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I. Minimal: no limitation of motion; no ligamentous injury or neurological findings

II. Slight: limitation of motion; no ligamentous or neurological findings

III. Moderate: limitation of motion; some ligamentous injury; neurological findings may be present

IV. Moderate to sever: limitation of motion; ligamentous instability; neurological findings present; fracture or disc derangement

V. Severe: requires surgical management

I. Acute: Inflammatory stage (lasts up to 72 hours)

II. Subacute: Repair stage (lasts 72 hours to 14 weeks)

III. Remodeling stage (lasts 14 weeks to 12 months or more)

IV. Chronic: Permanent.

Neurological signs can include subjective complaints (numbness, tingling, ect.). Fracture can include minimal end-plate fracture; disc derangement can include non-herniated forms. Duration of stages is dependent upon severity of injury and other factors.

Grade I. Daily for 1 week, 3 x a week for 1-2 weeks, 2 x a week for 2-3 weeks, 1 x a week <4weeks

Grade II. Daily for 1 week, 3 x a week for <4 weeks, 1 x a week for <4 weeks, 1 x a month for <4 months

Grade III. Daily 1-2 weeks, 3 x a week for <10 weeks, 2 x a week for <10 weeks, 1 x a week for <10 weeks, 1 x a month for <6 months

Grade IV. Daily 2-3 weeks, 3 x a week for <16 weeks, 2 x a week for <12 weeks, 1 x a week for <20 weeks

Grade V. Surgical stabilization necessary: chiropractic care is post surgical