Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 908
Narrative 64 N

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.

“Future Care Recommendations”

“Did i say that?” Mark Studin 2018

When determining future care for your patients, are you creating an accurate future treatment plan? …or just wishing and pandering to the plaintiff’s lawyer? Herein lies the problem:

You create a future treatment plan for a lifetime of 1 time per month (or whatever you feel appropriate) and three years later the case goes to trial and… your patient did not follow through. Someone appears to be lying… You? The patient? Both? That will suck if you are on the witness stand, now what?

The solution is to re-evaluate your patient every 3-4 months after you have MMI’d your patient until trial to ensure they are following your recommendations. At the very least, a home exercise program should be strictly adhered to. OR… The best solution: I tell my patients that if their problem is permanent, I want to see them every 3-4 months for the rest of their life to manage their permanent condition. No different that a primary care medical doctor manages the diabetic or high blood pressure patient. You are not correcting anything if there is a permanent condition, you are managing the permanent condition and your patient needs to follow through with regular care and home exercise to avoid an accelerated degenerative process. Yes, this stuff is real!!!

If they don’t, then you should document that accordingly and inform the lawyer, so they are not “blindsided at trial.”


Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Post Graduate Faculty, Cleveland University-Kansas City, 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

Academy of Chiropractic
US Chiropractic Directory
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