Dataset was manually extracted from the practitioner charts for the most recent 200 treatment visits at painPRO Surrey Memorial for all disciplines before December 1, 2017.
| Treatment Type | #1 Area of Concern | #2 Area of Concern | #3 Area of Concern |
| Chiropractic | Lumbar 45.0% | Thoracic 35.0% | Cervical 10.0% |
| Physiotherapy | Cervical 18.9% | Lumbar 18.9% | Shoulder 16.2% |
| Massage Therapy | Cervical 37.6% | Lumbar 24.1% | Thoracic 12.8% |
| Active Rehabilitation | Cervical 50.0% | Thoracic 20.0% | Rest – 10.0% |
| Treatment Type | #1 Chief Complaint As Proportion of #1 Area of Concern | #1 Chief Complaint As Proportion of #2 Area of Concern | #1 Chief Complaint As Proportion of #3 Area of Concern |
| Chiropractic | Low Back Pain 88.9% | Mid Back Pain 71.4% | Headaches 100.0% |
| Physiotherapy | Cervical Strain 71.4% | Low Back Pain 71.4% | Shoulder Strain 83.3% |
| Massage Therapy | Cervical Strain 56.0% | Low Back Pain 59.4% | Mid Back Pain 82.4% |
| Active Rehabilitation | Cervical Strain 80.0% | Mid Back Pain 100.0% | N/A |
| Treatment Type | Total Treatments | Percentage of Treatments |
| Chiropractic | 20 | 10.0% |
| Physiotherapy | 37 | 18.5% |
| Massage Therapy | 133 | 66.5% |
| Active Rehabilitation | 10 | 5.0% |
| Treatment Type | Total Treatments for MVA (ICBC) | Percentage of Total Discipline Treatments |
| Chiropractic | 1 | 5.0% |
| Physiotherapy | 14 | 37.8% |
| Massage Therapy | 40 | 30.1% |
| Active Rehabilitation | 10 | 100.0% |
Discussion
Of the most recent 200 treatment visits at the Surrey Memorial clinic before December 1, 2017, patients saw RMTs the most at 66.5%, followed by Physiotherapists at 18.5%, and Chiropractors at 10.0%.
The main area of concern with regards to Chiropractors was the cervical area (45.0%), with 88.9% of patients with regards to the cervical area being involved with a cervical strain. For Physiotherapists, equal amounts of lumbar and cervical areas were seen (18.9%). Isolating the cervical area, 71.4% of those patients had cervical strains. RMTs had the highest patients with a cervical area of concern (37.6%), and of those patients, 56.0% of them had cervical strains.
This data shows that from the most recent 200 patients at Surrey Memorial, Chiropractors were mainly seen for lumbar chief complaints, Physiotherapists had the most variety but mainly cervical and lumbar chief complaints, and RMTs had primarily cervical chief complaints followed by lumbar.
Index
Isolating chief complaints per area of concern for categories:
Cervical – Cervical strain, concussion, dermatome, first rib dysfunction, headaches, lev scap pain, pinched nerve, rye neck, TMJ, upper traps stiffness
Lumbar – Glutes stiffness, low back pain, mechanical hip pain, piriformis pain
Thoracic – Mid back pain, postural
Shoulder – Clavicle fracture, glenohumeral impingement, rotator cuff tendinopathy, shoulder strain
Whole Body – Full rehabilitation, relaxation
Arm – Forearm pain, lateral epicondylitis, medial epicondylitis, upper arm pain
Leg – Calf pain, hamstring pain, knee pain, mechanical leg pain, quadriceps tightness
Foot – Ankle sprain, fat pad
Limitations
Skewed area of concern data through manual extraction due the multiple recording visits of the same patient for treatment.
Potential inaccurate charting from practitioners.
Potential false reporting not included in chart from patients.
Multiple areas of concerns and chief complaints from one patient, one must be selected as their main area and main chief complaint due to objective findings in charts.
Lack of proper indexes for categories specifically for chief complaints.
Overlapping multiple areas of concern with respect to the type of pain the patient is feeling.
Lack of a variety of practitioners treatment charts due to the most recent amount of patients seen during the end of November.
Miscommunications, misinterpretations, miscalculations of the extracted data.
