Dr. Vince Leone structures acute back pain treatment with 6 sessions over two weeks, and chronic cases with 12 sessions, often adding decompression, laser, or shockwave therapy. Laser works better for acute pain, shockwave for chronic conditions, sometimes combined in sequence.
You're thinking a shorter package. You're thinking maybe 6 to 8 sessions, 6 to 10 sessions. I usually do 6. That's kind of my starting point for most acute conditions. And I'll do usually 3 times a week for 2 weeks. And that's usually enough, give or take a visit or 2 one way or the other, to settle a lot of acute conditions down. Unless it's a, you know, a real significant injury. Well, what's a double? A double would be the person— so with the single, they had acute back pain. A double would be, Doc, this— I have some back pain on kind of an ongoing basis. Well, do you have anything going down your leg? No, it's just kind of some chronic nagging back pain. I wake up, I'm stiff every morning, or as I go through my workday, by the end of the day it's worse. You x-ray that patient and yep, They got some general discogenic degenerated discs, but maybe not severe, just mild to moderate disc degeneration. To me, I look at a package like that, that's a double where I'm going to do like a 12-visit protocol, and maybe it'll even be decompression with it, but I'm sure going to recommend 12 chiropractic adjustments. I'm going to recommend 12 lasers or shockwave, depending on how bad I think it is. Generally, the more chronic it is, the more I'm going to recommend shockwave, and a little more towards the acute side, I'm going to recommend laser. And there are some cases where I'll do a hybrid, where maybe I'll start with shockwave for maybe 4 to 6, and then the middle— 12. 3 or 4, I'll maybe do both, and then I'll end with the laser the last few sessions, and that works really well as well.
