Patient-Focused Evidence-Based Musculoskeletal Care
For Healthcare Professionals
Chiropractic is a statutory regulated primary healthcare profession. Chiropractors are trained to diagnose, treat, manage and prevent disorders of the musculoskeletal system, with a special interest in spinal conditions. Their pre-clinical education is similar to that of medicine, with additional attention given to biomechanics and manual therapies. Clinical training specialises in neurology, orthopaedics, radiology and clinical chiropractic. Importantly, chiropractors are trained to recognise conditions that are out of their scope of practice, so they can be referred appropriately.
Following an extensive history and thorough examination, a chiropractor will make an assessment as to whether any further investigations are necessary, or whether an appropriate referral is required. Chiropractors at Skelian are qualified to read x-rays, and can arrange MRIs if required. We routinely collect Patient Reported Outcome Measures (PROMS) and, when appropriate, use a validated psychosocial assessment tool to assess the risk of chronicity.
Once a diagnosis has been made, an explanation is given to the patient, together with likely causal factors, details of treatment options and an expected prognosis. A plan of care is formulated in partnership with the patient after their personal expectations, beliefs and preferences have been considered.
Although best known for manipulation of the spine, chiropractors use a package of care, which also includes advice and information, psychosocial interventions, mobilisation, soft tissue therapies, medical acupuncture and exercises. The progress of patients are continually kept under review with regular formal assessments and validated outcome tools. Patients GP's will be informed of their presentation, diagnosis and response to treatment. Once stabilised, ongoing supportive self-management, including rehabilitation and prophylactic care, is offered to patients presenting with chronic conditions.
We use the best available evidence, combined with clinical expertise and patient values, to select the most appropriate methods that will achieve the best outcome for the individual patient. In addition, we aim to help patients make informed decisions about their health and provide information on how to keep fit and healthy. The evidence base for chiropractic management is fairly broad across a range of musculoskeletal complaints, for example:
• Acute and Chronic Back Pain
• Mechanical Neck Pain
• Cervicogenic Headache
• Prevention of Migraine
• Joint Pain (including hip and knee pain from osteoarthritis)
• Shoulder Pain (including frozen shoulder)
• Elbow Pain (including tennis elbow)
• Generalised Joint Pain, Muscle Spasm and Cramp
• Symptoms arising from Tension and the Inability to Relax
At Skelian, the care that we provide is evidence-based and all our staff partake in a programme of continual professional development. Our clinical governance initiatives include ongoing clinical audit, risk management, incident reporting, outcome measures, patient satisfaction and emergency procedures.