top of page
ATTORNEYS & INSURERS INFORMATION
At Middletown Spine and Injury, we strive to support Attorneys and Insurers in their efforts to protect our patient's interests.
New patients at Middletown Spine and Injury - Sheely Chiropractic are assessed for current condition status through the use of orthopedic and neurological testing, postural and physical examinations, Range of motion, strength testing and any appropriate imaging diagnostic studies. Understanding the meaning of the tests is helpful for patients, insurance companies, paralegals, attorneys, and other doctors not familiar with neuro-musculo-skeletal examinations.
CLICK HERE for a detailed description of Orthopedic and Neurological Tests and Explanations that are used in Personal Injury Reports for attorneys and insurance companies.
In evaluating a patient's condition at Middletown Spine and Injury, an evaluation for Temporary Total Disability, Permanent Impairment, or Permanent Disability is often requested and/or appropriate. CLICK HERE for an explanation of the basis on which requests for opinions are calculated in this health care facility.
In our practice, we use validated patient questionnaires as a method of measuring outcomes for patients with back pain (Revised Oswestry and/or Roland-Morris) and neck pain (Neck Pain Disability Index). CLICK HERE for a brief discussion of the scientific acceptance and now widespread use of this type of outcome measure. It is given because traditionally practitioner measurements (e.g. range of motion measured by straight leg raise, x-ray, etc. and strength measures) have been thought more objective and valid than patient-centered survey instruments (questionnaires).
However, more important than these validated patient questionnaires are the clinical findings we assess on the patient re-examination encounters. Nothing is more accurate than the objective findings and evaluations of these re-examinations, as they take into consideration the patient’s initial status, the amount and rate of progress, and the comorbidity factors associated with the patient.
CLICK HERE for a brief discussion of the scientific acceptance and now widespread use of this type of outcome measure. It is given because traditionally practitioner measurements (e.g. range of motion measured by straight leg raise, x-ray, etc. and strength measures) have always been thought more objective and valid than patient-centered survey instruments (questionnaires). These questionnaires are just another guide to help understand through activities of daily living additional factors that help the doctor make appropriate clinical decisions.
bottom of page