For Physicians & Surgeons
A referral that reflects well on you.
Evidence-based, conservative spine and musculoskeletal care for New Castle County — delivered with the communication, documentation, and boundaries you expect from any consultant. You stay the quarterback; we keep you informed and send your patient back.
The standard you can count on
We hold ourselves to a physician's standard
The most common reason physicians hesitate to refer to chiropractic isn't the care — it's never hearing back, and not knowing what they're sending a patient into. We fixed that. Here's what you get from us, every time.
A written report on every patient
Initial evaluation, a progress note at re-exam, and a discharge summary — in medical language, in your inbox. You always know what we're doing and why.
Red-flag screening before we treat
We screen for fracture, malignancy, infection, and cauda equina, and refer out immediately when indicated — never adjust through a serious finding.
Finite, goal-based care
A defined treatment trial with a scheduled re-evaluation — not open-ended maintenance. If a patient isn't measurably improving, we tell you and send them back.
Objective outcome tracking
Validated pain and disability measures you can read at a glance, so progress is documented, not asserted.
We refer back — and out
Your patient returns to you when care is complete, and is escalated the moment anything falls outside musculoskeletal scope.
We stay in our lane
Evidence-based care for mechanical spine and musculoskeletal complaints. No claims beyond it.
On the evidence
Conservative care, stated honestly
The ACP (2017), NICE, and the 2018 Lancet Low Back Pain series all place non-pharmacologic, conservative care — including spinal manipulation — as a first-line option for low back pain, ahead of drugs.
We won't oversell it: the effect sizes are modest and broadly comparable to other first-line care like exercise. The value is a favorable safety and cost profile and an opioid-sparing, non-surgical first step — chiropractic use is associated with substantially lower opioid prescribing for new low back pain.
References: ACP guideline, Ann Intern Med 2017 · NICE NG59 · Lancet 2018 · Kazis, BMJ Open 2019. Full citations available on request.
How we partner
Better outcomes — before, after, and instead of surgery
Help patients avoid unnecessary surgery
Conservative-first management for the large non-surgical majority of spine and MSK patients — so your surgical clinic stays focused on true surgical candidates. In an occupational cohort, workers who saw a chiropractor first had a far lower 3-year lumbar surgery rate than those who saw a surgeon first.
Keeney, Spine 2013; Kindrachuk & Fourney, J Neurosurg Spine 2014
Support recovery after surgery
Post-surgical reconditioning and pain management delivered strictly within your protocol and timeline, once you've cleared the patient — coordinated, not freelanced.
Co-managed within the surgeon's plan
Improve outcomes, together
In a 750-patient randomized trial in active-duty service members, adding chiropractic to usual medical care improved pain, disability, and patient satisfaction versus usual care alone.
Goertz et al., JAMA Network Open 2018
You stay the quarterback
You own the case. We make the referral look as good as it is.
When you send a patient to a partner who relieves their pain without drugs or surgery and returns them to you with a clean report, the patient remembers one thing: their doctor pointed them somewhere that worked. A guideline-concordant, opioid-sparing first option — and the credit stays with you.
Referring is simple
- Call us and we'll handle the rest — same-week scheduling
- Send records by fax or secure email; we send a report back
- Or have your patient mention your name — we'll close the loop with you