise is valuable yet is not corrective of inured nerve and joint tissue.
- Surgery: Surgery may be necessary for conditions such as joint instability or serious disk rupture, among others. Surgical risks may include unsuccessful outcome, complications, pain or reaction to anesthesia, and prolonged recovery.
- Non-treatment: I understand the potential risks of refusing or neglecting care may include increased pain, scar/adhesion formation, restricted motion, possible nerve damage, increased inflammation, and worsening pathology. The aforementioned may complicate treatment making full recovery and rehabilitation more difficult and lengthy.