The Value of Interprofessional Collaboration in Delivering Quality Patient Care

In many cases, interprofessional collaboration helps your patients achieve optimal health. Chiropractors are qualified to assess, diagnose and treat issues affecting the musculoskeletal (MSK) and the neuromusculoskeletal (nMSK) system. They can help patients manage their MSK pain. For patients with conditions outside their scope of practice, chiropractors give informed referrals to physicians, nurse practitioners and other health care professionals. They collaborate with them to support their patients’ ongoing care, as required.

Interprofessional Collaboration Helps Your Patients Manage their MSK Pain

Often patients with chronic conditions, illnesses or injuries, also have MSK challenges, which add to their pain and limit their mobility. For these patients, an interprofessional collaboration approach works particularly well.

Increasingly chiropractors collaborate with other health professionals as part of an interprofessional team within their patient’s circle of care. By helping these patients manage their pain and improve their physical function, chiropractors can play a key role in their care.

Manual Therapy to Augment or Replace Pharmacological Treatment

The Centre for Effective Practice (CEP) has developed several evidence-based tools that outline and support use of manual therapy to treat non-cancer, chronic pain.

For example, CEP partnered with OCA to develop an evidence-based clinical tool (Manual Therapy as an Evidence-Based Referral for Musculoskeletal Pain Tool). This tool is designed to increase primary care professional’s confidence in implementing an evidence-based program of patient education, exercise and manual therapy to help patients manage opioid usage for MSK pain. The Centre for Addiction and Mental Health (CAMH) included this tool in its Opioid De-implementation Pathway for physicians and the College of Chiropractors of Ontario (CCO) endorsed it.

About this Section

The resources in this section were developed to help you gain maximum value in collaborating with chiropractors to manage your shared patients’ care.

Manual Therapy as an Evidence-Based Referral for Musculoskeletal Pain Tool

Manual Therapy as an Evidence-Based Referral for Musculoskeletal Pain Tool

MSK pain conditions are the biggest cause of disability internationally. They are often treated with pain medication, including opioids, and surgery when applicable. However, there is little guidance to assist primary care professionals in implementing non-pharmacological treatments, such as manual therapy with or as an alternative to pharmacological treatment.

To address this gap, CEP and OCA collaboratively developed this tool. Primary care professionals like you can use it as a guide when referring a patient for manual therapy, delivered by a chiropractor, physiotherapist or registered massage therapist, and evaluating their outcomes.

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Management of Chronic Non-Cancer Pain (CNCP) Tool

Management of Chronic Non-Cancer Pain Tool

As part of a collaboration between the CEP, Ontario College of Family Physicians (OCFP) and the Nurse Practitioners’ Association of Ontario (NPAO), this tool was developed to help primary care professionals support patients with CNCP. It was funded by the Ministry of Health and Long-Term Care.

It is designed to assist primary care professionals in developing and implementing a management plan for adult patients living with CNCP. It applies to various chronic pain conditions, including osteoarthritis, low back pain, musculoskeletal pain, fibromyalgia and neuropathic pain.

View/Download Clinical Tool

Clinically Organized Relevant Exam (CORE) Back Tool

Clinically Organized Relevant Exam (CORE) Back Tool

CEP developed the Clinically Organized Relevant Exam (CORE) Back Tool to help primary care professionals better manage patients who suffer from low back pain. The goal of this initiative was to reduce the number of unnecessary diagnostic tests, improve wait times and enhance patient care.

This tool was developed using an evidence review, expanded references and integration of expert input. The Canadian Spine Society (CSS) and the Nurse Practitioners’ Association of Ontario (NPAO) have endorsed this tool. Several OCA members were on the Education Planning Committee involved in its 2016 updated version.

View/Download Clinical Tool

The following Medical Post articles outline chiropractors’ clinical approaches, including assessment, diagnosis and treatment, to various conditions, to help you integrate care.

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Case study of collaborative care between Darcy Driscoll, MSc, DC, and his patient Anita’s family physician and ultimately her vascular surgeon. Anita first visited Dr. Driscoll to address gradual onset of increasing pain in her right leg and its potential connection to her long-standing low back pain. Following examinations and tests, he urged Anita to contact her family physician to rule out a deep vein thrombosis (DVT). Further collaboration identified calcified plaque as the cause of her pain. Source: Medical Post advertorial, June, 2019.

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Case study consult between Dr. Raymond Jacques, MD, and Dr. Lindsey Rebeiro, DC about the care of their patient, who presented with a complex case of acute and chronic back pain. Their collaboration enabled their patient to eventually engage in all his daily activities, return to work and independently manage his back pain. Source: Medical Post, April, 2019.

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A detailed overview of the assessment, diagnosis and chiropractic treatment for a patient with low back pain. Includes case study of Pam Damoff, a town councillor in Oakville, Ontario, who had a sudden onset of low back pain and how it was treated.

Source: Medical Post advertorial, May, 2015.

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A detailed overview of the assessment, diagnosis and chiropractic treatment for a patient with shoulder injuries. Includes case study of Coletta McGrath, an executive director at a community health centre in St. Catharines, Ontario, who damaged her arm in a car accident how it was collaboratively treated. Source: Medical Post advertorial, May, 2015.

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A detailed overview of the assessment, diagnosis and chiropractic treatment for persistent or recurrent neck pain. Includes clinical practice guidelines, diagnosis steps and a rudimentary care pathway. It also features commentary from Dr. Tammy Hermant, a practicing family physician in downtown Toronto, about her experience collaborating with chiropractors to treat patients with neck pain. Source: Medical Post advertorial, September, 2015.

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Outlines the underlying MSK challenges that affect patients with complex conditions, such as COPD, diabetes and aging and how chiropractors and how chiropractors can help. Includes case study of patient who had chronic health issues due to two car accidents. Source: Medical Post advertorial, June, 2015.

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