Klingensmith RD, Chiropractic Evaluation and Care for Lumbosacral Pain American Academy of Pain Management Washington DC, Sep 1996.

The low back pain patient may present with a variety of symptoms representing a full spectrum of possibilities of disease states or injuries. A detailed history and complete examination process provides the facts from which an accurate diagnosis can be made. An accurate diagnosis is paramount to establishing and providing an effective treatment plan. The treatment plan should address all perpetuating, compensating and co-morbidity factors that were indicated from the detailed history and examination process.

Sacro Occipital Technique (SOT) protocol for the treatment of lumbosacral pain is presented with an introduction into the SOT category system of analysis and chiropractic manipulative reflex techniques (CMRT). Examination forms are also presented, some that include acupuncture or eastern healing philosophies. Chiropractic treatment frequently utilizes various forms of manipulation, physiological therapeutic modalities, nutrition, exercises and lifestyle and/or work habits counseling for treatment of varying conditions related to lumbosacral pain.

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