The Medical Treatment Guidelines, in our opinion, are the most destructive and damaging change that has been made to the Workers' Compensation system in the last 50 years. Point blank, they prevent injured workers from getting proper medical treatment.
With regard to chiropractic manipulation, the Guidelines are only recommended for treatment of acute and sub-acute back pain "tied to objective measures of improvement." What this statement should mean to treating chiropractors is that it is crucial to document objective improvement in the medical records. Future treatment may depend on proper documentation.
The Guidelines further require documentation that the manipulation has produced a beneficial effect between the first and sixth treatments.