Academy of Chiropractic Personal Injury & Primary Spine Care Program

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From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time.

“Post-Surgical Clearance”

I sleep really good at night because I ask… but then I get it in writing… Mark Studin 2017
Image result for written permission

Should a patient seek your care within a reasonable amount of time post-spinal surgery, you should seek written clearance from the surgeon. The question arises, what is “reasonable?” I can’t answer that as each surgery is different, but for spine 100% of post-surgical cases need chiropractic care. 

Therefore, you should request “clearance for manual therapy” from the surgeon in writing. This encompasses everything you do. By asking for clearance for only manipulation or adjusting leaves too much you do in question where you can potentially hurt the patient while leaving yourself exposed to litigation. 

By getting a written note of clearance gives you a strong level of insulation against litigation and often gives you some direction (at the discretion of the surgeon) for any possible complications. 



Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

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