Maintenance & Support

What are maintenance and supportive care?
Of the many issues that need to be addressed with the management of all long-term and/or chronic musculoskeletal conditions it that is important for us to give due consideration to the natural stages of healing.

  • Stage 1 takes place from the first 24-72 hours post-injury and is called the inflammatory stage. During this stage we refer to the acronym R.I.C.E (Rest, Ice, Compression, Elevation). These actions are intended to reduce unnecessary and excessive inflammation which, if unchecked, can actually prolong the healing process.
  • Stage 2 is the repair and regeneration phase. During this phase the body moves in all the materials required to repair or replace the damaged tissues. This phase takes approximately 6 to 8 weeks and represents the normal time for repair of any acute injury; be it a sprain, strain or fracture.
  • Stage 3 is the remodeling and maturation phase. The remodeling phase is the particularly critical phase in terms of the development of long term strength and integrity. The biological wisdom involved here is that tissues remodel according to what’s called the S.A.I.D principle – which means Specific Adaptation to Imposed Demand. The importance of this function is that your body will heal itself and remodel itself in accordance with your lifestyle. The difficulty we run into is that if, as a result of your injury or inappropriate treatment, your body develops inappropriate movement or loading strategies to protect or compensate for the injured area, your tissues will remodel in an equally inappropriate fashion. This maladaptation then becomes a very common source of ongoing instability and chronic dysfunction leading to chronic musculoskeletal pain. That being said, the wisdom of monitoring a relatively severe or chronic condition throughout the entire remodeling period becomes self-evident.

Treatment Definitions: Canadian Chiropractic Association (Glenerin 1993)

Supportive Care: Necessary treatment/care for patients who have reached maximum therapeutic benefit, and for whom periodic trials of therapeutic withdrawal have lead to deterioration and failure to sustain previous therapeutic gains. This form of care is initiated when the clinical problem recurs.

  • Patient reaches maximum benefit but relapses when care is withdrawn
  • Consists of both passive (doctor given) and active (self care) treatment.

Maintenance/Preventative Care: Elective care given at regular intervals designed to maintain maximum health and promote optimal function. It may incorporate screening procedures designed to identify developing risk problems pertaining to the patient’s health status and give advice on the same.

  • Promotes wellness through continued active patient participation
  • Provides patient education

If you have more questions regarding your specific problem call our office at (780) 963-4608 to set up a consultation with Dr. McLeod.
This information represents only a brief summary of the conditions discussed and is presented as a public service by the Immanuel Healing Centre. For this or any other health problems about which you have concerns please consult personally with a health care professional.