
05/16/2025
This morning I presented to a high school healthcare class (which is a great class offering - I wish we had something like that when I was in high school). We spent a lot of time speaking about concussions and on their way out a student mentioned they had a concussion recently and weren’t improving. I overheard them mention some specific symptoms and asked “has anyone looked at your neck?” They answered “no”, but that they were scheduled for a CT scan as they weren’t improving.
This brings up NUMEROUS issues with concussion care. I am making a bit of an assumption here - but if no one has assessed their neck, it’s unlikely they has had any form of a proper assessment by a TRAINED provider. Research has shown time and time again that early assessment by an experienced and trained provider is paramount for an expedited recovery.
Number 2 - CT scans are not for patients who “just aren’t recovering as expected”. The Canadian CT Head Trauma Rule is a guideline for healthcare providers in ordering CT scans. In this case, none of the boxes would be ticked, so in my blunt opinion, a CT scan would be a waste of time and money.
Number 3 - This person’s brief description of her symptoms showed SO many potential neck drivers. They mentioned that their mother “didn’t want her to see a chiropractor because they would snap my neck”, and the mother was uncomfortable with that. I don’t even know how to keep my feelings on that brief. But here’s an attempt: a) if a patient does not feel comfortable with ANY type of treatment, it will NOT be provided - we must obtain consent for any treatment we provide, and there are numerous other treatment options; b) a neck adjustment is not always the necessary treatment for neck pain - do not marginalize a profession into a single treatment method; c) if an adjustment is warranted and the patient consents, the treatment is considered very safe.
I find it disappointing that so many people have preconceived notions about what chiropractors do and subsequently would not consider it as an option. In the VERY brief interaction with this student, I KNEW I would be able to help them, but instead they will likely be continued to be mismanaged and develop long term symptoms.
If you’ve made it this far on my post - are there any questions about concussion management you might have? Leave me a message or comment.
End rant!