Helle,
It is actually a grey area.
Here is the regulation with my underline as emphasis:
*§302. Practice of Chiropractic. (a) Scope of Practice. (1) A duly licensed
chiropractor may manipulate and adjust the spinal column and other joints
of the human body and in the process thereof a chiropractor may manipulate
the muscle and connective tissue related thereto. (2) As part of a course
of chiropractic treatment, a duly licensed chiropractor may use all
necessary mechanical, hygienic, and sanitary measures incident to the care
of the body, including, but not limited to, air, cold, diet, exercise,
heat, light, massage, physical culture, rest, ultrasound, water, and
physical therapy techniques in the course of chiropractic manipulations
and/or adjustments.*
On many occasions while dealing with legislation in Sacramento have we come
across different interpretations of the regulation. Some say you must be
performing manipulation/adjustments in order to do the other things. Is
this performance osseous or manipulation of the muscle and connective
tissue? Again, open to interpretation. This doesn't mean manipulation has
to be performed on each and every visit, just some time *in the course of*
manipulation/adjustments.
Now an easy solution would be to use a non-force technique on this
particular individual like activator or SOT blocks for example. That would
satisfy the regulation and still respect the patient's desire to not have
themselves adjusted (assuming we are talking about manual adjustive
techniques). It doesn't have to be done on every visit either.
I always do some type of chiropractic manipulative procedure in my office
when patients don't want to be manually adjusted...so if someone wanted
massage in a PI case, they will always see me for some type of adjustment
and then have the therapy, not necessarily on the same day.
BTW. You can provide a chiropractic manipulative procedure on one day and
have the patient come in for therapy another day. It is *"in the course of
chiropractic manipulations and/or adjustments"*
Hope that helps.
Ken
On Mon, Dec 12, 2016 at 2:01 PM, Kenneth Winer <brewdoc@xxxxxxxxxxxxx>
wrote:
Helle,
It is actually a grey area.
Here is the regulation with my underline as emphasis:
*§302. Practice of Chiropractic. (a) Scope of Practice. (1) A duly
licensed chiropractor may manipulate and adjust the spinal column and other
joints of the human body and in the process thereof a chiropractor may
manipulate the muscle and connective tissue related thereto. (2) As part
of a course of chiropractic treatment, a duly licensed chiropractor may use
all necessary mechanical, hygienic, and sanitary measures incident to the
care of the body, including, but not limited to, air, cold, diet, exercise,
heat, light, massage, physical culture, rest, ultrasound, water, and
physical therapy techniques in the course of chiropractic manipulations
and/or adjustments.*
On many occasions while dealing with legislation in Sacramento have we
come across different interpretations of the regulation. Some say you must
be performing manipulation/adjustments in order to do the other things. Is
this performance osseous or manipulation of the muscle and connective
tissue? Again, open to interpretation. This doesn't mean manipulation has
to be performed on each and every visit, just some time *in the course of*
manipulation/adjustments.
Now an easy solution would be to use a non-force technique on this
particular individual like activator or SOT blocks for example. That would
satisfy the regulation and still respect the patient's desire to not have
themselves adjusted (assuming we are talking about manual adjustive
techniques). It doesn't have to be done on every visit either.
I always do some type of chiropractic manipulative procedure in my office
when patients don't want to be manually adjusted...so if someone wanted
massage in a PI case, they will always see me for some type of adjustment
and then have the therapy, not necessarily on the same day.
BTW. You can provide a chiropractic manipulative procedure on one day and
have the patient come in for therapy another day. It is *"in the course
of chiropractic manipulations and/or adjustments"*
Hope that helps.
Ken
On Mon, Dec 12, 2016 at 12:47 PM, Helle Leap <helle@xxxxxxxx> wrote:
Does anyone know the legalities of treating a PI patient with Massage
only.
She doesn't want to be adjusted..
Dr. Helle Leap
--
Dr. Helle Leap
*Valley Chiropractic*
21740 Devonshire St. Chatsworth, CA 91311
818-998-1527 | helle@xxxxxxxx
www.drleap.com
*Massage Center*
171 E. Thousand Oaks Blvd #206, Thousand Oaks, CA 91360
805-495-1353 | helle@xxxxxxxx
www.asmt.net
--
Be well,
Dr. Kenneth Winer
http://www.winerchiropractic.com
7127 Owensmouth Avenue
Canoga Park, CA 91303
818-888-7227 <(818)%20888-7227>
818-888-3945 <(818)%20888-3945> (fax)
email:drkenwiner@xxxxxxxxx <drkenwiner@xxxxxxxxx>
