The Crucial Role of Chiropractors in Identifying Vascular Issues and Making Timely Referrals

Since the onset of the COVID-19 situation, the healthcare landscape has experienced unprecedented challenges, and chiropractors have been at the forefront of navigating these complexities. The ChiroFutures Malpractice Program has led the way in this endeavor with our program setting the benchmark in advising chiropractors on how to adeptly handle the immense clinical and regulatory challenges posed by the pandemic and its related issues. ChiroFutures’ proactive approach in offering guidance and support has been instrumental in helping chiropractors manage the intricacies of patient care and regulatory landscape during these times. Your partnership with ChiroFutures Malpractice Program is not just a matter of professional liability coverage; it represents a crucial educational and support resource that has been unmatched by any other malpractice company in the field.

Chiropractors are Ground Zero

As chiropractors, often the first point of contact in the healthcare system, it is imperative to recognize and evaluate the potential risks associated with vascular health, especially in the context of spike proteins and the mass casualty event that has taken place. Many times you are on the front lines in the triage of these victims. This blog post is tailored for chiropractors, emphasizing the importance of clinical evaluation strategies to discern vascular risks and the necessity of timely referrals to avoid malpractice accusations and blame.

The Target: Vascular Epithelium

In the intricate world of vascular health, the integrity of the vascular epithelium plays a pivotal role. This is particularly true in the context of the presence of spike proteins in the bloodstream, which has emerged as a significant concern in recent times. This article aims to provide a review of the evaluation methods for vascular system integrity, particularly under the challenge posed by spike proteins and considering that most of the world’s population is now at risk. This means most of your patients.

The Importance of Vascular Epithelium in Health

The vascular epithelium, lining the interior surface of blood vessels, is critical in regulating various physiological functions. It maintains a balance between different factors affecting blood clotting and inflammation, and its disruption can lead to serious health issues like atherosclerosis and thrombosis.

Impact of Spike Proteins on Vascular Health

Spike proteins, especially those linked with certain viral infections and vaccines, have raised concerns due to their potential interaction with vascular endothelial cells. This interaction can cause endothelial dysfunction, which may manifest as increased inflammation, altered blood clotting, and vascular damage.

Understanding Vascular Health in Chiropractic Practice

Chiropractic care often involves patients presenting with symptoms that may mimic or overlap with vascular diseases. It is crucial to distinguish these symptoms accurately, as the presence of spike proteins in the bloodstream can significantly impact vascular health, potentially leading to conditions related to endothelial dysfunction.

Key Evaluation Strategies for Chiropractors

1. Patient History and Physical Examination: Begin with a comprehensive patient history and a standard physical examination. Pay close attention to any yellow or red flags that might indicate vascular issues.

2. Awareness of Blood Work Indicators:
– Educate yourself about important blood tests like CBC (Complete Blood Count), CRP (C-reactive protein), sCD40L, IL-18, and D-Dimer. These tests are crucial for evaluating inflammation and clotting issues, common in vascular diseases.

3. Understanding Imaging Techniques:
– Familiarize yourself with the roles of Duplex Ultrasound, Venography, Magnetic Resonance Angiography (MRA), Magnetic Resonance Imaging (MRI) and Flow-Mediated Dilation (FMD) in diagnosing vascular conditions.

Identifying the Need for Referral

As portal-of-entry providers, it is essential to recognize when a patient’s symptoms exceed your scope of chiropractic care (and/or if you have any uncertainty about the safety of adjusting a patient at the moment) and necessitate referral to a medical specialist. This not only ensures the patient receives appropriate care but also safeguards your practice against malpractice claims, blame and accusations. Key indicators for referral include:
– Persistent or worsening symptoms despite chiropractic treatment.
– Symptoms that are atypical for musculoskeletal issues.
– History, Blood work or physical examination findings suggestive of vascular pathology.

Mitigating Malpractice Risks

To avoid malpractice accusations, maintain thorough documentation of patient interactions, including your assessments, the rationale for your care plan, and decisions regarding referrals. Continuous education about the evolving landscape of health issues, like the impact of spike proteins on vascular health, is also crucial.


For chiropractors, understanding the intersection between symptoms presented in chiropractic practice and potential underlying vascular issues, especially in the current context of spike proteins, is crucial. By employing effective evaluation strategies and recognizing when to adjust, when not to and when to refer, chiropractors play a pivotal role in the early detection of vascular issues, contributing significantly to patient health and mitigating risks associated with malpractice.

In conclusion, the role of the ChiroFutures Malpractice Program in guiding chiropractors through the clinical and regulatory challenges of the COVID issue has been invaluable. Our unique and comprehensive approach to malpractice management, combined with their unwavering commitment to the chiropractic community, sets them apart in the industry. As we continue to face evolving healthcare challenges, the importance of such a partnership with your malpractice provider becomes increasingly evident. ChiroFutures has not only led the way but has also demonstrated the significant impact that a dedicated malpractice program can have in enhancing the quality of chiropractic care and safeguarding the interests of both practitioners and patients. Our pioneering efforts in this realm are a testament to our dedication to the profession and our unmatched expertise in the field.