Resources and Strategies

The Evidence-Informed Chiropractor


Week 11 - Oswestry for Low Back Pain



Again its time to measure!


The only way to really know your successes is to measure and compare.

We tend to remember our successes and dismiss or be unawarre of our failures (e.g. patient does not return so they must have felt better after the treatment).

To keep us honest, informed, and improving with our care it is necessary to use an outcome measure.

Outcome measures also provide for you a defense and justification for care (assuming there is improvement). It provides the patient with a reflection on improvement.

There are a number of outcome measures you can use, but the most common are the Rolland-Morris and the Oswestry (or Modified-Oswestry).

Steps to Implement


Instruct your staff that patients with neck pain must fill out the form (or you can administer if you choose to).

Keep in the patient file for future comparison.

Administer in 2 weeks (or at the time if discharge if less than 2 weeks)
If the patient is still being treated, administer in 4 weeks.

Here is the great part!

You can print out the  Modified Oswestry and have the patient fill it out. You can then score the form.  Scoring the Oswestry 

The form can be filled out electronically and then it is automatically scored and it can then be printed or saved electronically.
Powered by Wild Apricot Membership Software