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| Trigger points for a GP referral to a chiropractor- Diagnosis of stroke, after acute management
- When a patient needs advice and/or treatment for assistance with mobility, balance or pain management
- Need for improved coordination of joints
- Poor spinal function; past or present history of mechanical joint pain, injury, dysfunction, spinal degeneration
- Spinal or rib cage motion restriction to assist respiration and movement
- Need for assistance in the management of coordination, balance and mobility
- History of falls, need for fall prevention
- Need for ongoing monitoring of neurological status and recovery
Trigger points for a chiropractor referral to a GP- Onset or progression of neurological signs and symptoms such as red flags and orange flags
- Development of clinical depression associated with the condition
- Signs of neurological deficit
- Co-management, e.g. monitoring or warfarin levels
Potential treatment by a chiropractor- Stimulation of mechanoreceptors in the spine as vital for brain function
- Monitor and rehabilitate neuromuscular and general joint function
- Targetted stimulation of afferent pathways for stimulation of neurological recovery
- Lifestyle modification advice
- Assess and gently treat the spine for presence of vertebral subluxation complex
- Assist patients with general health and well-being education, particularly diet, exercise and techniques to alleviate pain and increase mobility
- Soft tissue therapy - stimulation of peripheral joints on affected side; light touch, joint proprioceptive stimulation, deep pressure
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