Jeff LangmaidFounder, The Evidence Based Chiropractor

3 Out of 4 Patients Never Got THIS First-Line Care 😳

3 Oct 2025 · 1 min

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0:47

A speaker highlights a large discrepancy between clinical guidelines and real-world practice for cervical radiculopathy: although conservative care (physical therapy, chiropractic, acupuncture) is recommended as first-line treatment, about three out of four patients did not receive these therapies within the first three months, leading many to undergo medications, injections, or early surgical consultations instead of safer conservative options. The speaker urges efforts to close this care gap.

Questions this video answers

Three out of four patients (≈75%) did not receive PT, chiropractic care, or acupuncture within the first three months.

Within the first three months.

Chapters

Why does this matter for all of us? Well, first, it's important to continually highlight the fact that there's a huge gap between what the guidelines say and the reality of actual practice. I want to close this gap. I'm doing everything I can. I hope you're doing everything you can out there to close this gap. But there seems to be very little teeth for people that are not following the guidelines. Cervical radiculopathy is one of the conditions when conservative care is supposed to be first line, no questions asked. Yet three out of four patients never got pt, chiro, or acupuncture within the first three months. That that means millions, millions of people are slipping through the cracks. They're bouncing between things that probably are not serving them very well medications, injections, even early surgical consults. Instead of getting the safe and effective conservative care that they deserve.