Report of Findings

1. The condition you have presented with is a sprain within the SIJ with and
combination of a lower back strain. The reason why I believe this is the
condition is because you are presenting with pain over these areas and it
only occurs after you go from a stooped position to a straight standing
position, and this is resulted from lifting heavy objects.
2. We will be adjusting the lumbar spine to reduce the amount of pain you
are feeling from the strain/sprain at the SIJ. We will over the course of 1-
2 week with 2 visits a wee, will review the SIJ, so we can start correcting
the subluxation that you have also presented with but for now we will not
be adjusting the SIJ at this time as we don’t want to aggravate it.
3. With the acute SIJ sprain it is suggesting wearing a support belt for at
least 1-2weeks for stability.
4. What I want the patient to do at home stretching (cat camel, 90/90), light
exercise (walking) till overview, use of heat packs on the area, try and
avoid prolonged periods of sitting, standing or lifting.
5. Go over correct, lifting techniques, and sitting techniques with me
demonstrating how to perform these activities safely, I will have the you
show these exercises back to me and correct you were or if you need to
be correct of how you perform these different strengthen activities. With
this I will also provide print out of these strengthening activities and
correct lifting techniques .
6. Prognosis - Pain should be relief straight away after adjusting the
subluxation, but the sprain will still cause pain if carrying out heavy
lifting activities. The brace should only have to be worn for a week or 2
just to help with stability when preforming light physical activity.
7. Outcome measures - Increasing stability within the Sacroiliac joint, with
decrease to little or no pain when preforming lifting activities at work or
gym. With decrease amount of time see me as a chiropractic
8. This would be the opportunity for the patient to ask any question they
may want or need to know.
9. If this was going to the patient I would have them sign the document to
make sure they have an understanding on what has been said and that
they have consented to the care that is about to take place.

1. Give patient a clear diagnosis & explanation of what their diagnosis means.
2. Outline your proposed treatment recommendations & schedule. 3. Explain
what care is and explain manipulation (if it is being proposed). 4. Discuss side
effects / risk factors of treatment – appropriate to region of care. 5. Outline
recovery if the patient exercises their option not to receive care. 6. Explain
prognosis recovery times (tissue type). 7. Give patient opportunity to ask any
questions especially in regard to treatment, side effects, common responses and
experience. 8. Patient should sign document that they have understood and
consent to care.