NSD Therapy® Contraindications and Safety Screening

NSD Therapy® can involve different professional services and equipment-based procedures. A decision about one component does not establish that every other component is suitable. The clinician needs to identify the proposed procedure, the body area involved, the relevant risks and whether medical or specialist input is needed.

I begin with the health history, examination findings, current function and previous care. These findings guide what can reasonably be discussed. A scan label, a symptom checklist or the passage of a fixed number of months after surgery does not provide automatic clearance.

The official MyChiro first-visit guide (opens in a new tab) explains assessment and selection of components. The NCCIH spinal manipulation safety information (opens in a new tab) also explains why underlying conditions and medication history matter. That source concerns manipulation, not the safety of the entire NSD framework.

Health information to disclose before a procedure

Tell the practitioner about:

• Recent injury, a suspected or previous spinal fracture, osteoporosis or another bone disorder.
• Cancer, a spinal tumor, infection, fever or an unexplained major change in health.
• Previous spinal operations, fusion, hardware or current instructions from your surgeon.
• Pregnancy, known vascular disease or an aneurysm.
• Bleeding disorders, anticoagulant medicines and other current medications.
• Implanted medical devices, new weakness or changing sensation.

This is a disclosure list, not a clearance checklist or a complete list of contraindications. The significance depends on the procedure and the individual findings.

Previous surgery, hardware and complex health conditions

Previous surgery or hardware requires procedure-specific assessment and may require operative records, imaging or advice from the treating specialist. There is no universal six-month rule that establishes eligibility. A recommendation may be to avoid or postpone a component, obtain another opinion or use a different care pathway.

Personalization does not remove a contraindication or prove that a modified procedure is safe. The reason for any proposed change should be explained before consent.

Who is responsible for the proposed care?

Ask for the treating practitioner’s name, professional role and relevant registration. Chiropractic and physiotherapy remain distinct professional services when they are coordinated within NSD Therapy®. A brand label or a statement about training is not a substitute for checking the practitioner’s role, procedure-specific assessment and informed consent.

What excluding one component means for the rest of the plan

NSD Therapy® is customized; it is not a requirement to complete a list of devices or procedures. If one component is unsuitable, ask the practitioner to explain the decision for each remaining option. A substitution still needs its own assessment.

• Manual care: identify the proposed hands-on technique and body region. Non-rotatory delivery does not remove the need to consider bone, joint, neurological and other relevant findings.
• Device procedures: clarify which device is being considered, its intended purpose and the precautions that apply to you. RxDecom®, FD-3000™ and Spinercise® have different roles.
• Exercise and rehabilitation: agree on an appropriate starting activity and what would prompt reassessment. An exercise machine and a floor or mat program are both parts of a clinical plan, not automatic alternatives when another procedure is excluded.
• Other modalities and nutritional guidance: explain medicines, supplements, implanted devices and other health conditions so the relevant professional can consider interactions and precautions.

The result may be a smaller plan, a postponed component or referral. The purpose of customization is to make a reasoned selection; it cannot make a contraindicated procedure suitable by changing its name.