Trigger points for a general practitioner referral to a chiropractor

• Initial diagnosis of osteoarthritis
• When a patient needs advice and/or treatment for assistance with mobility, balance of pain management coordination
• Past or present history of spinal pain, injury, dysfunction, degeneration
• Poor spinal mechanics
• Diagnosis of kyophosis, scoliosis, hyperlordosis, poor posture
• Spinal and/or rib cage motion restriction/spinal hypomobility 
• Peripheral joint motion restriction
• Where poor articular mechanics are affecting lifestyle
• Associated musculoskeletal symptoms
• Irritation of neural elements

Trigger points for a chiropractor referral to a general practitioner

• Progression of joint degeneration to point of requirement for orthopaedic referral
• Onset or progression of neurological signs and symptoms associated with central and lateral canal stenosis
• Worsening of symptomology e.g. calor
• Where surgery may be required or indication of infection
• Development of clinical depression associated with chronic illness