Chiropractic Treatment Case Summary

Chiropractic treatment

This is an exparte case requested Chiropractic, CA MTUS states that it is recommended for chronic pain if caused by musculoskeletal conditions, and only when manipulation is specifically recommended by the provider in the plan of care. ODG states that it is not recommended. Manipulation has not been proven effective in high quality studies for patients with pain in the hand, wrist, or forearm, but smaller studies have shown comparable effectiveness to other conservative therapies. Review of medical records indicates that the patient is s/p left thumb surgery He had neuropathic pain distally. He was unable to hold onto any objects. However, guideline criteria have not been met. The following questions are presented: 1- Has the patient tried other conservative treatments such as PT?

2- What is amount of sessions requested?

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ODG states that it is not recommended. Manipulation has not been proven effective in high quality studies for patients with pain in the hand, wrist, or forearm, but smaller studies have shown comparable effectiveness to other conservative therapies. Review of medical records indicates that the patient is s/p left thumb surgery He had neuropathic pain distally. He was unable to hold onto any objects. The provider prescribed Lidopro and terocin patch to minimize usage of narcotics for his pain. it is noted from documented medical records that the request of same medication was denied on 11/2/16 due to lack of evidence of medical necessity. However, guideline criteria have not been met. The following questions are