All in good time.

   
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If you've visited our North York clinic any time over the past several years, you likely would have heard us talk about "multi-modal care". We didn't invent the term - turns out it is the gold standard approach for many of the neck pain and associated disorders, and low back pain and associated disorders that brings people to our clinic in the first place.

But what does multi-modal care mean to you. Well...,in those cases it means that we will use a combination of interventions to help you get to your goal, whatever that health goal may be. Could be manual therapies, like adjustments or muscle work. Could be exercises, like strengthening or endurance or balance. Could be a conversation to educate you about self-management, like what to avoid or what to do. And it could be a conversation about your condition, like what to expect or some reassurance.

Odds are, if you follow our recommendations, multimodal care will mean many of these to you. But not necessarily all at the same time. Our recommendations are centered around a plan, that responds to your improvements and works toward sustainable changes.

Self-management strategies are very important. They allow you to be more in control of your physical health. But when's a good time to start them? Well... a recent study suggests to save the intensive patient education until after a patient has had some relief and can then function better.

Care. That makes the difference. TM

Bussieres AE, Stewart G, et al. Spinal manipulative therapy and other conservative treatments for low back pain: A guideline from the Canadian Chiropractic Guideline Initiative. JMPT 2018; 41: 265-93.

Bussieres AE, Stewart G, et al. The treatment of neck pain associated disorders and whiplash associated disorders: A clinical practice guideline. JMPT 2016; 39: 523-44.

Traeger AC, Lee Hopin, et al. Effect of intensive patient education vs placebo patient education on outcomes in patients with acute low back pain: A randomized clinical trial. JAMA Neurol 2018; doi:10.1001/jamaneurol.2018.3376