When should chiropractic treatment be stopped?

  • A good chiropractor ( 脊醫) will often develop strong working relationships with other health professionals in their area, including spine surgeons, physical therapists, massage therapists, physical therapists, and pain management specialists.

    Patients are advised to seek out a chiropractor who routinely coordinates patient care with these types of health professionals, either as part of an informal network -- referring patients to other doctors and health professionals they trust -- or as part of a comprehensive network , or the Spine Clinic.

    In general, discontinuation of chiropractic treatment is recommended if any of the following is true:

    Pain intensifies. It is not uncommon to notice mild discomfort after the first 24 to 48 hours of initial manipulation therapy (similar to starting a new exercise). In addition to this, if the patient's pain increases during or after spinal manipulation, the chiropractor needs to stop immediately and re-evaluate the treatment plan.

    No improvement in 2 to 4 weeks. For back or neck pain that does not start to feel better after 2 to 4 weeks of chiropractic treatment, other treatment options and/or diagnoses need to be investigated.

    Symptoms have disappeared. While some chiropractors may offer maintenance procedures to help prevent recurrence of pain, the evidence for this practice is weak and spinal procedures should not be continued indefinitely. Also, most insurance companies do not cover chiropractic care (脊醫治療).

    Many people report that musculoskeletal pain can be relieved by spinal manipulation and/or spinal mobilization performed by a chiropractor or other qualified practitioner. When manual therapy does not provide the expected relief or benefit, it is best to reassess and reconsider therapy.