Noel A. Taylor   First Response

This section is compiled by Frank M. Painter, D.C.
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>.3. Do you agree that this patient is NOT a candidate for care: "A patient with chronic low back pain of greater than 6 months' duration, with no prior manipulative therapy, whose radiographs show no contraindication to manipulative therapy, with no advanced imaging study performed, with minor neurologic findings and no sciatic nerve irritation, who has spinal joint dysfunction on physical examination, and who has ongoing biomechanical or psychosocial distress."

This describes perhaps 70% of my low back pain patients. These are also the people who are the most thrilled to find themselves pain free after a few visits. Perhaps I should start flipping burgers at Mickey D's?

-- Noel

Noel A. Taylor

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