All cases are accepted initially on a trial treatment basis
Typically involves a case history, tailored physical exam, evaluation, 1st treatment.
At the outset it should be made clear that:
Despite any perceived premature symptomatic improvement, rarely does any single treatment provide a solution of itself, even in the least complex situations.
Generally however, a short regime of between 1-6 visits is needed to establish early-stage therapeutic effectiveness, to be gauged by measurable objective and subjective clinical response/reported symptomatic and evident functional improvement.
Cases are evaluated at each treatment. Also on completion of any trial period. And subsequently at intervals when treatment continues in blocs.
Once improvement is established, further treatment (when justified) is typically on an increasing interval basis between visits. Any ongoing intervention is undertaken in blocs of 3-4 further treatments, with evaluation determining whether further continuation is advisable.
Continuation, even when advised, is always by agreement.
The goal of all treatments for a presenting problem is a resolution (at best), or else good management (at least).
But the news is not always perfect or ideal. In situations where there is inadequate response towards a self-sustaining recovery, or a serious negative reaction is apparent, or where greatest possible benefit has been achieved, treatment may be suspended or discontinued by mutual consent.
Or if indicated, alternatively the patient shall be referred for external reassessment, additional examination or alternative care.
But it is unusual to see most patients during first encounter for more than 8-10 visits, during which period indications of self-sustaining recovery should be evident, or at least be becoming apparent.
Maintenance care or periodic visits, either on self-referral or by recommendation, while encouraged as part of any good-health regime – but ideally as a result of a sound learning experience from care already undertaken – are nonetheless voluntary and undertaken purely as a matter of free choice.
All treatment is a co-operative venture.
A freely consultative doctor-patient relationship is encouraged, based on shared information and mutual honesty.
Where such a relationship fails to develop or is undermined, then so is a patient’s continued well-being and satisfaction jeopardised.
To desist in such circumstances is the self-evident option and best advice.