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Are You Going to Cowboy Up or Just Lay There and Bleed?

The Choice Is Yours.

Practices that are solely dependent on performing joint manipulation will struggle through this period of social distancing. Fortunately, managing patients using an evidence-based paradigm includes many other components that could be delivered remotely. Those utilizing multimodal therapies and diagnostics will continue to work in this changing business model forced upon us by a global pandemic.

Our goal to provide the best conservative care for our patients must remain the same regardless of location. However, chiropractors must implement new mechanisms to change patient behavior from a distance. The good news is that it’s possible, but it will require a change from providers too. In this blog, you will learn how to listen to your patients, modify their ADLs, direct their rehabilitation programs, and assess their problems via telehealth.

Here is how Dr. Steele performs a Telehealth visit.

Changing someone’s diet is difficult. Food intake revolves around daily habits. Interestingly, tissue injury is also often a result of personal routines. Daily activities, habits, hobbies, sports, and postures, culminate in overloaded tissue with resultant pain.

Using technology is a proven vector to change patient behavior. Donnachie et al. (2020) used devices and routine self-measurement to change the behavior of men participating in their study. That’s right; they changed the behavior of the creature we call MEN. The most robust disposition to crack!

“The results from this study support that self-reported measures can detect physical activity change within behavioral interventions, although may have a tendency to overestimate changes compared with device-based measures on absolute values, but not standardized response values.” (1)

Essentially, men changed their behavior if they knew a device was measuring them. Self-reported surveys also modified their adherence to activity. Survey results showed that they tended to overestimate the amount of exercise performed. (another well-known fact about men, particularly fisherMEN) 

This paper highlights the importance of accountability. Your patient’s adherence to care determines their clinical success and is dependent on you following up with them regularly. Research points to several activities that are modifiable through Telehealth. It is possible to change activities of daily living, rehabilitation protocols, and mechanical sensitivities through virtual communication.

“Rehabilitation is to show a patient what they can do for themselves”

Karel Lewit.

Did you know that ChiroUp can track exercises and compliance for each patient in the Patient Data tab? Within this tab, you can see:

  • all previously prescribed reports,
  • current, and upcoming exercises,
  • 30-day survey results,
  • exercise completion rate,
  • and pain level surveys.

There has never been a better time to support your patients who are navigating through the psychological stresses imparted by this pandemic.

Chiropractors play a vital role in the process of healing. Business climate changes have affected all businesses and people. There is no need to feel helpless or abandon your business model. There is a need to pivot within your clinic during this time of turmoil.

In the end, your business will come out stronger with tools and assets to grow your practice through added services and improved patient communication. Pivoting quickly in the eyes of uncertainty requires a true leader- let that be you!

Will you lead your patients and employees through the future of healthcare?

In case you missed it, check out this video tutorial:

Watch how to perform and bill for Telehealth.

If you want ChiroUp to be a part of your telehealth, we want you to have access to it.

To ensure that every DC has access to our resources, regardless of cash flow, we’re extending our free trial throughout the COVID pandemic to make ChiroUp accessible to everyone.

Set up a call with our team to get started with an extended free trial during this time of change. You can request a DEMO in the link below.

What better time than now to take charge and safeguard your practice with ChiroUp.

  1. Donnachie C, Hunt K, Mutrie N, Gill JM, Kelly P. Responsiveness of Device-Based and Self-Report Measures of Physical Activity to Detect Behavior Change in Men Taking Part in the Football Fans in Training (FFIT) Program. Journal for the Measurement of Physical Behaviour. 2020 Jan 27;1(aop):1-1.

About the Author

Dr. Brandon Steele

Dr. Brandon Steele


Dr. Steele is currently in private practice at Premier Rehab in the greater St. Louis area. He began his career with a post-graduate residency at The Central Institute for Human Performance. During this unique opportunity, he was able to create and implement rehabilitation programs for members of the St. Louis Cardinals, Rams, and Blues. Dr. Steele currently lectures extensively on evidence-based treatment of musculoskeletal disorders for the University of Bridgeport’s diplomate in orthopedics program. He serves on the executive board of the Illinois Chiropractic Society. He is a Diplomate and Fellow of the Academy of Chiropractic Orthopedists (FACO). His mission in practice is to get people in and out of pain as fast as possible; then give each patient the education and rehabilitation to never see them again. Dr. Steele is also the co-founder of ChiroUp.com, a resource used around the world by practicing chiropractors and colleges.

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